Denials Management RN

CommonSpirit Health Mountain Region is committed to building healthier communities, advocating for those who are poor and vulnerable, and innovating how and where healing can happen—both inside our hospitals and out in the community. With locations throughout Colorado, Utah, and Kansas, we deliver the same high standard of care to our employees as we do to our patients. Our 20 hospitals, emergency and urgent care centers, home care and hospice, Flight for Life Colorado^TM , telehealth and over 240 physician practices and clinics offer endless opportunities! Here, you can grow your career and impact the people in the communities you serve.

CommonSpirit Health is one of the nation’s largest nonprofit, faith-based health systems, with a team of over 150,000 employees and 25,000 physicians and advanced practice clinicians. CommonSpirit operates more than 2,200 care sites and 140 hospitals, serving some of the most diverse communities across the nation, letting humankindness lead the way.

You have a purpose, unique talents and now is the time to embrace it, live it and put it to work. We value incredible people with incredible skills – but your commitment to a greater cause is something we value even more. This is the heartbeat of our organization and your time will be spent in a supportive, team environment with resources to help you flourish and leaders who care about your success.

The Denials Management RN is responsible and accountable for receiving, processing and documenting all concurrent
denials for assigned facilities. The Denials Management RN has an integral role within the revenue cycle by providing clinical expertise in the denials management process.

This role performs a root cause analysis of the concurrent denial, formulates and implements a plan for addressing the specific root cause for that denial, identifies gaps in processes that lead to concurrent denials, documents and communicates findings to management. Recommends and provides education in collaboration with their manager.

Schedule (time, day requirements, etc.): Monday-Friday 8-4:30pm
Physical Location of position: Remote

In addition to bringing your whole self to the workplace each day, qualified candidates will need the following:

• BSN
• RN License in Applicable State of Employment required
• 3 years of nursing utilization review preferred
• Experience working with EMR preferred.
• Working knowledge of regulatory requirements and accreditation standards strongly preferred.
• BLS from the American Heart Association preferred

Physical Requirements - Medium Work - (Exert up to 50lbs force occasionally, and/or up to 20lbs frequently, and/or up to 10lbs constantly)

We believe in the healing power of humanity and serving the common good through our dedicated work and shared mission to celebrate humankindness. 

We believe investing in our employees lets them know they truly matter. Your Total Rewards package includes compensation, benefits, retirement, wellness, leave, and other programs. Designed with your well-being in mind, we offer: 

• Several Medical, Dental, & Vision options.
• Spending Accounts including a Dependent Care FSA that can include an employer contribution
• Retirement account options with a generous employer match
• Tuition Reimbursement
• Student Loan Forgiveness, and so much more!

View more on our benefits HERE.

$34.14 - $61.23 / hour