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How much does an Grievance and Appeals Resolution Nurse make in Madison, WI? The average Grievance and Appeals Resolution Nurse salary in Madison, WI is $88,000 as of May 28, 2024, but the range typically falls between $81,400 and $96,400. 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 $75,391 Madison,WI May 28, 2024
25th Percentile Grievance and Appeals Resolution Nurse Salary $81,400 Madison,WI May 28, 2024
50th Percentile Grievance and Appeals Resolution Nurse Salary $88,000 Madison,WI May 28, 2024
75th Percentile Grievance and Appeals Resolution Nurse Salary $96,400 Madison,WI May 28, 2024
90th Percentile Grievance and Appeals Resolution Nurse Salary $104,048 Madison,WI May 28, 2024
25% $81,400 10% $75,391 90% $104,048 75% $96,400 $88,000 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 in Madison, WI

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

 
 
 
81400
96400
88000

Average Total Cash Compensation

Includes base and annual incentives

 
 
 
85000
101500
92900
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 Madison, WI. The base salary for Grievance and Appeals Resolution Nurse ranges from $81,400 to $96,400 with the average base salary of $88,000. The total cash compensation, which includes base, and annual incentives, can vary anywhere from $85,000 to $101,500 with the average total cash compensation of $92,900.
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81400
96400

 

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About Madison, Wisconsin    Madison is located in the center of Dane County in south-central Wisconsin, 77 miles (124 km) west of Milwaukee and 122 miles (196 km) northwest of Ch....More

Madison, Wisconsin  area prices were up 1.3% from a year ago    View the Cost of Living in Madison, Wisconsin

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