City/State Virginia Beach, VA Work Shift First (Days) Overview: Sentara Health Plansis hiring an Integrated Nurse Case Manager/Registered Nurse (RN) for Inpatient and Outpatient Clinical Appeals- Remote in Virginia! Status: Full-time,permanent position (40 hours)
Standard working hours: 8am to 5pm EST, M-F
Location: Remote in Virginia Overview:
Manage inpatient and outpatient provider appeals across all payer types, including government and commercial insurance
Review clinical denials (non-billing related), identify root causes, and perform post-claim analysis to support appeal submissions
Education:
N-3YR - RN-Diploma (Non-degree) REQUIRED; Bachelors Degree in Nursing preferred
Certification/Licensure:
Registered Nurse (RN) License (Compact or Virginia) pr...