Utilization/Appeals Review Nurse
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Are you seeking career growth that allows you to advocate for healthcare needs in a new and different way? Are you looking for a position that doesn’t require shift work, nights or regularly scheduled weekends/holidays? Does the potential for working from home intrigue you?
If you answered yes to any of these questions, this Utilization/Appeals Review position may be the change you’ve been seeking.
AllMed provides clinical decision making and utilization management solutions to leading payer and provider organizations. We work closely with clients toward a shared vision of healthcare that delivers the highest quality, values patient experience, and ensures both appropriate care and utilization of health-related services. AllMed is mission driven to improve the quality and integrity of healthcare and is a recognized leader in this dynamic market.
We are currently seeking experienced Utilization/Prior Authorization/Appeals Review Nurses to join our clinical operations team, working onsite in our beautiful office in downtown Portland, Oregon or remote from home.
In this role, you will work closely with our medical directors and national peer physician specialist panel to provide written medical chart reviews and determinations, which power prior authorizations and appeals for medical treatments and procedures in nearly all specialties and sub-specialties of medicine. The Utilization/Appeals Review Nurse role includes:
Experience, Knowledge, Skills, and Abilities
AllMed offers generous compensation and our competitive benefits program includes comprehensive medical, dental, and vision care, matching 401K, paid time off, disability coverage, and other benefits that promote employee wellness.
AllMed provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, AllMed complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities.
Are you a returning applicant?
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AllMed is an independent review organization with a panel of 400 physician peer reviewers who are licensed, board-certified and in active practice, covering more than 80 ABMS specialties and sub-specialties. AllMed offers medical, copy-editing and customer resources that enable clients to improve quality of care and patient safety.