About this role
Manager, Medical Review (Medicare - Appeals; Utilization Review; Part A; HHH) at Ourhrconnect. Location: Nashville, Tennessee, United States. Role: managing reviews, training staff, improving processes Requirements: Bachelor's degree required; 5 years clinical and utilization review experience including 2 years supervisory experience; active RN licensure (state or NLC); strong communication, analytical, and regulatory knowledge; Microsoft Office proficiency. Category: Healthcare Services - Nursing Seniority: Senior Level Tools: Microsoft Office Certifications: rn, nurse licensure compact (nlc) Commitment: Full Time Workplace: Hybrid Languages: English