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Arkansas Licensed Practical Nurse

7/11/2025

Remote

Job Summary

A company is looking for a Clinical Review Nurse - Correspondence.

Key Responsibilities
  • Drafts correspondence letters based on clinical review outcomes in accordance with NCQA standards
  • Investigates denials and provides supplemental information to resolve claims
  • Coordinates with interdepartmental teams to identify training needs and improve clinical processes
Required Qualifications
  • Graduate from an Accredited School of Nursing or Bachelor's degree in Nursing
  • 2 - 4 years of related experience
  • LPN - Licensed Practical Nurse - State Licensure required
  • Knowledge of Medicare and Medicaid regulations preferred
  • Knowledge of utilization management processes preferred

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