Ohio Licensed Clinical Financial Case Manager
A company is looking for a Clinical Financial Case Manager. Key Responsibilities Implement and support clinical pre-certification and case reviews to secure complex pre-authorizations and prevent/appeal clinical denials Utilize clinical knowledge to interpret medical necessity guidelines and determine appropriateness for services provided Maintain awareness of healthcare trends and payer requirements while collaborating with multidisciplinary teams and departments Required Qualifications Bachelor's degree in nursing with a current license Minimum of 3 years of clinical care experience Experience collaborating with physicians and their designees Proficient in Microsoft Office and technology applications Strong analytical skills and ability to make educated decisions
A company is looking for a Clinical Financial Case Manager.
Key Responsibilities
Implement and support clinical pre-certification and case reviews to secure complex pre-authorizations and prevent/appeal clinical denials
Utilize clinical knowledge to interpret medical necessity guidelines and determine appropriateness for services provided
Maintain awareness of healthcare trends and payer requirements while collaborating with multidisciplinary teams and departments
Required Qualifications
Bachelor's degree in nursing with a current license
Minimum of 3 years of clinical care experience
Experience collaborating with physicians and their designees
Proficient in Microsoft Office and technology applications
Strong analytical skills and ability to make educated decisions
