Job Summary
A company that helps clients recover lost revenue and analyzes and improves processes has a current position open for a Remote Clinical Operations Director.
Individual must be able to fulfill the following responsibilities:
- Demonstrate a proven track record of delivering and communicating results on key process indicators
- Focus on the development, performance and growth of your team and the organization as a whole
- Work across multiple disciplines/departments to achieve results
Qualifications Include:
- Must possess current RN license
- 5 Years of Clinical Case Management/Utilization Review/Appeals
- Proven and demonstrated success as a leader in the Payer or Hospital environment with excellent written and verbal communication skills
- Possesses a deep knowledge of medical necessity criteria including MCG and/or InterQual, both preferred; adept at applying said criteria sets