Clinical Review Clinician - Appeals

Job Title: Clinical Review Clinician - Appeals - J00923 Address: FL Job Description: Evaluate and review clinical appeal cases to ensure compliance with healthcare standards. Assist with the resolution of claims based on clinical review findings. Document findings and communicate outcomes to relevant stakeholders. Collaborate with healthcare teams to verify clinical information. Maintain detailed records of each review conducted. Critical Information: Various, FL; Remote; Verify with a Recruiter or Staffing Manager!; Verify with a Recruiter or Staffing Manager!; Verify with a Recruiter or Staffing Manager! Education/Licenses Needed: Verify with a Recruiter or Staffing Manager!; Verify with a Recruiter or Staffing Manager!