UnitedHealth Group is seeking a Senior Clinical Administrative RN to review member appeals and fair hearing requests from a Texas-based remote location. The role focuses on clinical and chart review, audits, and regulatory alignment within a managed care setting.
The ideal candidate has 5+ years of clinical nursing experience, including utilization management, and at least 3 years in appeals, grievances, or regulatory processes. Texas residency is required.
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Remote Appeals RN Clinical Admin & Regulatory Auditor • workfromhome, United States