How much does an Grievance and Appeals Resolution Nurse make in the United States? The average Grievance and Appeals Resolution Nurse salary in the United States is $88,900 as of March 26, 2024, but the range typically falls between $82,200 and $97,300. Salary ranges can vary widely depending on many important factors, including education, certifications, additional skills, the number of years you have spent in your profession. With more online, real-time compensation data than any other website, Salary.com helps you determine your exact pay target.
Percentile | Salary | Location | Last Updated |
10th Percentile Grievance and Appeals Resolution Nurse Salary | $76,100 | US | March 26, 2024 |
25th Percentile Grievance and Appeals Resolution Nurse Salary | $82,200 | US | March 26, 2024 |
50th Percentile Grievance and Appeals Resolution Nurse Salary | $88,900 | US | March 26, 2024 |
75th Percentile Grievance and Appeals Resolution Nurse Salary | $97,300 | US | March 26, 2024 |
90th Percentile Grievance and Appeals Resolution Nurse Salary | $104,948 | US | March 26, 2024 |
The Grievance and Appeals Resolution Nurse reviews applicable medical records and assesses clinical data to investigate and resolve disputes over the medical necessity for services, approvals, pre-certifications, or other cases. Conducts the medical review activities needed to resolve and process clinical appeals and claims. Being a Grievance and Appeals Resolution Nurse documents cases according to guidelines and standard procedures. Understands and interprets applicable medical terminology, clinical procedures, regulations and policies. In addition, Grievance and Appeals Resolution Nurse prepares the documentation required for further medical review, hearings, and different appeal processes. Typically requires a bachelor's degree in nursing or equivalent. Requires a Registered Nurse (RN) license. Typically reports to a manager. Being a Grievance and Appeals Resolution Nurse work is generally independent and collaborative in nature. Contributes to moderately complex aspects of a project. Working as a Grievance and Appeals Resolution Nurse typically requires 4 -7 years of related experience. (Copyright 2024 Salary.com)
4 - 7 years experience
Bachelor's Degree
3 + years experience
Bachelor's Degree
Salary.com's CompAnalyst platform offers:
Job Title | Experience | EDUCATION | Salary Compared to This Job |
---|---|---|---|
Job Title Appeal Resolution Manager | Experience 5 + | EducationBachelors | Salary Compared to This Job |
Job Title Appeal Resolution Senior Manager | Experience | EducationBachelors | Salary Compared to This Job |
Job Title Appeal Resolution Senior Specialist | Experience 3 - 5 | EducationAssociates | Salary Compared to This Job |
Job Title Appeal Resolution Specialist | Experience 1 - 3 | EducationAssociates | Salary Compared to This Job |
Job Title Appeal Resolution Supervisor | Experience 3 + | EducationBachelors | Salary Compared to This Job |
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