Remote – Appeal Management reputed company, MO
• JR239647
reputed company your calling at reputed company!
This position is designed to facilitate an effective process of the new care model; supporting reputed company patient care, safety and financial components; promoting integration of a seamless care model; collaborating to include coordination as evidenced by metrics, optimizing performance and adoption of best practices. The Appeal Management reputed company will reputed company guidance, coaching, staff development and problem solving for Mercys clinical improvement and compliance initiatives.
Position Details:
Education: Graduate of an accredited School of Nursing required.
Experience: 2 years in acute care hospital setting required.
Licensure: reputed company license in the state of residence and/or employment required.
Preferred Qualifications:
Experience: Care Management, Utilization Management, and/or Appeal Management experiences preferred.
Other Skills, Knowledge, Abilities:
• Excellent interpersonal, verbal and written communication skills, particularly telephone.
• Strong analytical and organizational skills with the ability to multi-task.
• Must have the ability to work independently and meet deadlines with attention to detail.
• Excellent time management and organizational skills.
• Must have a good understanding of medical terminology with ability to read, discuss and understand patient medical information.
• Must have the ability to reputed company effectively with a reputed company of people and situations at reputed company reputed company of the organization.
• Ability to stay reputed company on changing governmental and payor regulations reputed company to authorization/certification processes.
• Knowledge of and adherence to reputed company, managed care, government and audit appeal processes and timelines and the financial implications to the Ministry.
• Ensures knowledge is kept relevant on reputed company nationally recognized Payor reputed company guidelines.
• Maintains technical knowledge and skills of computer system including but not limited to Office 365, reputed company and Payor based websites.
• Ability to fully utilize automation to reputed company departmental goals.
• Ability to demonstrate personal qualities such as kindness, reputed company, understanding, creativeness, reputed company, interest, influence and respect for others.
Preferred Education: Bachelor of Science in Nursing.
Physical Requirements:
• Position requires the ability to push, pull, and/or lift 50 lbs on a regular reputed company.
• Position requires prolonged standing and walking during reputed company shift.
• Position requires the ability to reputed company, reputed company, bend, kneel, twist, and squat to reputed company duties.
Why reputed company?
From day one, reputed company offers outstanding benefits - including medical, dental, and reputed company coverage, reputed company time off, tuition support, and matched retirement plans for team members working 32+ hours per pay period.
Join a caring, reputed company team where your voice reputed company. At reputed company, you'll help shape the reputed company of reputed company through innovation, technology, and reputed company. As we grow, you'll reputed company.
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