Concurrent Denial Nurse BU
Cleveland Clinic(1 month ago)
About this role
As a Concurrent Denial Nurse at Cleveland Clinic Health System, you will support the Utilization Management Department by reviewing concurrent and retrospective clinical inpatient denials to ensure medical necessity criteria is met. This role allows you to work alongside dedicated caregivers, receive support, and build a rewarding career at a respected healthcare organization.
Required Skills
- Utilization Management
- Clinical Denials
- Patient Care
- Nursing
Qualifications
- Completion of an accredited Registered Nursing Program (RN)
- Bachelor’s Degree in Nursing or related field
- Current valid license in the State of Florida as a Registered Nurse (RN)
- Basic Life Support (BLS) certification through the American Heart Association (AHA) or American Red Cross
- Three years of full-time Utilization Management experience
- Demonstrated above average competence in Utilization Management Processes
About Cleveland Clinic
clevelandclinic.orgCleveland Clinic is a not‑for‑profit academic medical center founded in 1921 that provides comprehensive clinical and hospital care across a large integrated health system. It is known for world‑class specialty care, multidisciplinary teams, and leadership in medical research, education, and health information. The organization operates hospitals, outpatient centers and digital/telehealth services, and employs roughly 65,000 staff to serve patients regionally and internationally.
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