Delegation Oversight

Nurses Job Hunt

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Specializes in Delegation oversight, Audit, UM, NCQA, CMS.

I don't have a lot of experience posting here and just hoping to let other nurses know more about Delegation oversight or Audit and Oversight opportunities with a nationwide Health Plan.

I've been a nurse for some time and have done UM for over 5 years. Transitioning to Delegation oversight was seamless and keeps me interested since you are constantly learning in this position. Great for both RN and LVNs.

I have regular audit activities such as reviewing Denial Files, Timeliness reports and risk assessments for a regulatory audit such as DMHC.

I'm not a recruiter etc and just wants to share this information in case anyone is looking for opportunities out there esp. with years of experience in  UM Prior Auth.

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