- CommonSpirit Health Mountain Region (Centennial, CO)
- …has an integral role within the revenue cycle by providing clinical expertise in the denials management process. The Denials RN performs a root cause ... will need the following: Required: Minimum three (3)years clinical experience as Registered Nurse (RN) required. Preferred: * Graduate of an accredited… more
- St. Mary's Healthcare (Amsterdam, NY)
- …of nursing required. Licensure / Certification / Registration: Required Credential(s): * Registered Nurse credentialed from the New York Board of Nursing. ... recognize and resolve billing inconsistencies. * Reviews commercial and government claim denials and audit requests and coordinates attempts to overturn denials … more
- WellSpan Health (York, PA)
- …+ 3 years Utilization Management Experience. Preferred Licenses: + Licensed Registered Nurse Preferred Knowledge, Skills, and Abilities: + Advanced computer ... Director-Utilization and Denials Management Location: WellSpan Health, York, PA Schedule: Full Time General Summary Supervises and oversees the operations of the… more
- SSM Health (OK)
- …or education equivalency for licensing EXPERIENCE + Three years hospital acute care registered nurse experience, with one year experience in utilization review ... Department of Financial and Professional Regulation (IDFPR) State of Work Location: Missouri + Registered Nurse (RN) Issued by Compact State + Or + Registered… more
- Dartmouth Health (Lebanon, NH)
- …leadership, communication and computer skills desired. Required Licensure/Certifications - Licensed Registered Nurse with NH eligibility - BLS certification ... Overview The Manager of Utilization Management is responsible for day to day operations...and analytical skills. Experience with Epic and medical necessity denials is preferred. This position has the option to… more
- HCA Healthcare (Houston, TX)
- …appropriate. **What qualifications you will need:** + Bachelor's degree Nursing preferred + Registered Nurse - Currently licensed as a registered ... any other healthcare provider. We are seeking a(an) Case Management Supervisor RN to join our healthcare family. **Benefits**...Support + Registered Social Worker (RSW), or Registered Nurse , or Certified Care Manager (CMC)… more
- Geisinger (Danville, PA)
- …and License(s) Basic Life Support Certification - Default Issuing Body; Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania OUR PURPOSE & ... of care using predetermined criteria, reporting potential risk and quality management issues identified from medical record review to appropriate departments through… 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 ... of care using predetermined criteria, reporting potential risk and quality management issues identified from medical record review to appropriate departments through… more
- Tenet Healthcare (Detroit, MI)
- Registered Nurse Case Manager Adult Services Full Time Days - 2406003328 Description : **$15,000 Sign on Bonus, with required relevant experience** DMC Harper ... avoidable readmissions. This position integrates national standards for case management scope of services including: Utilization Management ... experience preferred. 3. License to practice as a Registered Nurse in the State of Michigan.… more
- AdventHealth (Altamonte Springs, FL)
- …CERTIFICATION OR REGISTRATION REQUIRED:** * Basic Life Support - CPR Cert * Registered Nurse This facility is an equal opportunity employer and complies ... Ethics, the ANA Scope and Standard for Nursing Practice, and the AONE Nurse Executive Competencies. *Liaises between Care Management , Nursing, and Hospital… more