- BrightSpring Health Services (Louisville, KY)
- Our Company BrightSpring Health Services Overview Director of Clinical Denials Management and Audit supervises a team of RN/LPN clinical reviewers as ... training, and ensure the denial department provides subject matter expertise around clinical denial management . This position will also support detailed level… more
- Kaleida Health (Buffalo, NY)
- ** Director Clinical and DRG Denials...**Position** Director Clinical and DRG Denials **Location** US:NY:Buffalo | Management | Full-Time ... Type: Full-Time **Shift:** Shift 1 Job Description **Summary:** The Director , Clinical & DRG Denials ...execute, support, implement, and monitor the DRG and Utilization Management Clinical Denial teams Work Plan and,… more
- HCA Healthcare (Nashville, TN)
- …or limits? Our Work from Home team is looking for a Remote Manager Division Denials . HCA Healthcare is an advanced healthcare network that has committed up to $300 ... by location._** HCA Healthcare is committed to research and clinical protocols. Do you want to impact standards of...the country? Apply today to our Remote Manager Division Denials and be a part of the innovation of… more
- Community Health Systems (Franklin, TN)
- **Job Summary** The Coder Physician- ** Denials Management ** provides quality review and analysis of a wide range of patient medical records and ensures accuracy ... staff, corporate CHS management and/or other CHS affiliated personnel. + Possess clinical knowledge and ability to evaluate and summarize clinical records to… more
- AdventHealth (Hinsdale, IL)
- … serves as the market leader integrating practices in coordination with clinical executives, facility executive leadership, and revenue management executives. ... or leadership duties in the absence of the Executive Director . Identifies latent skills in staff and provides opportunities...business champion for new technology implementations within the revenue management team by taking part of clinical … more
- Prime Healthcare (Ontario, CA)
- …Responsibilities The Corporate Director of Clinical ... individual and Company performance. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/172723/corporate- director -of- clinical -utilization- management /job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilityPrime Healthcare… more
- Brockton Hospital (Brockton, MA)
- PURPOSE OF POSITION: The Director of Case Management is responsible for planning, directing, and managing of the activities of the Case Management Program ... responsibilities include the development and supervision of staff (RNs, LPN's,SWs and non- clinical support), evaluation and maintenance of case management skills… more
- Cleveland Clinic (Cleveland, OH)
- …controllable loss, agency use and contract terms. + Oversees the administrative and clinical denials management to include prevention, resolution, reduction, ... Leads successful and compliant professional insured insurance billing, follow-up, denials management and prevention. Facilitates continuous improvement, reduced… more
- LifePoint Health (Brentwood, TN)
- …hospital CFOs, and others to design processes for securing authorizations and preventing clinical denials . * Supports patient care performance as measured by key ... *System Director Utilization Review* *Who we are:* At Lifepoint...acute care setting managing utilization review, medical necessity and denials management .Experience leading education training programs and/or… more
- Trevecca Center for Rehabilitation and Healing (Nashville, TN)
- …data quality and maximize therapist efficiency. . Managing Medicare Medical Review and Denials Management process in conjunction with the Regional CareRite ... Assistant Director of Rehabilitation (ADOR) The Assistant Director.... Knowledge of rehab community. . Demonstrated leadership and management skills. . Skills applicable to clinical … more