Sr Clinical Admin Nurse RN - Onsite in Pittsburgh PA or Tennesse

Description UnitedHealthcare has an excellent opportunity available for a licensed RN Onsite in Pittsburgh PA Brentwood TN or Knoxville TN. The Senior Clinical Admin Nurse is responsible for independent checks for validity accuracy and completeness of cases ensuring that the notification coordinators comply with all applicable State and Federal laws and consent decrees as well as the applicable accrediting regulatory review agencies including but not limited to CMS NCQA HIPAA and all UHC policies and procedures as applicable. Responsibilities Coordinates internal reviews on denial letters to determine compliance with contractual and regulatory requirements of the State Medicaid programs while reviewing...read moreApply NowCompany

07-06-2024 UNITED STATES, Knoxville, OH

Category: Employment & Jobs

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