Itemization Review Supervisor

- Maintain accurate, current data and analytics to support informed decision-making and reliable outcomes

- Oversee the file assignment process and continuously monitor nurse workloads and queues

- Ensure daily prioritization of all claims is clearly understood and executed

- Demonstrate working knowledge of CERIS systems and databases

- Lead and support the team with minimal managerial oversight

- Foster a collaborative and positive work environment through effective team leadership

- Comprehensive knowledge of departmental policies and procedures related to Itemization Review

- Advanced understanding of client payment policies as they apply to reviews

- Strong organizational, strategic thinking, and critical analysis skills

- Ability to manage high-pressure situations and adapt to changing priorities

- Proven leadership, problem-solving, and analytical capabilities

- Skilled in organizing and facilitating monthly team meetings with a focus on training and development

- Proficiency in MedCheck, MedCheck Select, CareMC, Tableau, UKGPro, departmental policies and procedures, and Microsoft Office Suite (including Excel, Outlook, and Teams)

- Must maintain current licensure as a Registered Nurse (RN) 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.

- At least 3 years of experience in a hospital supervisor or manager role