RN Manager - Grievances & Appeals
Job in
Columbia, Howard County, Maryland, 21046, USA
Listed on 2026-09-22
Listing for:
Cherry Hill Free Clinic
Full Time
position Listed on 2026-09-22
Job specializations:
-
Nursing
Job Description & How to Apply Below
- Lead a team of nurses managing member grievances and appeals within a large health system.
- Oversee timely and clinically sound case reviews, ensuring compliance with regulations.
- Collaborate with physicians, quality, and care management teams to analyze trends and improve workflows.
- Drive service excellence and quality improvements to enhance patient outcomes.
RN Manager, Grievances & Appeals
Responsibilities- Lead a team of nurses managing member grievances and appeals within a large health system.
- Oversee timely and clinically sound case reviews, ensuring compliance with regulations.
- Collaborate with physicians, quality, and care management teams to analyze trends and improve workflows.
- Drive service excellence and quality improvements to enhance patient outcomes.
- Strong leadership abilities in managing nursing teams and complex case reviews.
- Knowledge of regulatory requirements related to grievances and appeals.
- Excellent collaboration skills with multidisciplinary teams.
- Focus on patient-centered care and process improvement.
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