Utilization Management Technician (Appeals & Denials)

Home Utilization Management Technician (Appeals & Denials) Healthcare & Life Sciences $ 65.81 / Hour location_on Pomona, California acute Contract/Temporary favorite_border

JOB ON CANDIDATE PORTAL

COPY LINK link 🌟Utilization Management Technician (Appeals & Denials) Are you an experienced RN with a passion for appeals, denials management, and clinical documentation? Join Adecco Healthcare and be part of a high-impact team w your expertise directly drives reimbursement success and patient advocacy! ✨

Why This Role Stands Out:

💸

Competitive Pay:

$65.81/HR 🗓

Flexible Schedule:

2-3 days per week ⏰

Day Shift Only:

8:00 AM - 4:30 PM 📍 On-Site Role in Pomona, CA 📑 Work within a specialized CDI & Denial Prevention Team 🚀 Short-term 13-week assignment - great for gaining focused experience 💼

What You'll Do:

Review clinical documentation for appeals and denial management Writepelling, evidence-based appeal letters to overturn denials Partner with denial prevention teams to reduce future risks Track and maintain accurate records of utilization and appeal activity Play a key role in ensuring proper reimbursement andpliance ✅

What You Bring:

🩺 Active RN license (U.S. - CA license not required) 📄 1-2+ years of Appeals/Denials Management experience ✍️ Proven ability to write strong clinical appeals to insurance providers 🎓 Graduate of an accredited nursing program (ADN or higher) ⭐

Bonus Points If You Have:

Experience in CDI or denial prevention environments Strong analytical and documentation review skills 📌

Additional Details:

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Dress Code:

Business Casual 🧭

Orientation:

12-hourprehensive onboarding 🛡 Standard healthcare vaccination requirements 💥 If you're detail-oriented and skilled in turning denials into approvals, this is your chance to make a real impact while earning top pay! 📩 today

Pay Details:

$65.81 per hour Benefit offerings available for our associates include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program,muter benefits and a 401K plan. Our benefit offerings provide employees the flexibility to choose the type of coverage that meets their individual needs. In addition, our associates may be eligible for paid leave including Paid Sick Leave or any other paid leave required by Federal, State, or local law, as well as Holiday pay w applicable. Equal Opportunity Employer/Veterans/Disabled Military connected talent encouraged to To read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to adecco/en-us/candidate-privacy The Company will consider qualified applicants with arrest and conviction records in accordance with federal, state, and local laws and/or security clearance requirements, including, as applicable: The California Fair Chance Act Los Angeles City Fair Chance Ordinance Los Angeles County Fair Chance Ordinance for Employers San Francisco Fair Chance Ordinance

Massachusetts Candidates Only:

It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.

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