Experience:

• Five years inpatient clinical nursing experience in an acute care hospital setting required.

• Minimum of two years Utilization Management acute care setting experience required.

• Minimum of one year drafting and submitting reconsiderations and appeals to Medicare experience.

• Preferably a minimum of two-year InterQual or Milliman experience in an acute care setting.

• Bilingual preferred

Highlights:

• Admin/Finance for patient stays

• Medicare background

• Understand- denial reports and trending

• Ways to prevent denials

• Leads UR Committee: Attend meetings-varies on time and depends on physicians' schedule àonce per quarter, early in quarter

Pay Details: $80,000.00 to $90,000.00 per year

Equal Opportunity Employer/Veterans/Disabled

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The Company will consider qualified applicants with arrest and conviction records subject to federal contractor requirements and/or security clearance requirements.