PHRN/USRN Operations Manager

• The Operations Manager for Appeals is responsible for managing and overseeing operations related to clinical appeals.
• Ensures compliance with industry standards and regulatory requirements.
• Collaborates closely with internal and external stakeholders to drive performance and maintain high-quality standards.

Key Responsibilities

• Oversee daily operations and ensure compliance with SLAs and regulatory standards.
• Develop and implement process improvement initiatives.
• Manage team performance and resource allocation.
• Collaborate with internal teams and client stakeholders to enhance service delivery and maintain accurate staffing.
• Ensure adherence to HIPAA and other regulatory requirements.

Requirement

• Bachelor’s Degree in Nursing (Graduate)
• PH Registered Nurse (Active License)
• Minimum of 1 year in a managerial role
• Experience manag...