Clinical Denial Management Supervisor - RN

Company: VirtualVocations
Location: Pueblo
Posted on: November 8, 2024

Job Description:

A company is looking for a Certified Clinical Denial Management Supervisor to oversee denial management operations.

Key Responsibilities

Oversee the denial and appeal process, ensuring high-value accounts are prioritized
Identify denial trends and implement process improvements for better appeal outcomes
Collaborate with various departments and payers to provide education on denial trends

Required Qualifications

Graduate of an accredited school of nursing
Licensed Registered Nurse (RN) in the State of Ohio
Five years of utilization management experience and acute med/surg experience
Bachelor of Science in Nursing (BSN) or other bachelor's degree preferred
Certification in case management (CCM) and InterQual certification preferred

Keywords: VirtualVocations, Pueblo , Clinical Denial Management Supervisor - RN, Executive , Pueblo, Colorado

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