- Community Health Systems (Franklin, TN)
- **Job Summary** The Appeals Specialist II , under the direction of the Director of Denial Support Services, logs and reviews per documentation guidelines for ... report trending. This position provides SSC and ancillary departments all payor updates regarding billing and coding updates/changes, completes timely and consistently reports project status SSC leadership and maintains confidentiality of data and information.… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Appeals and Grievances Nurse Specialist RN II Job Category: Clinical Department: CSC Appeals & Grievances Location: Los ... Job Summary The Customer Solution Center Appeals and Grievances (A&G) Nurse Specialist Registered Nurse (RN) II provides direct assistance to member's with… more
- State of Colorado (CO)
- CDOC Addiction Specialist II Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4765768) Apply CDOC Addiction Specialist II Salary ... Number CAA Statewide D&A 01/2025 Department Department of Corrections Division Clinical and Correctional Services Opening Date 12/19/2024 Closing Date 6/30/2025 4:00… more
- State of Colorado (Colorado Springs, CO)
- Behavioral Health Specialist , Social Work/Counselor II - Spring Creek Youth Services Center Print ... (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4870458) Apply Behavioral Health Specialist , Social Work/Counselor II - Spring Creek Youth… more
- Dignity Health (Bakersfield, CA)
- …position is remote** **within California** **.** **Position Summary:** As a Delegation Management Specialist II , you will play a critical role in managing and ... Dignity Health MSO is dedicated to providing quality managed care administrative and clinical services to medical groups hospitals health plans and employers with a… more
- Tufts Medicine (Lawrence, MA)
- …health insurers, follows up with health insurers about submitted claims, and performs appeals for non- clinical denials, etc. An organizational related support or ... role that focuses on support of daily business activities (eg, technical, clinical , non- clinical ) operating in a "hands on" environment. The majority of time is… more
- State of Colorado (Denver, CO)
- …Bonding Mental Health Counselor Social Worker/Counselor II (Denver) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4853579) Apply CDOC ... Perinatal Bonding Mental Health Counselor Social Worker/Counselor II (Denver) Salary $6,122.00 - $8,572.00 Monthly Location Denver, CO Job Type Full Time Job Number… more
- State of Colorado (Grand Junction, CO)
- School Social Worker (State Teacher II ) - Grand Mesa Youth Services Center Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4821746) Apply ... School Social Worker (State Teacher II ) - Grand Mesa Youth Services Center Salary $73,656.00...Assessment Specialists, Client Managers + Behavioral health staff and clinical director to consult with facility (including clinical… more
- Novant Health (Winston Salem, NC)
- …up to $5,000 at qualifying locations! Novant Health is seeking an experienced Therapist II for our clinical team on the Inpatient Psychiatric Unit at Forsyth ... such as petitioning for guardianship and navigating the Medicare appeals process. + Willingness to cross train between Inpatient...required. + For the Substance Use Therapist role, Licensed Clinical Addiction Specialist or Licensed Clinical… more
- Hackensack Meridian Health (Hackensack, NJ)
- …departments to reduce clinical denials by: I. Peer-to Peer (P2P) Concurrent appeals ii . Written Concurrent appeals iii. Recovery Audit Contractors & ... **Overview** The Senior Utilization Review Specialist collaborates with the healthcare team in the...and resolution of activities that assure the integrity of clinical records for the patient population and Hackensack UMC.… more