Appeals nurse (LPN)

Pyramid Consulting, Inc; Columbus (OH); Remote; USD 60,000 - 80,000; Full time

Job summary

A leading healthcare organization is looking for an Appeals nurse (LPN) for a remote 6+ month contract position in Ohio. This role involves triaging calls related to behavioral health needs, providing education, and collaborating with agencies to assist callers. Ideal candidates will possess relevant licenses and strong communication skills.

Benefits

Health insurance (medical, dental, vision)

401(k)

Paid sick leave

Qualifications

• 1+ years of relevant experience in behavioral health.
• Experience in telephonic counseling or managed care preferred.
• Strong computer skills including data entry.

Responsibilities

• Answer incoming calls and triage behavioral health needs.
• Document calls and actions using standard software.
• Provide resources and education to non-licensed behavioral health staff.

Skills

LPC

Licensed Clinical Social Worker

LMFT

Psychologist

Licensed Substance Abuse Counselors

Licensed Masters Social Worker

Education

Bachelor's degree or equivalent

Master's preferred

Tools

Microsoft Office

Job description

Immediate need for a talented Appeals nurse (LPN). This is a 6+ months contract opportunity with long-term potential, located in Ohio (Remote). Please review the job description below and contact me ASAP if interested.

Job ID: 25-75680

Pay Range: $30 - $33/hour. Employee benefits include health insurance (medical, dental, vision), 401(k), and paid sick leave (depending on work location).

Key Responsibilities:

• Answer incoming calls and triage behavioral health needs
• Document calls and actions using standard software
• Provide resources and education to non-licensed behavioral health staff
• Schedule and follow-up calls for care facilitation
• Promote recovery concepts and inspire hope
• Collaborate with internal and external agencies to meet callers' needs
• Provide assessments and interventions within licensure scope
• Offer behavioral health education to callers
• Perform other duties as assigned
• Ensure compliance with policies and standards

Key Requirements and Technology Experience:

• Key skills: LPC, Licensed Clinical Social Worker, LMFT, Psychologist, Licensed Substance Abuse Counselors, Licensed Masters Social Worker
• Experience with outbound calls, behavioral health, crisis interventions, case management, therapy, assessments, and intake
• Bachelor’s degree or equivalent; Master’s preferred
• 1+ years of relevant experience
• Strong computer skills, including Microsoft Office and data entry
• Experience in telephonic counseling or managed care preferred

Our client is a leading healthcare organization. Interested candidates should apply online for immediate consideration.