RN Manager Grievances & Appeals - Hybrid
Midland-Marvel Recruiters, LLC
Hospital system looking to bring on RN Manager Grievances & Appeals! Sign On Bonus and Relocation! Oversees and provides direction for Intake, Appeals (Clinical and Claims), Retrospective Review, Emergency Room Review, and Customer Service/Complaints/Grievances for all lines of business. Responsible for day to day oversight and management of Intake, Clinical Appeals, Claims Appeals, Complaints, Grievances and Intake functions. Qualifications: Bachelor’s degree in Nursing Required Experience working in a Managed Care Organization with strong experience in Medicaid Specific Experience working with Grievances and Appeals (minimum of 3 years) 3-4 years in UM and 5-7 years of clinical experience in a hospital or medical setting 2 years of nursing leadership as a supervisor or assistant manager CCM - Certified Case Manager Active Certified Case Manager (CCM) or CCM certification within 1 Year Required #J-18808-Ljbffr Midland-Marvel Recruiters, LLC
Vacancy posted 19 hours ago
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