Inspira Health
Vineland, NJ, USA
Includes $10,000 sign-on bonus!
The region’s leading network of healthcare providers, Inspira Health is seeking a Care Coordination RN: Denials and Appeals Coordinator to identify, analyze and reports denial trends to the department Director, Business Office, Compliance and Managed Care. We’ll also rely on you to:
Manage, track and coordinate third-party payer activity and timeliness or organizational response
Serve as a resource to case managers relative to retrospective and concurrent denials and Utilizational Management (UM) processes
Collaborate with Director, Physician Advisors, Managed Care, Business Office and Compliance to ensure compliance to state and national rules and regulations along with payer contract
Develop educational materials for UM team in conjunction with the Care Coordination Director
Participate in development, review and revision of Care Coordination policies and procedures related to the UM process...