Clinical Supervisor for UM Denial Compliance

1 month ago


Burbank, California, United States Vivo HealthStaff Full time
Job Overview

Vivo HealthStaff is seeking a skilled Clinical Supervisor to lead our UM Denial Compliance team. This role is critical in ensuring a high-quality, efficient, and compliant denial process, adhering to all regulatory, accreditation, and health plan standards for associated medical groups.

Key Responsibilities
  • Supervise licensed and non-licensed denial unit staff, managing daily tasks, performance reviews, and disciplinary actions.
  • Collaborate effectively with physician reviewers, medical directors, and other departments.
  • Ensure prompt responses to requests and uphold high standards of compliance and privacy.
  • Assist in preparing departmental reports, audits, and surveys.
  • Monitor the internal quality of the denial process.
  • Design and conduct training sessions for the denial unit staff to ensure compliant communication.
  • Ensure alignment with regulatory and health plan requirements related to the denial process.
  • Oversee daily departmental operations, including reporting, staffing, and supervision.
  • Communicate effectively with medical professionals regarding denial issues.
  • Assess compliance with regulatory and quality measures, implementing strategies for improvement.
  • Review performance reports, identify deficiencies, and implement corrective action plans.
  • Report departmental performance to leadership and provide guidance to team members.
  • Stay updated with state and federal regulations related to the department.
  • Implement procedures to ensure alignment with company policies and influence process improvements.
Requirements
  • Graduate from an accredited Registered Nursing Program; RN preferred.
  • Minimum of five years in prior-authorization, appeals & grievance, or health plan compliance.
  • Proven experience in project development, staff supervision, and performance monitoring.
  • Strong communication skills, both verbal and written.
  • Ability to manage multiple projects in a high-stress environment and adapt to changing priorities.
  • Proficiency in MS Office and a computerized environment.
  • Valid CA driver's license and car insurance.
Benefits
  • Comprehensive healthcare coverage.
  • Competitive 401k plan.

Vivo HealthStaff is a healthcare staffing and recruitment firm based in the San Francisco Bay Area, providing permanent and temporary opportunities to organizations across the United States.



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