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Clinical Finance Case Manager - RN

VirtualVocations
Baltimore, Maryland, United States
Full-time

A company is looking for a Manager, Clinical Finance Case Management-RN.Key ResponsibilitiesOversee daily operations of Clinical Pre-Certification, Peer to Peer Clinical Appeals, and Denial AnalysisUtilize clinical knowledge to interpret medical necessity guidelines and determine appropriate levels of careDevelop and implement policies, procedures, and workflows related to clinical financial case managementRequired QualificationsBachelor's degree in nursing with a current licenseMinimum of 5 years of clinical care experienceExperience collaborating with physicians and their designeesExtensive knowledge of clinical operations and patient flowProficient in Microsoft Office products and various technology applications

6 days ago
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