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Appeals and Grievance Specialist RN Salary
in Utah, United States

$78,078 (USD)

Average Salary

$38/hr

Average Hourly

$1,366

Average Bonus

Last updated: February 17, 2019

Salary Recap

The average pay for an Appeals and Grievance Specialist RN is $78,078 a year and $38 an hour in Utah, United States. The average salary range for an Appeals and Grievance Specialist RN is between $54,489 and $97,064. This compensation analysis is based on salary survey data collected directly from employers and anonymous employees in Utah, United States.

Average Salary Chart

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Job Summary

Description:
  • Evaluates and resolves clinical appeals, grievances, and external reviews received from members or providers, including review of pre-service and post-service appeals, utilizing understanding of clinical department operations and claims processing procedures.
  • Communicates and interacts with external partners, including providers, medical groups, Independent Practice Associations, and other external vendors.
  • Reviews medical records related to grievances and appeals, provides monitoring of cases involving medical decisions and quality or care or service, and prepares and performs clinical reviews.
  • Logs grievances and appeals; obtains medical records as needed; and provides clinical reviews, write-ups, and recommendations.
  • Develops correspondence communicating acknowledgement and resolution to enrollees and providers, following appeal time frames.
  • Requires RN license.
Appeals and Grievance Specialist RN Job Prevalence in Utah, United States

Job family: Registered Nurses

Job family population: 2,906,840

Estimated population of Appeals and Grievance Specialist RN jobs: N/A

Rate of error: 0.5%

Salary Potential

Estimated salary in 2024:
$90,514
5 Year Change:
16 %

Education

Education data not available for this job

Skills

Skills data not available for this job

Appeals and Grievance Specialist RN Job Listings for Utah, United States

Registered Nurse RN
Feb 7
Salt Lake City, UT, USA
DDMS of Utah
We are seeking a Registered Nurse RN to join our team! You will be responsible for the assessment ... Communicate with collaborating physicians or specialists regarding patient care * Educate patients ...
Registered Nurse RN
Feb 7
West Valley, UT, USA
DDMS of Utah
We are seeking a Registered Nurse RN to join our team! You will be responsible for the assessment ... Communicate with collaborating physicians or specialists regarding patient care * Educate patients ...
Registered Nurse RN
Feb 7
Bountiful, UT, USA
DDMS of Utah
We are seeking a Registered Nurse RN to join our team! You will be responsible for the assessment ... Communicate with collaborating physicians or specialists regarding patient care * Educate patients ...
Staff Nurse(RN or LPN)
Feb 7
Saint George, UT, USA
Legacy Healthcare
The ideal candidate will be a Registered Nurse (RN) or a Licensed Practical Nurse (LPN). We offer ... Communicate with collaborating physicians or specialists regarding patient care * Educate patients ...
RN or LPN - FT AGENCY/PER DIEM
Jan 29
Salt Lake City, UT, USA
National Staffing Solutions
We are seeking an RN Or LPN - AGENCY/PER DIEM to join our team! You will be responsible for the ... Communicate with collaborating physicians or specialists regarding patient care * Educate patients ...
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