- Catholic Health (Buffalo, NY)
- …identification of root cause and process improvement opportunities to eliminate recurring clinical denials . The position acts as a liaison between front-end ... and level of care denial trends. Responsibilities: EDUCATION + Registered Nurse with a current New York...(3 ) years of experience monitoring, reviewing and appealing clinical denials or relevant experience preferred +… more
- Rochester Regional Health (Rochester, NY)
- …focused denials from external payers and their contractors. The Clinical Denial Specialist writes and submits professionally written appeals which include ... the specifics of the case and supports the coding based on documented clinical indicators. Collaborates closely with the DRG Denials Specialist and/or designated… more
- University of Michigan (Ann Arbor, MI)
- REGISTERED NURSE (Mott Childrens Hospital- Child Psych Partial Hospitalization Program) Apply Now **Job Summary** The Psychiatric Registered Nurse is ... opportunity employer. **Job Detail** **Job Opening ID** 262845 **Working Title** REGISTERED NURSE (Mott Childrens Hospital- Child Psych Partial Hospitalization… more
- Tenet Healthcare (Detroit, MI)
- Registered Nurse Case Manager Contingent Days - 2506000443 Description : DMC Detroit Receiving Hospital , Michigan’s first Level I Trauma Center, helped pioneer ... Acute hospital case management experience preferred. 3. License to practice as a Registered Nurse in the State of Michigan. 4. Accredited Case Manager… more
- Geisinger (Scranton, PA)
- …Experience Minimum of 3 years-Nursing (Required) Certification(s) and License(s) Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania OUR PURPOSE ... through appropriate administrative and medical channels to avoid third party payer denials . + Maintains awareness of all concurrent denials through interaction… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Case Manager (CM) Certified position is a registered nurse (RN) responsible for comprehensively planning for case management of a ... in case management **LICENSES AND CERTIFICATIONS - REQUIRED** + Health Services\RN - Registered Nurse - Texas State Licensure and/or Compact State Licensure… more
- Intermountain Health (Des Moines, IA)
- … and recoupment efforts. Additionally, the Manager will support coordinating efforts on clinical denials for medical necessity when needed and collaborate with ... multi-disciplinary teams; specifically related to high dollar and high volume clinical denials . + Develops and maintains new policies, procedures and guidelines… more
- RWJBarnabas Health (Rahway, NJ)
- Per Diem Case Manager Registered Nurse (RN), Case ManagementReq #:0000183145 Category:Nursing Status:Per Diem Shift:Day Facility:RWJ Rahway Department:Case ... + Successful completion of all Orientation Programs Certifications and Licenses Required: + Current Registered Nurse License in the state of New Jersey + Basic… more
- AdventHealth (La Grange, IL)
- …AND EXPERIENCE REQUIRED:** . Associates Degree Nursing or RN Diploma degree . Registered Nurse (RN) . Two (2) years of medical/hospital nursing experience ... **LICENSURE, CERTIFICATION OR REGISTRATION REQUIRED:** **.** State of Illinois registered nurse license **LICENSURE, CERTIFICATION OR REGISTRATION PREFERRED:**… more
- AdventHealth (Winter Park, FL)
- …201 North Lakemont Avenue, Winter Park 32792 **The role you'll contribute:** The Nurse Clinical Expeditor is an effective steward of scarce resources, using ... by the unit of work (see competencies) **LICENSURE, CERTIFICATION OR REGISTRATION REQUIRED:** * Registered Nurse Current valid Florida State Licensure as a RN… more