RN Supervisor Clinical Review

Job Summary

A company is looking for a Supervisor Clinical Review RN - National Remote.

Key Responsibilities

• Oversees production goals and quality targets for the clinical review team
• Sets team direction, delegates assignments, and assists with issue resolution
• Conducts investigations to ensure accuracy of claims adjustments and maintains relationships with internal business partners

Required Qualifications

• Associate's Degree (or higher)
• Active and unrestricted Nursing license in the state of residence, BSN preferred
• 5+ years of experience working in a clinical role
• 2+ years of experience with billing, charge master, and compliance
• 2+ years of clinical experience in an acute care setting practice