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Clinical Financial Case Manager - RN

Company: VirtualVocations
Location: West Palm Beach
Posted on: April 5, 2025

Job Description:

A company is looking for a Clinical Financial Case Management - RN.
Key Responsibilities

Implement and support clinical pre-certifications, case reviews, and denial management
Utilize clinical knowledge to interpret medical necessity guidelines and determine appropriate levels of care
Serve as a Subject Matter Expert for assigned payers and maintain awareness of healthcare trends and guidelines

Required Qualifications

Bachelor's degree in nursing with a current license
Minimum of 3 years of clinical care experience
Experience collaborating with physicians and understanding care plans
Strong analytical skills and ability to make informed decisions
Proficiency in Microsoft Office and various technology applications

Keywords: VirtualVocations, Miami , Clinical Financial Case Manager - RN, Accounting, Auditing , West Palm Beach, Florida

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