UM Review Nurse - LVN/RN Choice Medical Group - 3.2 Apple Valley, CA Job Details Full-time $29 - $42 an hour 4 days ago Benefits Health insurance Dental insurance 401(k) Paid time off Vision insurance Life insurance Qualifications Computer operation Team supervision Managed care organization experience Writing skills Contract management experience in healthcare EMR/EHR Attention to detail Contracts General management Terms and conditions negotiation Full Job Description Operates under the general supervision of the UM Director and Medical Director.

Qualifications:

• Minimum five (5) years' experience in the healthcare management managed care environment required; including third-party contracting, negotiating, reimbursements and analysis.
• Minimum three (3) years of experience in a management capacity.
• Preferred experience in managing analyzing and reporting denials and appeals.

Skills:

• Must have effective communication, facilitation, interpersonal and professional diplomacy skills.
• Strong attention to detail with ability to manage multiple priorities while meeting deadlines.
• Able to Problem-solve, negotiate and demonstrate independent decision-making.
• Strong communication skills in both oral and written form.
• Positive attitude and takes a team approach to management.
• Maintain strong skills in diplomacy, professionalism and trustworthiness.
• Familiarity with Microsoft applications, which include the ability to learn new computer systems and applications.
• Ability to manage multiple priorities and projects.
• Detail oriented with desire for producing work with 100% accuracy.
• Excellent analytical and problem-solving skills.

Job Type:

Full-time Pay:

$29.00 - $42.00 per hour

Benefits:

401(k) Dental insurance Health insurance Life insurance Paid time off Vision insurance

Experience:

Healthcare Management:

5 years (Preferred)

Contracting, Negotiating, Reimbursements & Analysis:

5 years (Preferred)

Work Location:

In person