Northside Hospital

Processes, tracks and appeals clinical denials and supports the design, development and implementation of Utilization Management data collection methodologies. Displays and analyzes data to identify trends and works collaboratively to develop plan of action.

Produces, reviews, proofs, and delivers translations of hospital documents such as medical record forms, patient education materials, and marketing materials from English into Spanish as assigned by the coordinator.

The UM/Appeals Supervisor Care Coordination RN is responsible for an appeals caseload and responsible for the Care Coordination staff for case reviews and UR appeals. They work with Appeals and Case review staff on a daily basis to resolve cases and provide guidance and coordinates worklists. This is a fully remote position with work in the office responsibilities for new hire training once fully orientated. Must be willing to train in Sandy Springs Interchange location.