State Licensed Finance Case Manager

Job Summary

A healthcare organization is seeking an RN-Finance Case Manager.

Key Responsibilities:

• Supporting denial and appeal processes within the Payer Denial Management department
• Conducting audit reviews to ensure regulatory compliance within the Payer Audit department
• Assisting in charge capture processes for the enterprise

Required Qualifications:

• Bachelor of Science in Nursing or related field preferred
• Registered Nurse (RN) license in Ohio, BSN preferred
• Professional certification as a Case Manager preferred
• 3-5 years of RN experience, including care management in acute settings
• Expertise with InterQual and Milliman disease management ideologies preferred