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Healthcare Nursing

Clinical Appeals Nurse: Expert Medical Review & Decisions

Job in Baltimore, Anne Arundel County, Maryland, 21276, USA
Listing for: CareFirst, Inc.
Full Time position
Listed on 2026-02-01
Job specializations:
  • Healthcare
    Healthcare Nursing
Salary/Wage Range or Industry Benchmark: 67320 - 133705 USD Yearly USD 67320.00 133705.00 YEAR
Job Description & How to Apply Below
A leading healthcare organization in Baltimore is seeking a Clinical Appeals Nurse to manage the appeal process for coverage decisions. Responsibilities include evaluating member and provider disputes, conducting thorough clinical assessments, and collaborating with healthcare professionals. The ideal candidate holds a Registered Nurse license and has experience in medical-surgical or mental health settings. This position offers a competitive salary, ranging from $67,320 to $133,705, commensurate with experience and skills.
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