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Contractual Msn Nurse Jobs (NOW HIRING)

Compile and organize relevant clinical, contractual, and policy documentation * Formulate case ... BSN or MSN degree preferred * CCM (Certified Case Manager) - Preferred * LNCC (Legal Nurse ...

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How much do contractual msn nurse jobs pay per year?

As of Aug 30, 2026, the average yearly pay for contractual msn nurse in the United States is $102,263.00, according to ZipRecruiter salary data. Most workers in this role earn between $72,000.00 and $123,000.00 per year, depending on experience, location, and employer.

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Posted 27 days ago


Job description

Clinical Appeals Nurse

We are seeking an experienced Clinical Appeals Nurse to support the appeal and grievance processes by analyzing and responding to adverse coverage decisions. This role involves clinical judgment, regulatory knowledge, and strong communication skills to ensure all responses meet State and Federal compliance requirements. The role is fully remote and requires an active Registered Nurse (RN) license.

Key Responsibilities
  • Investigate and interpret written appeals from members, providers, attorneys, and other stakeholders
  • Craft original response letters based on corporate policy and regulations
  • Ensure compliance with all applicable State and Federal mandates
  • Compile and organize relevant clinical, contractual, and policy documentation
  • Formulate case summaries and recommendations
  • Communicate final decisions post-physician review, including external appeal rights
  • Evaluate medical and behavioral health appeal requests using clinical expertise
  • Interpret regulatory/accreditation guidelines to ensure proper case handling
  • Collaborate with Independent Review Organizations and panel physicians
  • Address complaints from CMS and other regulatory bodies
  • Maintain up-to-date knowledge of medical, psychiatric, surgical, and diagnostic terminology
  • Understand complications and comorbidities related to medical and behavioral health conditions
Required Qualifications
  • High School Diploma (or equivalent)
    • 2 years in medical-surgical or similar clinical setting
    • OR 3 years in mental health/psychiatric care
  • RN – Registered Nurse, with active State or Compact Licensure (Required)
Preferred Qualifications
  • Experience with Medical Review, Utilization Management, or Case Management at a Managed Care Organization (MCO) or hospital
  • BSN or MSN degree preferred
  • CCM (Certified Case Manager) – Preferred
  • LNCC (Legal Nurse Consultant Certified) – Preferred
Key Skills and Competencies

Medical terminology & procedural knowledge - Advanced

Appeals process & regulatory guidelines - Proficient

Verbal & written communication - Proficient

Customer service and stakeholder communication - Advanced

Critical thinking and analytical assessment - Proficient

Microsoft Office Suite (Word, Excel, Outlook) - Proficient

Understanding of behavioral health and substance abuse treatment - Proficient


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About Ageatia Global Solutions

Sourced by ZipRecruiter

Ageatia Global Solutions, located in Schaumburg, IL, US, is a reputable IT consultant company that offers a range of premium technical and IT staffing services across numerous industries. Its official website, ageatia.com, is a testament to its dedication to top-tier delivery. Since its inception in 2002, Ageatia has consistently provided optimal services specific to each client's needs. Ageatia's core competency lies in identifying and delivering expert engineers and IT professionals on contract and permanent placements. The company is known for maintaining a business model that ultimately focuses on solving client's workforce challenges. Ageatia's mission is to provide companies with the most skilled set of candidates, while also offering advancing opportunities to potential employees.

Industry

It services

Company size

51 - 200 Employees

Headquarters location

Schaumburg, IL, US

Year founded

2002

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