Manager of Clinical Review Position Available In Camden, New Jersey

Job Description A large health system in southern New Jersey is searching for a Director of Clinical Review to join their team. The Director of Clinical Review manages both administrative and clinical review tasks for the revenue cycle organization.

Administrative functions can include:

recruitment and retention (hiring), payroll tracking, overall scheduling duties, maintaining current team budget and assisting in future budget projections, and overall performance management. The Director of Clinical Review will ideally come from a career as a Utilization Review/Management nurse, and have moved up through the ranks pursuing leadership and growth. This director must have a solid understanding and experience with denial mitigation, insurance guidelines, commercial and government payers, and Interqual/MCG criteria. This team operates in EPIC EMR, so experience with this system is extremely important to contribute to the success of the team. We are searching for a director that lives and breathes case management. We are a company committed to creating inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity employer that believes everyone matters. Qualified candidates will receive consideration for employment opportunities without regard to race, religion, sex, age, marital status, national origin, sexual orientation, citizenship status, disability, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to Human Resources Request Form (https://airtable.com/app21VjYyxLDIX0ez/shrOg4IQS1J6dRiMo) . The EEOC “Know Your Rights” Poster is available here (https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.12ScreenRdr.pdf) . To learn more about how we collect, keep, and process your private information, please review

Insight Global’s Workforce Privacy Policy:

https://insightglobal.com/workforce-privacy-policy/ . Skills and Requirements

• NJ RN license
• Bachelor’s degree (BSN)
• 3+ years of

HOSPITAL UM RN

experience

• Observation experience
• Interqual and/or MCG experience
• EPIC experience null We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day.

We are an equal employment opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment without regard to race, color, ethnicity, religion,sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military oruniformed service member status, or any other status or characteristic protected by applicable laws, regulations, andordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or the recruiting process, please send a request to HR@insightglobal.com.