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PALO ALTO, California
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Nurse Appeals- California candidates only
Location: This is a virtual position and ... make an impact:
Responsible for investigating and processing and medical necessity appeals
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Palo Alto, California
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services requested.
Makes medical necessity determinations for grievance and appeals appropriate for ... nurse review, of sleep studies, durable medical equipment, and high-tech diagnostic imaging
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Palo Alto, California
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Summary:**
Perform physician-level case review, following initial nurse review, of Medical Oncology regimens and supportive care.
Perform physician-level case review, following initial nurse
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Palo Alto, California
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and non-surgical treatments.
Performs first level provider appeals of coverage decisions
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PALO ALTO, California
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directors in interpreting appropriateness of care and accurate claims payment. May also manage appeals for
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