Registered Nurse Supervisor

A company is looking for a Supervisor Clinical Denials Utilization Management.

Key Responsibilities

Oversee the Clinical Denials Utilization Management Department and maintain client relationships

Conduct comprehensive medical necessity reviews and ensure documentation accuracy

Collaborate with multidisciplinary teams to support care progression and adhere to compliance standards

Required Qualifications

University Degree (relevant experience may substitute for formal education)

5+ years of Utilization Review experience

Current Registered Nursing License

Ability to interpret various forms of instructions

Knowledge of reimbursement methodologies and managed care trends