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Registered Nurse Clinical Appeals Supervisor
A company is looking for a Clinical Appeals Supervisor. Key Responsibilities Supervise daily clinical operations and ensure productivity and quality metrics are met Track clinician productivity and perform regular audits of appeals to refine practices Assess cases for external review and make final determinations on clinical appeals Required Qualifications Active Registered Nurse license Experience supervising in a clinical inpatient environment Conceptual knowledge of the denials landscape Proficiency in basic computer skills Ability to use sound judgment in reviewing clinical documentation
A company is looking for a Clinical Appeals Supervisor.
Key Responsibilities
Supervise daily clinical operations and ensure productivity and quality metrics are met
Track clinician productivity and perform regular audits of appeals to refine practices
Assess cases for external review and make final determinations on clinical appeals
Required Qualifications
Active Registered Nurse license
Experience supervising in a clinical inpatient environment
Conceptual knowledge of the denials landscape
Proficiency in basic computer skills
Ability to use sound judgment in reviewing clinical documentation
