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- Lead and manage the pre appeals department and related vendors
- Develop and implement pre appeals strategies, policies, and procedures to ensure regulatory compliance
- Oversee daily pre appeals activities including admission, continued stay, and discharge reviews
- Bachelor's degree in Nursing (BSN) or related healthcare field required
- Master's degree in Nursing, Healthcare Administration, Business, or related field strongly preferred
- Active RN license in the state of employment required
- 7+ years of experience in clinical acute clinical, utilization management, appeals management, or related operations
- 3+ years in a leadership or management role
New York Licensed Director of Pre Appeals - Rockville - VirtualVocations
Description
Director of Pre Appeals Management
A critical role requiring strategic leadership and effective management of pre appeals activities to ensure regulatory compliance.
Key Responsibilities:
Required Qualifications:
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Court Operations Associate
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Only for registered members Saint Cloud
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Cook- Culinary Team- Part-Time
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Maintenance Technician - 140
Only for registered members Monticello, MN
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Maintenance Technician - 140
Only for registered members Monticello
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Maintenance Technician - 140
Only for registered members Monticello