(LVN license required) Cenikor Foundation is a non-profit organization and one of the largest substance abuse treatment centers in the nation. We are currently seeking a Nurse Manager, Utilization Review and Clinical Documentation in our corporate office located in Houston, TX.
The Nurse Manager, Utilization Review and Clinical Documentation is responsible for clinical expertise, insurance knowledge, familiarity with third party payor medical necessity requirements, and effective communication skills to analyze client accounts, medical records, and invoices to assist in approval of services and resolution of authorization denials to meet client access needs. The Nurse Manager, Utilization Review and Clinical Documentation will provide direct oversight for Utilization Review Specialists, as well as perform quality reviews of clinical documentation and provide education as needed.
QUALIFICATIONS FOR THE POSITION:
Skills, Knowledge and Abilities:
DRUG FREE WORKPLACE
EQUAL OPPORTUNITY EMPLOYER