- CHRISTUS Health (Wake Village, TX)
- Description Summary: The Registered Nurse Clinical Care Coordinator is responsible for evaluating, coordinating, processing, screening, and documentation of ... patient entry into the CHRISTUS Health System. The Registered Nurse Clinical Care Coordinator will collaborate with relevant providers and partners to determine… more
- Virginia Mason Franciscan Health (Bremerton, WA)
- …role within the revenue cycle by providing clinical expertise in the denials management process. The Denials RN performs a root cause analysis of ... assigned by the manager. **Qualifications** **Required:** + Minimumthree (3)yearsclinical experience as Registered Nurse ( RN ) required. + Graduation from an… more
- Dayton Children's Hospital (Dayton, OH)
- …Coaching Skills preferred Education Requirements: Bachelors: Nursing (Required) Certification/License Requirements: [Lic] RN : Registered Nurse ( RN ) - ... ; supports the development and implementation of a comprehensive denials management program. This role functions as...Completion of accredited BSN program required Certifications + Licensed Registered Nurse in Ohio required + Current… more
- R1 RCM (Boise, ID)
- …Denials Manager** , you will serve as an expert on clinical appeals and denials management . Every day you will support client hospitals where claims were ... to escalate trends, challenges, and process improvement opportunities. **Required Skills:** + Registered Nurse (active or inactive in good standing and able… more
- Stanford Health Care (Palo Alto, CA)
- …a hybrid Stanford Health Care job.** **A Brief Overview** The Utilization Management Registered Nurse (UM RN ) will be responsible for ensuring the ... record (EHR) systems and other healthcare software. **Licenses and Certifications** + Nursing / RN - Registered Nurse - State Licensure and/or Compact State… more
- Premier Health (Dayton, OH)
- DEPT: CLINICAL DENIALS ADMIN Full-Time / DAY SHIFT The Denials Management Clinical Analyst (DMCA) is a registered professional nurse with knowledge ... Manage projects assigned by department leadership 15. Defines opportunities to improve denials management processes and department performance. Minimum Level of… more
- Nuvance Health (Danbury, CT)
- …in nursing, health administration, or a related field preferred * Current licensure as a registered nurse ( RN ) * Minimum of 5 years of clinical experience ... and strategy for system-wide care coordination, encompassing utilization review (UR), denials management , discharge planning, social work, and non-clinical… more
- Penn Medicine (Plainsboro, NJ)
- …nursing (MSN) or another related healthcare field - preferred + Registered Nurse - NJ (Required) + Case Management certification preferred; or obtains within ... clinical management of the continuum of care process, length of stay, denials management , and status of patients. The Director serves as the primary point of… more
- Henry Ford Health System (Detroit, MI)
- …and exceptional business performance. Role also includes payer collaboration and denials management including oversight of documentation requests both pre ... long and short-term strategic goals of the department with the assistance of the management team. Ensures staff is aligned with the goals and objectives related to… more
- McLaren Health Care (Bay City, MI)
- …and Responsibilities as Assigned:** 1. Supports activities consistent with Integrated Care Management Denials across all MHC subsidiaries. 2. Accountable for ... responsibilities of the role to support the clinical team. 3. Collaborates with the Denials Appeals RN to ensure payer appeal/filing deadlines are met and… more
