Care Coordinator Supervisor, RN
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Job Location:
Atlanta, GA - USA
Monthly Salary:
Not Disclosed
Posted on:
17 hours ago
Vacancies:
1 Vacancy
Job Summary
Overview
Northside Hospital is award-winning state-of-the-art and continually growing. Constantly expanding the quality and reach of our care to our patients and communities creates even more opportunity for the best healthcare professionals in Atlanta and beyond. Discover all the possibilities of a career at Northside today.
Responsibilities
The UM/Appeals Supervisor Care Coordination RN is responsible for an appeals caseload and responsible for the Care Coordination staff for case reviews and UR appeals. Works with Appeals and Case review staff on a daily basis to resolve cases and provide guidance. Coordinates worklists and completion of cases on audit review retro authorization and appeals.
- The training period will be conducted in person. Upon successful completion of training the role will transition to a fully remote position. Please note that in-person meetings will be required throughout the year.
Qualifications
:
1. Nursing degree and three (3) years previous experience as hospital care coordinator or insurance case management.
2. Current Standards of Care & Criteria working knowledge of Intequal and/or Milliman.
3. Ability to train and direct employees.
PREFERRED:
1. Bachelors degree in nursing. Five years of experience in care coordination or related field. Leadership experience preferred.
2. Certification as Certified Case Manager (CCM) or Accredited Case Manager (ACM).
Work Hours:
Weekend Requirements:
On-Call Requirements:
Required Experience:
Manager
Key Skills
About Company
Join Atlanta’s most preferred hospital for a rewarding and purposeful career. See trending jobs and learn more now.
