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Clinical Denial Management Supervisor - RN

VirtualVocations
Fullerton, California, United States
Full-time

A company is looking for a Certified Clinical Denial Management Supervisor to oversee denial management operations.Key ResponsibilitiesOversee the denial and appeal process, ensuring high-value accounts are prioritizedIdentify denial trends and implement process improvements for better appeal outcomesCollaborate with various departments and payers to provide education on denial trendsRequired QualificationsGraduate of an accredited school of nursingLicensed Registered Nurse (RN) in the State of OhioFive years of utilization management experience and acute med / surg experienceBachelor of Science in Nursing (BSN) or other bachelor's degree preferredCertification in case management (CCM) and InterQual certification preferred

9 hours ago
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