Remote Denials and Utilization Review Manager in Los Angeles

Job ID: Available for Members

Location: California

Compensation: To Be Discussed

Staff Reviewed: Tue, Mar 12, 2019

Job Category: Healthcare, Quality Assurance

Telecommute Level: Majority

Travel Requirements: Onsite Required, Some Travel

Weekly Hours: Full Time

Employer Type: Staffing Agency

Career Level: Manager

Education Level: Some College

Job Summary

A health staffing agency has a current position open for a Remote Denials and Utilization Review Manager in Los Angeles.

Core Responsibilities Include:

  • Conducting the overall management of denials and appeals between the organization and outside payers
  • Managing, maintaining and communicating denials and appeals activity to appropriate stakeholders
  • Reporting on outcomes of utilization review, denials and appeals

Position Requirements Include:

  • Required to be onsite full time for first month, then open to alternating remote weeks
  • Two years direct patient care experience as an RN in an acute care setting
  • Current nursing license
  • Three years of experience working with denials and appeals, utilization review, and case management
  • Two years supervisory experience required
  • All other requirements necessary for this position