DENIALS AND UTILIZATION REVIEW MANAGER

posted:
Location
Santa Barbara, California
Industry
Administrative & Support Services (Office and Administrative Support Occupations)
Job Type
Temporary
Salary
US$ 45.00 - US$ 55.00 per hour
Ref. Number
S_27167
Contact
Miller,Brooks, Spherion
Phone
805.973.0950
Apply Now

Job Description

Our well established and respected client in Santa Barbara seeks an experienced Manager of Denials and Utilization Review. This is a six month contract position. Duties will include:
- Active member of the UR committee
- Manages review staff and their activity
- Serves as liaison and resource to other revenue cycle departments
- Identifies, coordinates and leads projects for root cause analysis of denials
- Facilitates educational opportunities to improve patient quality

Working hours: 9am-5pm

Skills:
Qualified candidates will possess a current California Nursing license or the ability to obtain a license upon hire, two (2) years direct patient care experience, and three (3) years of experience in denials and appeals, UR and case management in an acute care setting. Two (2) years supervisory experience is also required. A demonstrated understanding of InterQual and Milliman guidelines, community standards related to relevant to inpatient acute care, and payer denial and appeal processes also required. A certification in case management is preferred

This is an exciting opportunity to join a team of professionals in a pleasant working environment in the beautiful City of Santa Barbara. For immediate consideration, please apply today or contact our office for more information.

Spherion has helped thousands of people just like you find work happiness! Our experienced staff will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temp-to-perm or direct hire opportunities, no one works harder for you than Spherion. EEO Employer: Race, Religion, Color, National Origin, Citizenship, Sex, Age, Disability, Ancestry, Veteran Status, Genetic Information, Service in the Uniformed Services or any other classification protected by law.

Apply Now