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Grievance and Appeals Nurse
$90,986 (USD)/yr
$43.74 (USD)/hr
$1,592 (USD)/yr
The average grievance and appeals nurse gross salary in United States is $90,986 or an equivalent hourly rate of $44. In addition, they earn an average bonus of $1,592. Salary estimates based on salary survey data collected directly from employers and anonymous employees in United States. An entry level grievance and appeals nurse (1-3 years of experience) earns an average salary of $63,497. On the other end, a senior level grievance and appeals nurse (8+ years of experience) earns an average salary of $113,111.
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This page is a promotion for SalaryExpert’s Assessor Platform and is not intended for professional use.
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ERI’s compensation data are based on salary surveys conducted and researched by ERI. Cost of labor data in the Assessor Series are based on actual housing sales data from commercially available sources, plus rental rates, gasoline prices, consumables, medical care premium costs, property taxes, effective income tax rates, etc.
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Salary Potential
$102,201 (USD)
12 %
Based on our compensation data, the estimated salary potential for Grievance and Appeals Nurse will increase 12 % over 5 years.
Most Popular Skills for Grievance and Appeals Nurse
Education
This chart displays the highest level of education for:
Grievance and Appeals Nurse, the majority at 100% with bachelors.
Typical Field of Study: Nursing/Registered Nurse (RN, ASN, BSN, MSN)
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Salary by Country
Country Overview
Cost of living is calculated based on accumulating the cost of food, transportation, health services, rent, utilities, taxes, and miscellaneous.
View Cost of Living PageThe United States of America (USA or U.S.A.), commonly known as the United States (US or U.S.) or America, is a country primarily located in North America. It is a federation of 50 states, a federal capital district (Washington, D.C.), and 326 Indian reservations. Outside the union of states, it asserts sovereignty over five major unincorporated island territories and various uninhabited islands. The country has the world's third-largest land area, second-largest exclusive economic zone, and third...
Sourced from Wikipedia
Job 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.
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Disclaimer
This page is a promotion for SalaryExpert’s Assessor Platform and is not intended for professional use.
Professionals should subscribe to SalaryExpert’s Assessor Platform.
ERI’s compensation data are based on salary surveys conducted and researched by ERI. Cost of labor data in the Assessor Series are based on actual housing sales data from commercially available sources, plus rental rates, gasoline prices, consumables, medical care premium costs, property taxes, effective income tax rates, etc.
Most Popular Skills for Grievance and Appeals Nurse
Salary Difference by Location
Salary by Country
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SalaryExpert, powered by ERI, provides verified salary and cost of living data to the public with a comprehensive platform for evaluating compensation, career, relocation, and education decisions.
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