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Utilization Review/Precert Nurse, Appeals Specialist

Highly trained and experienced utilization review and precertification nurse who has advanced experience within the Medicare/Medicaid arena and knowledge of NCQA guidelines and processes within the managed care realm.

Ideal Companies: Cigna, Aetna, United Health Insurance Company, Blue Cross Blue Shield, any managed care HMO.

Tags for this Online Resume: utilization review, precertification review, utilization coordinator, nurse, case management, insurance