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    Itemization Review Nurse Supervisor - Dubai, United Arab Emirates - ClickJobs

    ClickJobs
    ClickJobs Dubai, United Arab Emirates

    1 day ago

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    Description

    Job Description

    Job Description

    The Itemization Review Supervisor will maintain a positive team building approach with emphasis on reporting, leadership and professional communication with all CERIS departments.

    ESSENTIAL FUNCTIONS & RESPONSIBILITIES:

    • Maintain all data and analytics information to make critical decisions and accurate results
    • Maintain all appeals from all clients as required
    • Knowledge of and understanding all departmental policies and procedures as they relate to Itemization Review
    • Advance knowledge of Client Payment Policy for reviews
    • Knowledge of Quality Control processes as needed
    • Fully understands process of assigning files and assessing nurse's queues continually
    • Fully understands the priority of all claims daily
    • Maintains monthly matrix reporting
    • Knowledge of CERiS systems and Data Base informatics
    • Maintain teams with minimum assistance from manager
    • Create a team by promoting a positive work environment
    • Additional duties/responsibilities as assigned by manager
    • Comply with all safety rules/regulations, in conjunction with the Injury and Illness Prevention Program ("IIPP"), as well as, maintain HIPAA compliance

    KNOWLEDGE & SKILLS:

    • Advance organizational, strategic and critical thinking skills
    • Effective and professional communication skills
    • Ability to handle stressful situations and adapt accordingly
    • Demonstrated outstanding leadership, problem solving, and analytical skills
    • Ability to think and work independently
    • Proficient in scheduling monthly team meetings with emphasis on education
    • Proficient in MedCheck, MedCheck Select, CareMC, Tableau, UltiPro, Department Employee Handbook Policy and Procedures, Microsoft Office Suite, Excel, Outlook, and Skype for Business

    EDUCATION & EXPERIENCE:

    • Must maintain current licensure as a Registered Nurse in the state of employment
    • Must have a minimum of 5 years' experience in the O.R., ICU, or E.R. as an R.N.
    • Must have a minimum of 3 years' experience in LIBR. Preferred but not mandatory
    • Must have 3 years or Hospital Supervisor/Manager experience
    • Associate Degree in Nursing or higher
    • Experience in medical bill auditing, preferred but not mandatory
    • Knowledge of ICD-10, DRG and coding required but not mandatory
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