Overview
Clinical Appeals Nurse Jobs in UAE at Actalent
Job Description
Salary – (60k – 68k depending on experience) Â The Clinical Appeals Nurse is responsible for managing clinical appeals and state hearings across all states. This role involves reviewing and completing both provider and member clinical appeals within designated timeframes, preparing State Hearing packets, and ensuring
communication
with state agencies and internal departments. The successful candidate will attend State Hearings, issue notification letters, refer medical necessity denials, and maintain accurate documentation.
Additionally, this role requires
collaboration
with the Quality Improvement and Clinical Operations Team to manage requests for Independent External Review and ensure compliance with regulatory standards.
Work Environment
Fully remote role. Consultants will need to provide their own equipment including phone, internet, computer, and monitors.
About Actalent Actalent is a global leader in engineering and sciences services and talent solutions. We help visionary companies advance their engineering and science initiatives through access to specialized experts who drive scale,
innovation
and speed to market. With a network of almost 30,000 consultants and more than 4,500 clients across the U.S., Canada, Asia and Europe, Actalent serves many of the Fortune 500.
Diversity
,
Equity &
Inclusion
At Actalent,
diversity and inclusion
are a bridge towards the equity and success of our people. DE&I are embedded into our culture through:
Hiring
diverse
talent Maintaining an
inclusive
environment through persistent self-reflection Building a culture of care, engagement, and
recognition
with clear outcomes Ensuring growth opportunities for our people  #J-18808-Ljbffr
Title: Clinical Appeals Nurse
Company: Actalent
Location: UAE
Category: Healthcare (Healthcare Management, Healthcare Administration)
