Arizona Licensed RN Medical Director
A company is looking for an Associate Director of Registered Nurse Medical Management Services. Key Responsibilities Lead teams of RN Prior Authorization Review Nurses and LPNs, ensuring effective workflow and performance Assist in audits for Medicare Advantage and commercial insurance plans, ensuring compliance with standards Analyze healthcare data and trends to improve outcomes and implement departmental processes aligned with strategic initiatives Required Qualifications Bachelor's degree in nursing or a related healthcare field, or equivalent experience Current Registered Nurse (R.N.) license in the state of residence Extensive knowledge in case management and utilization management Strong leadership skills with the ability to interact effectively across departments and organizations Understanding of hospital operations and reimbursement methodologies
A company is looking for an Associate Director of Registered Nurse Medical Management Services.
Key Responsibilities
Lead teams of RN Prior Authorization Review Nurses and LPNs, ensuring effective workflow and performance
Assist in audits for Medicare Advantage and commercial insurance plans, ensuring compliance with standards
Analyze healthcare data and trends to improve outcomes and implement departmental processes aligned with strategic initiatives
Required Qualifications
Bachelor's degree in nursing or a related healthcare field, or equivalent experience
Current Registered Nurse (R.N.) license in the state of residence
Extensive knowledge in case management and utilization management
Strong leadership skills with the ability to interact effectively across departments and organizations
Understanding of hospital operations and reimbursement methodologies
