Talent.com
RN Denials Management Associate Manager

RN Denials Management Associate Manager

VirtualVocationsFort Worth, Texas, United States
12 hours ago
Job type
  • Full-time
Job description

A company is looking for an Associate Manager RN Denials Management.

Key Responsibilities

Oversee operations of the team to ensure efficient payer denial and appeal reviews

Supervise team members, providing clinical expertise and identifying educational needs

Develop leadership skills among staff and manage daily operational resources

Required Qualifications

Bachelor's degree or equivalent experience

Registered Nurse (R.N.) licensure in the state of practice

At least 5 years of clinical nursing or related experience

Minimum of 2 years of leadership experience with direct reports

Experience in federal, state, and commercial reimbursement processes

Create a job alert for this search

Associate Management • Fort Worth, Texas, United States

Related jobs
  • Promoted
Registered Nurse Quality Assurance Coordinator

Registered Nurse Quality Assurance Coordinator

VirtualVocationsArlington, Texas, United States
Full-time
A company is looking for a Clinical Quality Assurance Coordinator.Key Responsibilities Perform quality assurance reviews of peer review reports and ensure compliance with client specifications V...Show moreLast updated: 1 day ago
  • Promoted
  • New!
Certified Healthcare Privacy Director

Certified Healthcare Privacy Director

VirtualVocationsCarrollton, Texas, United States
Full-time
A company is looking for a Director of Privacy Operations.Key Responsibilities Plan and direct strategic goals for compliance with federal and state privacy requirements Administer daily operati...Show moreLast updated: 14 hours ago
  • Promoted
Behavioral Health Coding Auditor

Behavioral Health Coding Auditor

VirtualVocationsCarrollton, Texas, United States
Full-time
A company is looking for a Coding and Compliance Auditor-Behavioral Health.Key Responsibilities : Perform operational and financial audits of provider claims to identify overpayments and resolve r...Show moreLast updated: 1 day ago
  • Promoted
Manager, Medical Affairs Compliance

Manager, Medical Affairs Compliance

VirtualVocationsGrand Prairie, Texas, United States
Full-time
A company is looking for a Manager, Medical Affairs Agreements & Compliance, COCE.Key Responsibilities Co-lead the end-to-end contracting process for various agreement types and ensure timely con...Show moreLast updated: 4 days ago
  • Promoted
Clinical Documentation Integrity Lead

Clinical Documentation Integrity Lead

VirtualVocationsFort Worth, Texas, United States
Full-time
A company is looking for a Clinical Documentation Integrity Lead - Service Line (Remote).Key Responsibilities Manage relationships between CDI and assigned service lines, collaborating with physi...Show moreLast updated: 30+ days ago
  • Promoted
  • New!
Clinical Compliance Manager - RN

Clinical Compliance Manager - RN

VirtualVocationsGrand Prairie, Texas, United States
Full-time
A company is looking for a Clinical Compliance Program Manager who will ensure compliance with Utilization Management and Quality Improvement Program regulations. Key Responsibilities : Facilitate ...Show moreLast updated: 14 hours ago
  • Promoted
  • New!
Oregon Licensed Clinical Nurse Auditor

Oregon Licensed Clinical Nurse Auditor

VirtualVocationsArlington, Texas, United States
Full-time
A company is looking for a Clinical Nurse Auditor, HEDIS who will conduct clinical quality audits and improve quality within the healthcare network. Key Responsibilities Conduct clinical quality a...Show moreLast updated: 8 hours ago
  • Promoted
  • New!
Associate Practice Manager

Associate Practice Manager

VirtualVocationsCarrollton, Texas, United States
Full-time
A company is looking for an Associate Practice Manager.Key Responsibilities Assist in overseeing administrative, care coordination, and field support teams to ensure timely and high-quality patie...Show moreLast updated: 14 hours ago
  • Promoted
  • New!
Facets Claims Configuration Lead

Facets Claims Configuration Lead

VirtualVocationsFort Worth, Texas, United States
Full-time
A company is looking for a Facets Benefits and Claims Configuration Lead.Key Responsibilities Lead configuration design activities for Facets Claims and Benefits based on approved business requir...Show moreLast updated: 10 hours ago
  • Promoted
Healthcare Compliance Auditor

Healthcare Compliance Auditor

VirtualVocationsCarrollton, Texas, United States
Full-time
A company is looking for a Healthcare Compliance Auditor - Enterprise Risk.Key Responsibilities Assist in reviewing coding, billing, and claims processing policies to develop compliance monitors ...Show moreLast updated: 2 days ago
  • Promoted
  • New!
Life Insurance QA Lead

Life Insurance QA Lead

VirtualVocationsCarrollton, Texas, United States
Full-time
A company is looking for a Life Insurance Software QA Lead to oversee testing efforts for transformation projects in the life insurance domain. Key Responsibilities : Lead and manage the testing ph...Show moreLast updated: 10 hours ago
  • Promoted
Healthcare Plan Configuration Specialist

Healthcare Plan Configuration Specialist

VirtualVocationsFort Worth, Texas, United States
Full-time
A company is looking for a Plan Build Coordinator to optimize auto adjudication processes in healthcare systems.Key Responsibilities : Develop, configure, and maintain healthcare plan designs and ...Show moreLast updated: 30+ days ago
  • Promoted
  • New!
Healthcare Industry Success Leader

Healthcare Industry Success Leader

VirtualVocationsFort Worth, Texas, United States
Full-time
A company is looking for an Industry Success Leader (HCLS).Key Responsibilities Serve as a Consulting Leader, leveraging domain expertise to improve client business outcomes Own and develop a bo...Show moreLast updated: 20 hours ago
  • Promoted
  • New!
Senior Manager Clinical Biomarkers

Senior Manager Clinical Biomarkers

VirtualVocationsIrving, Texas, United States
Full-time
A company is looking for a Senior Manager of Clinical Biomarkers.Key Responsibilities Lead the development and execution of clinical biomarker plans aligned with clinical development strategy Ov...Show moreLast updated: 8 hours ago
  • Promoted
  • New!
RN Clinical Appeals Reviewer

RN Clinical Appeals Reviewer

VirtualVocationsFort Worth, Texas, United States
Full-time
A company is looking for an IBR Clinical Appeals Reviewer - Remote.Key Responsibilities Analyze and respond to IBR Appeals inquiries Perform medical record reviews and prepare written appeals C...Show moreLast updated: 8 hours ago
  • Promoted
  • New!
RN Clinical Quality Assurance Coordinator

RN Clinical Quality Assurance Coordinator

VirtualVocationsCarrollton, Texas, United States
Full-time
A company is looking for a Clinical Quality Assurance Coordinator.Key Responsibilities Perform quality assurance reviews of peer reports and ensure compliance with client specifications Verify t...Show moreLast updated: 18 hours ago
  • Promoted
  • New!
Clinical Service Excellence Manager

Clinical Service Excellence Manager

VirtualVocationsGrand Prairie, Texas, United States
Full-time
A company is looking for a Clinical Service Excellence Manager to oversee clinical processes and support Neurology programs. Key Responsibilities Oversee clinical processes and serve as the client...Show moreLast updated: 10 hours ago
  • Promoted
Registered Nurse Quality Assurance

Registered Nurse Quality Assurance

VirtualVocationsFort Worth, Texas, United States
Full-time
A company is looking for a Quality Assurance Registered Nurse (Telehealth Support) - Full-Time.Key Responsibilities Lead and support quality improvement initiatives across clinical programs Iden...Show moreLast updated: 30+ days ago