• Denial Resource Center

    Baylor Scott & White Health (Dallas, TX)
    …experience. **Job Summary** You, as a Registered Nurse in the Denial Resource Center at Baylor Scott & White Health, manage denials and appeals. Your ... enhancement and earnestly participating in their implementation. + By closely examining denial trends, you will categorize them based on impacts like diagnosis, type… more
    Baylor Scott & White Health (03/09/25)
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  • Division Manager of Denial Prevention

    HCA Healthcare (Fort Lauderdale, FL)
    …Division for ongoing standardization of processes and linkage to the Shared Service Center Denial and authorization processes. This position must travel to and ... in a new era as a Division Manager of Denial Prevention where building a healthier tomorrow is more...pet insurance and more. + Free counseling services and resources for emotional, physical and financial wellbeing + 401(k)… more
    HCA Healthcare (02/06/25)
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  • Case Manager Registered Nurse

    HCA Healthcare (Richmond, VA)
    **Description** **Introduction** Do you have the career opportunities as a(an) Case Manager Registered Nurse RN PRN you want in your current role? We invest ... pet insurance and more. + Free counseling services and resources for emotional, physical and financial wellbeing + 401(k)...we encourage you to apply for our Case Manager Registered Nurse RN PRN opening.… more
    HCA Healthcare (03/04/25)
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  • Registered Nurse ( RN ) Case…

    Bon Secours Mercy Health (Portsmouth, VA)
    …for clinical and operational excellence. **Primary Function/General Purpose of Position** The RN Care Manager is responsible for providing coordination of care for ... the continuum. This role utilizes a collaborative process, the RN Care Manager identifies (using quantitative and qualitative methods),...of active Case Management services and promotes the right resources , at the right time and at the right… more
    Bon Secours Mercy Health (02/20/25)
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  • Case Manager - Registered Nurse

    Dartmouth Health (Lebanon, NH)
    …STANDARDS * Bachelor's degree in nursing required; Master's preferred. * Licensed as a Registered Nurse in the State of New Hampshire. * BCLS certification ... * Facilitate seamless lines connecting patients, providers and caregivers to community resources . * Organize patient care activities to facilitate an effective and… more
    Dartmouth Health (03/08/25)
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  • Registered Nurse ( RN )…

    Bon Secours Mercy Health (Lima, OH)
    …Our hospitals, care sites and clinicians are recognized for clinical and operational excellence. RN Care Manager - St. Rita's Medical Center **Job Summary:** The ... the continuum. This role utilizes a collaborative process, the RN Care Manager identifies (using quantitative and qualitative methods),...of active Case Management services and promotes the right resources , at the right time and at the right… more
    Bon Secours Mercy Health (03/15/25)
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  • Registered Nurse Case Manager…

    Tenet Healthcare (Detroit, MI)
    Registered Nurse Case Manager Contingent Days - 2506000442 Description : DMC Detroit Receiving Hospital , Michigan’s first Level I Trauma Center , helped ... the nationally recognized and accredited DMC Rosa Parks Geriatric Center of Excellence. Job Description: The RN ...management experience preferred. 3. License to practice as a Registered Nurse in the State of Michigan.… more
    Tenet Healthcare (03/04/25)
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  • Clinical Documentation and Denial

    CaroMont Health (Gastonia, NC)
    Job Summary: The Clinical Documentation and Denial Specialist will assist with development and execution of a planned, systemic, system-wide approach to process ... with the best clinical outcomes possible. Provide physician and nurse education to achieve compliance with best practice and...is a split role between CDS workflow and DRG Denial Management and Appeals based on departmental needs. The… more
    CaroMont Health (02/21/25)
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  • Appeal Specialist RN

    Rush University Medical Center (Chicago, IL)
    …with Rush policies and procedures. **Other information:** **Required Job Qualifications:** * Licensed, registered nurse in the State of IL with at least 5 ... **Job Description** Location: Chicago, Illinois Business Unit: Rush Medical Center Hospital: Rush University Medical Center Department: Patient Access-Pre-Visit… more
    Rush University Medical Center (03/15/25)
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  • Case Manager ( RN ) - Case Management…

    Houston Methodist (The Woodlands, TX)
    At Houston Methodist, the Case Manager (CM) position is a registered nurse ( RN ) responsible for comprehensively planning for case management, which includes ... clinical experience + Case management experience preferred **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure and/or… more
    Houston Methodist (03/07/25)
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