Seeking an experienced Registered Nurse to review denied claims, determine medical necessity, and prepare strong clinical appeals. This role partners closely with clinical teams, hospitals, and patient advocacy staff to ensure accurate, timely, and compliant appeal submissions.

Responsibilities

• Review clinical records and write medical necessity appeals

• Collaborate with field clinicians to resolve documentation gaps

• Request and organize supporting medical records

• Communicate with hospitals and patient advocacy teams

• Ensure compliance with payer, state, and federal guidelines

• Track trends, identify issues, and support quality initiatives

Requirements

• Active Arizona RN license (required)

• A minimum of 3+ years RN clinical experience

• Associate’s or Bachelor’s Degree in Nursing (ASN/BSN)

• Air Ambulance, Critical Care, or ER experience.

• A minimum of 2 years of claims review or appeals-writing experience

• Strong communication skills and ability to manage high-volume work

• High attention to detail and strict adherence to HIPAA

Salary: 70K-105K/yr + $7,500 Sign-On Bonus

Comprehensive Benefits including medical, dental, vision, life insurance, disability, legal services, pet insurance & more.

Tempe, AZ 85288 (onsite)

Equal Opportunity Employer/Veterans/Disabled

Military connected talent encouraged to apply

To read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to https://www.lhh.com/us/en/candidate-privacy

The Company will consider qualified applicants with arrest and conviction records in accordance with federal, state, and local laws and/or security clearance requirements, including, as applicable:

• The California Fair Chance Act
• Los Angeles City Fair Chance Ordinance
• Los Angeles County Fair Chance Ordinance for Employers
• San Francisco Fair Chance Ordinance

Massachusetts Candidates Only: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.