New York Licensed Director of Pre Appeals

A company is looking for a Director of Pre Appeals Management.

Key Responsibilities

Lead and manage the pre appeals department and related vendors

Develop and implement pre appeals strategies, policies, and procedures to ensure regulatory compliance

Oversee daily pre appeals activities including admission, continued stay, and discharge reviews

Required Qualifications

Bachelor's degree in Nursing (BSN) or related healthcare field required

Master's degree in Nursing, Healthcare Administration, Business, or related field strongly preferred

Active RN license in the state of employment required

7+ years of experience in clinical acute clinical, utilization management, appeals management, or related operations

3+ years in a leadership or management role