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  • New York Licensed Director of Pre Appeals - Rockville - VirtualVocations

    VirtualVocations
    VirtualVocations Rockville

    4 days ago

    $160,000 - $240,000 (USD) per year *
    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:


    • 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

    Required Qualifications:


    • 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
    * This salary range is an estimation made by beBee
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