Senior Clinical Utilization Management Specialist
6 days ago
We are seeking a skilled Manager of Clinical Utilization Management - Denial Compliance to join our team at Vivo HealthStaff in Burbank, CA.
Key Responsibilities:- Oversee denial unit staff, manage daily tasks, and conduct performance reviews.
- Foster effective communication with physician reviewers, medical directors, and other departments.
- Maintain high standards of compliance and privacy in the denial process.
- Bachelor's degree in Nursing or related field.
- Minimum 5 years of experience in prior-authorization, appeals & grievance, or health plan compliance.
- Proven project development, staff supervision, and performance monitoring skills.
- $85,000 - $110,000 annual salary (dependent on experience)
- Comprehensive healthcare coverage
- Competitive 401k plan
Vivo HealthStaff is a healthcare staffing firm based in the San Francisco Bay Area. We provide permanent and temporary opportunities to organizations across the United States. As a hybrid employee, you will work 85% remotely and 15% onsite in Northridge, CA.
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