New York State Licensed Appeals Manager
Company: VirtualVocations
Location: Roanoke
Posted on: April 9, 2025
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Job Description:
A company is looking for a Manager - Appeals to manage teams and
oversee case management in a remote setting.
Key Responsibilities
Manage assigned teams and staff while ensuring compliance with
quality control procedures
Conduct medical necessity reviews and ensure compliance with
state-specific regulations
Collaborate with stakeholders to manage cases effectively and
maintain accurate documentation
Required Qualifications and Education
Bachelor's degree in a relevant field and 5+ years of professional
experience, or equivalent combination of education and
experience
Familiarity with Appeals & Hearings; expertise in the Hearings &
Appeals function preferred
Registered Nurse (RN) with a valid nursing license, or a Master's
degree or JD
Knowledge of workers' compensation laws and experience with New
York State guidelines preferred
Proficiency in claims management software and medical management
practices
Keywords: VirtualVocations, Danville , New York State Licensed Appeals Manager, Executive , Roanoke, Virginia
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