Search jobs > Fullerton, CA > Rn clinical supervisor

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

7 hours ago
Related jobs
Promoted
VirtualVocations
Fullerton, California

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

Chino Valley Medical Center
Chino, California

Chino Valley Medical Center is a 112-bed community hospital established in 1972 and centrally located in Southern California’s Chino Valley. The Clinical Supervisor supports administrative responsibility for the department service functions and works collaboratively with the unit Director and/or Man...

Healthcare Resources & Management Solutions
Anaheim, California

Bilingual/Spanish Clinical Supervisor - BCBA. Our services cover many areas in Southern California. Report Directly to the Clinical Supervisor. Oversee and maintain accurate and organized client notes, data, and reports for internal and external stakeholders. ...

Prime Healthcare
Montclair, California

Montclair Hospital Medical Center.Top Hospital” in the nation award from IBM Watson Health, the Patient Safety Excellence award from Healthgrades, and the Women's Choice Award for America's Best Emergency Care....

Cedars-Sinai
CA, United States

The RN Supervisor Case Management will assist in the daily operations of the department. RN California state license required. The supervisor will collaborate with collaborators to ensure staff obtains appropriate training and education for staff. Responsible for supervising the daily work queues an...

Prime Healthcare
La Palma, California

Join an award-winning team of dedicated professionals committed to our core values of quality, compassion and community! La Palma Intercommunity Hospital, a member of Prime Healthcare, offers incredible opportunities to expand your horizons and be part of a community dedicated to making a difference...

Montclair Hospital Medical Center
Montclair, California

The Clinical Supervisor supports administrative responsibility for the department service functions and works collaboratively with the unit Director and/or Manager. In the absence of the unit Director and/or Manager, the Clinical Supervisor may assume the administrative scope of the unit assigned. T...

Prime Healthcare
Anaheim, California

Join an award-winning team of dedicated professionals committed to our core values of quality, compassion and community! West Anaheim Medical Center, a member of Prime Healthcare, offers incredible opportunities to expand your horizons and be part of a community dedicated to making a difference.Foun...

La Palma Intercommunity Hospital
La Palma, California

The Clinical Supervisor supports administrative responsibility for the department service functions and works collaboratively with the unit Director and/or Manager. In the absence of the unit Director and/or Manager, the Clinical Supervisor may assume the administrative scope of the unit assigned. T...

Providence
Fullerton, California

The Patient Relations Supervisor is a clinical position, which oversees and manages the Patient Relations Liaison team and the clinical reviews associated with patient concerns. This position actively collaborates with department and ministry leaders, Quality and Risk Management, and physician leade...