Clinical Claim Review Manager
Company: VirtualVocations
Location: Sioux Falls
Posted on: November 19, 2024
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Job Description:
A company is looking for a Clinical Claim Review Manager
responsible for managing a team that performs clinical reviews
post-service.
Key Responsibilities
Manage a team conducting clinical claim reviews, interpreting state
and federal mandates and clinical information
Gather and communicate performance metrics to team members and
ensure adherence to company policies
Provide training, coaching, and support for staff development goals
while coordinating with other managers
Required Qualifications
Current unrestricted RN license in the state of residency
3+ years of RN experience, including clinical experience in an
inpatient/acute setting
Leadership or supervisory experience
Proficiency in computer skills, including Microsoft Suite
Quiet, secure designated workspace with high-speed internet
access
Keywords: VirtualVocations, Sioux Falls , Clinical Claim Review Manager, Executive , Sioux Falls, South Dakota
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