Arizona Licensed Denial Management Nurse

Job Summary

A company is looking for a Denial Management Nurse.

Key Responsibilities

• Completes clinical reviews of pre- and post-claim denials and prepares appeal letters
• Develops and recommends policies to support the Denial Management program
• Collaborates with various departments to address clinical questions related to denial management

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
• Preferred experience with business letter writing, such as appeals