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Healthcare Management Healthcare Administration

Utilization Review RN: Appeals & Denials Specialist

Job in Largo, Pinellas County, Florida, 34640, USA
Listing for: United Surgical Partners International, Inc
Full Time position
Listed on 2026-01-23
Job specializations:
  • Healthcare
    Healthcare Management, Healthcare Administration
Salary/Wage Range or Industry Benchmark: 60000 USD Yearly USD 60000.00 YEAR
Job Description & How to Apply Below
A leading healthcare provider in Largo is seeking a Utilization Review/Appeals RN to coordinate effective patient resource management and ensure compliance with medical necessity standards. The role involves negotiating with payers for approvals and supporting revenue recovery for disputed claims. Candidates should have experience in Utilization Management and understanding of regulatory requirements. This position plays a crucial role in enhancing patient care and access to necessary medical services.
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