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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.

Grievance and Appeals Resolution Nurse Salaries by Percentile
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
25% $82,200 10% $76,100 90% $104,948 75% $97,300 $88,900 50%(Median) Didn’t find job title? Click
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Job Description

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)

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Job Openings for Grievance and Appeals Resolution Nurse

Career Path for this job

  1. This Job:

    Grievance and Appeals Resolution Nurse

    4 - 7 years experience
    Bachelor's Degree

  2. Up a level:

    Grievance and Appeals Resolution Supervisor

    3 + years experience
    Bachelor's Degree

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Average Base Salary

Core compensation

 
 
 
82200
97300
88900

Average Total Cash Compensation

Includes base and annual incentives

 
 
 
85900
102500
93800
These charts show the average base salary (core compensation), as well as the average total cash compensation for the job of Grievance and Appeals Resolution Nurse in the United States. The base salary for Grievance and Appeals Resolution Nurse ranges from $82,200 to $97,300 with the average base salary of $88,900. The total cash compensation, which includes base, and annual incentives, can vary anywhere from $85,900 to $102,500 with the average total cash compensation of $93,800.
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82200
97300

 

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