{"id":70052,"date":"2026-03-07T16:42:13","date_gmt":"2026-03-07T12:42:13","guid":{"rendered":"https:\/\/herecareers.com\/job\/supervisor-clinical-denials-utilization-management\/"},"modified":"2026-03-07T16:42:14","modified_gmt":"2026-03-07T12:42:14","slug":"supervisor-clinical-denials-utilization-management","status":"publish","type":"job_listing","link":"https:\/\/herecareers.com\/ar\/job\/supervisor-clinical-denials-utilization-management\/","title":{"rendered":"Supervisor Clinical Denials Utilization Management"},"content":{"rendered":"<p>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.<\/p>\n<h3>\u0627\u0644\u0645\u062a\u0637\u0644\u0628\u0627\u062a<\/h3>\n<ul>\n<li>University Degree<\/li>\n<li>5+ years Utilization Review experience<\/li>\n<li>Current Registered Nursing License<\/li>\n<li>Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form<\/li>\n<\/ul>\n<h3>Benefits<\/h3>\n<ul>\n<li>Medical, Rx, Dental &amp; Vision Insurance<\/li>\n<li>Personal and Family Sick Time &amp; Company Paid Holidays<\/li>\n<li>Position may be eligible for a discretionary variable incentive bonus<\/li>\n<li>Parental Leave<\/li>\n<li>401(k) Retirement Plan<\/li>\n<li>Basic Life &amp; Supplemental Life<\/li>\n<li>Health Savings Account, Dental\/Vision &amp; Dependent Care Flexible Spending Accounts<\/li>\n<li>Short-Term &amp; Long-Term Disability<\/li>\n<li>Tuition Reimbursement, Personal Development &amp; Learning Opportunities<\/li>\n<li>Skills Development &amp; Certifications<\/li>\n<li>Employee Referral Program<\/li>\n<li>Corporate Sponsored Events &amp; Community Outreach<\/li>\n<li>Emergency Back-Up Childcare Program<\/li>\n<\/ul>\n<p>Originally posted on <a href=\"https:\/\/himalayas.app\" rel=\"nofollow noopener\" target=\"_blank\">Himalayas<\/a><\/p>","protected":false},"author":100,"featured_media":0,"comment_status":"open","ping_status":"open","template":"","job_listing_type":[1174],"job_listing_category":[1838],"job_listing_location":[],"job_listing_tag":[],"class_list":["post-70052","job_listing","type-job_listing","status-publish","hentry","job_listing_type-remote","job_listing_category-appeals-denials-supervisor"],"metas":{"_job_featured_image":"","_job_featured":"","_job_filled":"","_job_urgent":"","_job_category":{"1838":"Appeals-&amp;-Denials-Supervisor"},"_job_type":{"1174":"Remote"},"_job_tag":[],"_job_expiry_date":"","_job_gender":"","_job_apply_type":"external","_job_phone":"","_job_apply_url":"https:\/\/himalayas.app\/companies\/guidehouse\/jobs\/supervisor-clinical-denials-utilization-management","_job_apply_email":"","_job_salary_type":"","_job_salary":"","_job_experience":"","_job_career_level":"","_job_qualification":"","_job_video_url":"","_job_photos":"","_job_application_deadline_date":"","_job_address":"","_job_location":[],"_job_map_location":{"address":"","latitude":"","longitude":""},"_job_logo":"https:\/\/herecareers.com\/wp-content\/uploads\/wp-job-board-pro-uploads\/_employer_featured_image\/2025\/11\/ICON-Here-Careers-Logo-150-150x150.png","_job_employer_name":"HR","_job_employer_url":"https:\/\/herecareers.com\/ar\/employer\/hr\/"},"cmb2":{"_job_careerjet_job_fields":{"_job_careerjet_detail_url":"","_job_careerjet_company_name":""}},"_links":{"self":[{"href":"https:\/\/herecareers.com\/ar\/wp-json\/wp\/v2\/job_listing\/70052","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/herecareers.com\/ar\/wp-json\/wp\/v2\/job_listing"}],"about":[{"href":"https:\/\/herecareers.com\/ar\/wp-json\/wp\/v2\/types\/job_listing"}],"author":[{"embeddable":true,"href":"https:\/\/herecareers.com\/ar\/wp-json\/wp\/v2\/users\/100"}],"replies":[{"embeddable":true,"href":"https:\/\/herecareers.com\/ar\/wp-json\/wp\/v2\/comments?post=70052"}],"wp:attachment":[{"href":"https:\/\/herecareers.com\/ar\/wp-json\/wp\/v2\/media?parent=70052"}],"wp:term":[{"taxonomy":"job_listing_type","embeddable":true,"href":"https:\/\/herecareers.com\/ar\/wp-json\/wp\/v2\/job_listing_type?post=70052"},{"taxonomy":"job_listing_category","embeddable":true,"href":"https:\/\/herecareers.com\/ar\/wp-json\/wp\/v2\/job_listing_category?post=70052"},{"taxonomy":"job_listing_location","embeddable":true,"href":"https:\/\/herecareers.com\/ar\/wp-json\/wp\/v2\/job_listing_location?post=70052"},{"taxonomy":"job_listing_tag","embeddable":true,"href":"https:\/\/herecareers.com\/ar\/wp-json\/wp\/v2\/job_listing_tag?post=70052"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}