Arizona Licensed Denial Management Nurse

Job Summary

A company is looking for a Denial Management Nurse to oversee clinical denial reviews and improve financial outcomes.

Key Responsibilities

• Completes clinical reviews and prepares appeal letters for denied patient accounts
• Develops and recommends policies to enhance the Denial Management program
• Collaborates with various departments to address clinical questions and improve denial management processes

Required Qualifications

• Minimum Associate/BSN Degree in Nursing or relevant healthcare field
• Current unrestricted RN license within the state of Arizona
• Minimum three years of experience in case management, utilization management, or denial management
• Preferred Master's Degree in Nursing or relevant healthcare field
• Experience with business letter writing, such as appeals, is preferred