CVS Pharmacy, Inc.Hiring

Appeals Nurse Consultant

  • USD 54,095 to 116,760 per year
  • Remote, United States
  • Full-time
  • Senior
  • Posted 10 days ago
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In one line

Appeals Nurse Consultant is a senior full-time remote role in the United States at a healthcare company.

About the role

The nurse consultant gathers clinical data, applies criteria, and coordinates responses to resolve complex healthcare appeals and grievances.

At a glance

Pay
USD 54,095 to 116,760 per year
Remote scope
Remote, United States
Seniority
Senior
Employment
Full-time
Skills
Clinical Documentation, Behavioral Health
Posted
19 Oct 2026
Last checked
26 Oct 2026

What you will do

  • Review clinical documentation to resolve appeals and complaints.
  • Coordinate responses with internal and external clinicians as needed.
  • Identify trends and suggest improvements based on appeal findings.

What they look for

  • Active nursing license and three to five years of clinical experience.
  • Strong behavioral health background.
  • Skill in interpreting benefit language and regulatory standards.

Nice to have

  • Managed care experience is a plus.

How Keywordise applies for you

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Claude

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Muse

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How to connect

Questions about this job

Is this a remote job, and where can I work from?

Yes, it is listed as remote, aimed at candidates in the United States.

What does this job pay?

The posting states USD 54,095 to 116,760 per year.

What experience is needed?

It is a senior role. The posting asks for: active nursing license and three to five years of clinical experience; strong behavioral health background; skill in interpreting benefit language and regulatory standards. Skills it names include Clinical Documentation, Behavioral Health.

How do I apply with Keywordise AI?

Press the Apply with Keywordise AI button and add your CV. Keywordise tailors your CV and cover letter to this posting and sends the application for you, with a free 7-day trial and no card.

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