Home Health Care Professional: Clinical Management Specialist - East Montpelier - beBeeHealthcareManager

    beBeeHealthcareManager
    beBeeHealthcareManager East Montpelier

    4 days ago

    Job title: Manager, Grievances

    Description

    About This Role

    This position plays a pivotal role in managing client concerns and denials. The successful candidate will conduct thorough analytic reviews of clinical documentation to determine the necessity for grievances, appeals, or further requests. They will deliver a final determination based on advanced expertise and collaboration with clinical teams.

    The Manager operates within established guidelines and applies advanced technical knowledge to address moderately complex issues. They receive assignments in the form of objectives and determine the most effective approach and resources.


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