Clinical Appeal And Grievance Nurse

Mass General Brigham

Somerville, MA, United States
Base: $63,648.00 - $90,750.40/annual; bonus/equity...
Fully remote
Clinical appeal case reviews
Regulatory compliance
Collaboration with healthcare teams
The role is an integral part of our Appeals and Grievance review process

Job Summary

  • The role is an integral part of our Appeals and Grievance review process.
  • We are providing our members with innovative solutions centered on their health needs.
  • Our employees have opportunities to learn and contribute expertise within a welcoming environment.

Matching Summary

The role is an integral part of our Appeals and Grievance review process.

Salary

Base: $63,648.00 - $90,750.40/Annual; Bonus/Equity: Not specified; Benefits: Comprehensive benefits package

Skills & Requirements

Must-have

  • Clinical appeal case reviews
  • Regulatory compliance
  • Collaboration with healthcare teams

Nice-to-have

  • Strong analytical skills
  • Excellent communication abilities
  • Detail-oriented and organized

Key Requirements

  • Bachelor's Degree required
  • Massachusetts Registered Nurse (RN) required
  • 3-5 years of experience in clinical appeals

Work Rights

Not specified

Tailored Resume

Cover Letter