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Denials Management Registered Nurse (RN) at Community Health Network
Newsham, England, United Kingdom -
Full Time

Start Date

Immediate

Expiry Date

22 Dec, 25

Salary

0.0

Posted On

23 Sep, 25

Experience

5 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

No

Skills

Clinical Experience, Case Management, Third Party Payer, Utilization Management, Clinical Documentation, Patient Financial Documentation, Level of Care Review, Payer Appeals Guidelines, Regulatory Guidelines, Transitional Care

Industry

Hospitals and Health Care

Description
Hiring Bonus for Qualified RN! Join Community Community Health Network was created by our neighbors, for our neighbors. Over 60 years later, “community” is still the heart of our organization. It means providing our neighbors with the best care possible, backed by state-of-the-art technology. It means getting involved in the communities we serve through volunteer opportunities and benefits initiatives. It means ensuring our dedicated caregivers can learn and grow to stay at the top of their fields and to better serve our patients. And above all, it means exceptional care, simply delivered — and we couldn’t do it without you. Make a Difference As a Denials Management Nurse, you will research, analyze, document and appeal third party payer denials involving medical necessity or clinical issues. Exceptional skills and qualifications 5 years of clinical experience 1-3 years Case management 1-3 years experience with Third party payer (Medicare) preferred A working knowledge of the following: Utilization Management and Review, Clinical and Patient Financial Documentation Systems, Level of Care review, criteria Payer Appeals guidelines, Regulatory guidelines,Transitional Care (Required) License and Education Graduate of National League for Nursing or Commission on Collegiate Nursing Education accredited school of nursing. Bachelor of Science in Nursing is required Licensed as a Registered Nurse by the Indiana Professional Licensing Agency required This is a HYBRID-REMOTE position, meaning you would be able to work at least part-time from home. However, it is required that you live within a 60-mile radius of Indianapolis to meet the onsite meeting requirements.
Responsibilities
As a Denials Management Nurse, you will research, analyze, document and appeal third party payer denials involving medical necessity or clinical issues. This role requires a strong understanding of clinical and financial documentation systems.