RN Clinical Appeals Specialist
independence blue crossNew York (NY)
RN Clinical Appeals Specialist
Posted 17 days ago
independence blue crossNew York (NY)
SENIORITY
Senior
About the role
Independence Health Group (IBX) is seeking a Clinical Appeals Coordinator, RN to manage end-to-end clinical appeals, applying nursing judgment and utilization management principles. You will coordinate multidisciplinary reviews, ensure documentation quality, and prepare correspondence with members and providers.
The role emphasizes regulatory compliance, audit readiness, and collaboration across cross-functional teams.
Before you apply
Applying takes about a minute. These four things decide how fast it moves after that.
Your profile is current
It's what we read first. Occupations, seniority and locations matter more than a long history.
Two examples you can talk through
Not a portfolio — just two pieces of work where you can explain the decisions and what you'd change.
A number in mind
What you're on now and what would make you move. We negotiate better when we know both.
Your notice period
Employers plan around it, and it's the question that stalls offers most often.
Once you apply, someone reads it and calls you before anything reaches the employer — usually within two working days.
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