Ohio Licensed Clinical Financial Case Manager
Company: VirtualVocations
Location: Vista
Posted on: May 24, 2025
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Job Description:
A company is looking for a Clinical Financial Case Manager.
Key Responsibilities
Implement and support clinical pre-certification and case reviews
to secure complex pre-authorizations and prevent/appeal clinical
denials
Utilize clinical knowledge to interpret medical necessity
guidelines and determine appropriateness for services provided
Maintain awareness of healthcare trends and payer requirements
while collaborating with multidisciplinary teams and
departments
Required Qualifications
Bachelor's degree in nursing with a current license
Minimum of 3 years of clinical care experience
Experience collaborating with physicians and their designees
Proficient in Microsoft Office and technology applications
Strong analytical skills and ability to make educated decisions
Keywords: VirtualVocations, Tustin , Ohio Licensed Clinical Financial Case Manager, Accounting, Auditing , Vista, California
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