Supervisor Clinical Denials Utilization Management

المسمى الوظيفي

The Nurse Supervisor will oversee the Clinical Denials UM Department, maintain strong client relationships, and conduct comprehensive medical necessity reviews using evidence-based guidelines. They will also partner with care managers and multidisciplinary care teams to support progression-of-care objectives.

المتطلبات

• University Degree
• 5+ years Utilization Review experience
• Current Registered Nursing License
• Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form

Benefits

• Medical, Rx, Dental & Vision Insurance
• Personal and Family Sick Time & Company Paid Holidays
• Position may be eligible for a discretionary variable incentive bonus
• Parental Leave
• 401(k) Retirement Plan
• Basic Life & Supplemental Life
• Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts
• Short-Term & Long-Term Disability
• Tuition Reimbursement, Personal Development & Learning Opportunities
• Skills Development & Certifications
• Employee Referral Program
• Corporate Sponsored Events & Community Outreach
• Emergency Back-Up Childcare Program

Originally posted on Himalayas