• Division Manager of Denial

    HCA Healthcare (Fort Lauderdale, FL)
    …**Introduction** Are you ready to manage in a new era as a Division Manager of Denial Prevention where building a healthier tomorrow is more than ... at an HCA Healthcare facility. Be an impact as a(an) Division Manager of Denial Prevention where your passion for leading and creativity are valued? We… more
    HCA Healthcare (02/06/25)
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  • Appeals Manager , Department of Utilization…

    BronxCare Health System (Bronx, NY)
    …acute care services provided to patients. Assist in development of strategies for denial prevention based on identification of patterns and trends identified ... readiness. Assist in the design and implementation of educational programs for Denial Prevention and Management. Responsibilities - Establish and maintain… more
    BronxCare Health System (12/18/24)
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  • Divisional Manager Utilization Management

    AdventHealth (Tampa, FL)
    …individual focuses on ensuring efficient productivity, compliant workflows, and clinically appropriate denial prevention across the region that aligns with the ... **Shift** : Days **The commun** **ity you'll be caring for:** AdventHealth Division .AdventHealth Pepin Heart Institute, known across the country for its advances… more
    AdventHealth (02/07/25)
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  • Facilities Manager

    House of Blues (Mansfield, MA)
    …each year. For additional information, visit www.livenationentertainment.com . Live Nation's Concerts Division is where tours are born, artists come to life, and ... are seeking a motivated and experienced individual to take on the Facilities Manager role at the Xfinity Center. This position exercises overall responsibility for… more
    House of Blues (12/06/24)
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  • Billing Specialist Radiation Oncology

    MD Anderson Cancer Center (Houston, TX)
    …world through outstanding programs that integrate patient care, research and prevention , and through education for undergraduate and graduate students, trainees, ... and the public. Function: Provide billing and compliance support within the Division of Radiation Oncology. This position provides business support to clinical and… more
    MD Anderson Cancer Center (02/06/25)
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  • System Manager -Pharmacy, Infusion Prior…

    SSM Health (St. Louis, MO)
    …authorization department to ensure the timely submission of infusion prior authorizations and prevention of revenue loss due to denials. Manages a team of pharmacy ... as primary liaison to ministry infusion departments to communicate root causes of denial and provides direction to mitigate denials in the future. + Resolves… more
    SSM Health (01/16/25)
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  • Regional Director-Consumer Access

    AdventHealth (Hinsdale, IL)
    …Communicate changes appropriately and efficiently. Develops plans of action with division and regional leadership, as needed. . Provide oversight and coordination ... Provide input and improvement strategies while actively participating in denial management optimization meetings. Strategic Planning Responsibility: . Strategically… more
    AdventHealth (12/07/24)
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  • Care Management Clinical Appeals Specialist

    Alameda Health System (San Leandro, CA)
    …of denial and appeal processes and compiles reports for division and AHS leadership. **MINIMUM QUALIFICATIONS:** Preferred Education: Master's in Nursing. ... McKesson Interqual(R) clinical guidelines; refers questionable cases to the CM Manager or physician advisor for determination. 3. Collaborates and communicates… more
    Alameda Health System (01/23/25)
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