Nurse Leader in Healthcare Denials

3 days ago


Montebello, California, United States AltaMed Full time
Lead the Way in Healthcare Denials

If you're a motivated healthcare professional looking to take your career to the next level, consider becoming a Nurse Leader in Healthcare Denials. As a Clinical Supervisor at AltaMed, you will be responsible for overseeing the Utilization Management Denials team, ensuring the accuracy and timeliness of patient care service reviews, and efficiently processing denial notifications.

This role requires strong analytical and problem-solving skills, excellent communication abilities, and a deep understanding of healthcare utilization review processes. You will collaborate closely with clinical staff, health plan partners, and stakeholders to ensure compliance with regulatory standards and improve overall utilization management outcomes.

Key responsibilities include leading the denials team, facilitating communication between departments, and ensuring adherence to relevant regulations and standards. A proactive approach to managing denials, fostering a collaborative environment, and continuously seeking opportunities for process improvement are essential for success in this role.

Requirements

* A Licensed Vocational Nurse (LVN) with an active license is required.

* An associate degree or equivalent work experience is preferred but not mandatory.

* A minimum of 5 years of experience in utilization management or a related field is necessary.

Compensation and Benefits

* Competitive annual salary ranging from $83,399.68 to $104,249.60

* Comprehensive benefits package including medical, dental, and vision insurance, flexible spending accounts, and commuter benefits

* Opportunities for career advancement, paid time off, holidays, and continuing education

* Tuition reimbursement program and corporate discounts



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