Denial and Appeals Registered Nurse (RN) - Clinical Resource Management
Employment type
Full-time
Work setting
On-site
Location
Enfield, CT
Schedule
Day shift
Posted
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Job overview
The Denial and Appeals Registered Nurse (RN) is an onsite role based in Enfield, CT. Compensation is not specified for this position, which supports the Integrated Care Partners (ICP) network. This role exists to manage the payer denial and appeals process. The nurse works autonomously to appeal inappropriate denials, collaborates with medical directors, and provides education to stakeholders to improve performance and minimize future denials.
What you'll do
- Manage denials and appeals, compose appeal letters, maintain appeal records, analyze root causes for denials, and provide education to stakeholder groups.
What we're looking for
- Skills & competencies
- full-timeregistered nurserndenial and appealsclinical resource managementenfield ctnursingmanaged careclinicaldocumentation
- Work arrangement
- Weekend coverage required
Benefits & perks
- Competitive benefits program, career development opportunities.
Why this role
Physician-led network, focus on revenue protection and clinical resource management.
About the employer
Hartford HealthCare Corp. is hiring for this role. Industry: Offices of Physicians (except Mental Health Specialists). Sector: 62.
Additional details
- Industry sector
- 62
- Industry
- Offices of Physicians (except Mental Health Specialists)
- Occupation code
- 29-1141.00
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Listing ID: df1af3d2-66ea-4df6-9eed-6e6f670dafab