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Management
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063643 Requisition #
Thanks for your interest in the MGR - DENIALS MGMT position. Unfortunately this position has been closed but you can search our 739 open jobs by clicking here.
Qualifications
Education: 
Masters Degree in Nursing, or Nursing Degree with MBA or Masters in Health Care related field. 

Licensure: 
Registered Nurse with valid Ohio License

Certification: Certification in area of clinical specialty preferred. 

Experience: 
Minimum of 10 years of clinical experience preferred
Experience in a leadership role is required
Previous manager or experience required
Experience with utilization management, denials management and 3rd party Payors required
Demonstrated expertise in performance improvement process required
Demonstrated expertise in change management required
Knowledge of InterQual, Milliman, and 3rd party insurance requirements required
Knowledge of hospital reimbursement, third party billing, contracting and governmental rules and regulations regarding billing and reimbursement required


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