CarolinaEast Health System

Denials Management and Prevention RN

CarolinaEast Health System  •  New Bern, NC (Onsite)  •  4 hours ago
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Job Description

Job Summary: Primarily responsible for providing support to the Denials Management and Prevention Department in medical record review and/or denial review.

About CarolinaEast Health System

CarolinaEast Health System is committed to providing high quality, compassionate care across the Coastal Carolina region. At the heart of our system is a 350-bed, full-service medical center equipped with a comprehensive range of inpatient and outpatient services, utilizing the latest medical technologies. We employ over 3,200 dedicated team members and operate physician practices across various specialties in four counties. Our employees foster a culture of excellence that ensures our patients receive the same high level of care found at larger medical centers, all while maintaining a friendly, community-centered atmosphere throughout our facilities. CarolinaEast offers a robust benefits package to all full-time employees, as well as benefits for part-time plus and part-time staff. We are proud to be the first medical center in North Carolina recognized as a Cardiovascular Center of Excellence by the American College of Cardiology and the American Heart Association. Additionally, we are honored to be named one of America’s Best-In-State Hospitals by Newsweek, among numerous other prestigious accolades.

Minimum Requirements

  • Minimum of an Associate's degree in nursing.
  • Prefer a Bachelor of Science in Nursing.
  • Minimum five years hospital clinical experience.
  • Must possess strong clinical knowledge of patient care techniques, treatment modalities, and disease processes.
  • Knowledge of utilization review, denial concepts and reimbursement methodologies.
  • Ability to communicate effectively with interdisciplinary team (Physicians, Nursing, Denials Management and Prevention Manager, Care Coordinators, Billing and Finance).
  • Proficient in Microsoft Word, Excel, and selected denials tracking software.
  • Current RN license with North Carolina State Board of Nursing or Compact License recognized by the NC State Board of Nursing.
  • Deliver outstanding customer service that upholds CarolinaEast's Standards of Excellence.
CarolinaEast Health System

About CarolinaEast Health System

CarolinaEast Medical Center, located in picturesque New Bern, North Carolina, is at the heart of the CarolinaEast Health System. This 350 bed, full service facility houses a full complement of inpatient and outpatient services. In addition to comfortable medical/surgical areas, the medical center has dedicated units for heart care, critical care, intensive care, women's care, pediatric care, orthopedic care, surgical care and cancer care.

Since beginning our service to the region in 1963, CarolinaEast Health System has kept pace with the expanding health care needs of our rapidly growing community. Leading edge health care practices have driven our successes over the years. Our visionary medical staff, currently comprised of over 230 board certified physicians keenly in tune with the medical needs of our region, have been a strong force behind our successfully meeting those needs. Our doctors, partnered with our staff of more than 2,000 caring medical professional and support personnel, means our patients will have a team that will work together with the patients good health at the center of their mission. From diagnosis, through treatment, rehabilitation and on to recovery you can trust that CarolinaEast will provide...

Care As Special As You Are.

Industry
Healthcare & Social Services
Company Size
501-1,000 employees
Headquarters
New Bern, North Carolina
Year Founded
1963
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