Appeals Nurse

Community Health Choice, Inc. (CHC) is a non-profit Health Maintenance Organization (HMO). CHC is owned and operated by the Harris County Hospital District. CHC provides top quality care while keeping it simple. With great hospitals and doctors located all over the Houston area, we serve our community uniquely.

Community Health Choice is seeking health care professionals with a passion for improving community health and health care. Currently we seek a Providers Appeal nurse. The Providers Appeal nurse joins a team of dedicated professionals who track and respond to requests for review of medical necessity or administrative denials. Good communication skills and a team spirit are critical to this position. Entry level candidates will be welcomed as ongoing training is a part of our employee enrichment culture.

Desired experience/education.

Licensed R.N. in the State of Texas

Clinical experience 2 or more years of OB and Pediatric s experience preferred.

Utilization management experience is a plus.