About this role
Nurse Specialist II, Clinical Denials at Knowtion Health. Location: Alabama or Arkansas or Arizona or Florida or Georgia or Idaho or Indiana or Kansas or Maine or Michigan or Missouri or Mississippi or North Carolina or New Mexico or Oklahoma or Pennsylvania or South Carolina or Tennessee or Texas or Virginia or Wisconsin or West Virginia. Role: reviewing records, writing appeals, managing accounts Requirements: Licensed RN with minimum 2 years acute care experience. Utilization review/case management experience preferred. Experience with InterQual/Milliman and CMS criteria preferred. Proficient computer/typing skills and ability to work remotely. Category: Healthcare Services - Nursing Seniority: Entry Level Tools: InterQual, Milliman, CMS LCD/NCD Certifications: registered nurse (rn) Commitment: Full Time Workplace: Remote Languages: English