Medical Review Supervisor - Naples Florida

Company: VirtualVocations
Location: Naples, Florida
Posted On: 10/21/2024

A company is looking for a Medical Review Supervisor (MCP) to manage the Managed Care Project in the Medical Review Department.



Key Responsibilities

Develop and ensure compliance with Medical Review policies and procedures
Oversee the quality of medical reviews and manage department productivity
Make hiring decisions and provide necessary education and training for staff


Required Qualifications, Training, and Education

Must be a Registered Nurse (RN) with an active license in the state of residence
Minimum of three years in a supervisory or management position
Minimum of four years clinical experience in a medical/surgical setting preferred
Minimum of four years' experience in medical/utilization review or fraud investigation preferred
No adverse actions pending or taken against the candidate by any State or Federal licensing board More...

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