Manager Clinical Operations

VirtualVocations
Seattle, Washington, United States
Full-time
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A company is looking for a Manager, Clinical Operations.Key Responsibilities : Oversee Prior Auth Nurse Reviewers, Concurrent Review Nurses, or Appeals Specialists teamsEstablish daily plans, monitor timeliness and productivity reports, and lead team meetingsDevelop team members, provide performance feedback, and assist in process improvementsRequired Qualifications : Registered Nurse with an active and unencumbered license2-3 years of supervisory / management experienceKnowledge of NCQA / CMS requirements and experience in Prior Authorization, Utilization Management, or AppealsExperience using MCG, CMS NCDs / LCDs and familiarity with a MacExperience supervising and training in a remote work environment

30+ days ago
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