RN, Complaints & Appeals

NY-Lake Katrine, Come Join the EmblemHealth Team! EmblemHealth, the parent company of GHI (Group Health Incorporated) and HIP Health Plan of NY, has an immediate need for an RN in the Complaints and Appeals department. RESPONSIBILITIES (include, but are not limited to): Responsible for the processing of all utilization review appeals or grievances that require clinical review/intervention. Ensures that the clinica


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