NHS Solutions seeks an experienced Interim Clinical Appeals Supervisor. The successful candidate will coordinate and execute the appeal process for all facilities clinical appeals and third-party audits, supervise Care Management Specialist workflow for referral, post hospital appointments and utilization management activities for inpatients.

Key Qualifications:

  • Graduate of an accredited nursing program, BSN preferred
  • 5 years of acute care nursing including medicine/surgery, ICU, telemetry or 5 years of case management experience in an acute setting or utilization review at a medical group or health plan
  • CA RN license
  • BLS
  • CCMC or ACM preferred

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