- Dayton Children's Hospital (Dayton, OH)
- Facility:Work From Home - OhioDepartment:Utilization Review TeamSchedule: Full timeHours:40Job Details:Reporting to the Manager of Utilization Management and in ... and Resource Management; supports the development and implementation of a comprehensive denials management program. This role functions as a hospital liaison with… more
- Insight Global (Skokie, IL)
- Job Description Insight Global is looking for a clinical denials specialist to join the team at one of your healthcare clients in Chicago. As a Clinical Denials ... the denials team to review and analyze denials from a clinical perspective. This person will be...clinical perspective. This person will be responsible for preparing appeals and communication with the clinical team members. With… more
- BronxCare Health System (Bronx, NY)
- Overview Assists in the analysis and preparation of responses to payor denials and develop strong appeals for the purpose of securing reimbursement for acute ... improve outcomes. - Maintains an excel log related to denials / appeals activities in order to monitor successful...Regular Full -Time Division Bronxcare- Yonkers Max USD $97,125.00/Yr. Shift Day Shift Department : Name Appeals Department… more
- Carle (Urbana, IL)
- Outpatient Denial/ Appeals Specialist- RN + Department: Revenue Cycle - CFH_10_19 + Entity: Champaign-Urbana Service Area + Job Category: Clerical/Admin + Employment ... Type: Full - Time + Job ID: 44345 + Experience...Weekend Requirements: no + Other Posting Information: Registered Professional Nurse (RN) License Illinois upon hire. + Holiday Requirements:… more
- Stanford Health Care (Palo Alto, CA)
- …criteria and guidelines to optimize patient outcomes and manage healthcare costs. 4. Denials and Appeals Management: Address and manage denials by ... Stanford Health Care job.** **A Brief Overview** The Utilization Management Registered Nurse (UM RN) will be responsible for ensuring the efficient and effective… more
- Nuvance Health (Danbury, CT)
- …leadership and operational oversight for a team of utilization review staff, denials and appeals specialists, non-clinical support staff while partnering with ... Leader* will be responsible for leading a team encompassing utilization review and denials / appeals specialists and will need to foster a culture of… more
- State of Connecticut, Department of Administrative Services (East Hartford, CT)
- …- is accepting applications for a full -time Utilization Review Nurse Coordinator ... Utilization Review Nurse Coordinator (40 Hour) Office/On-site Recruitment # 241106-5613FP-001...Regional Directors Office, East Hartford, CT. Position Highlights: + Full -time, 40 hours per week + First (1st) shift… more
- HCA Healthcare (Houston, TX)
- …criteria and against established critical pathways. + Reviews and, if necessary, appeals Medicare/Medicaid and Managed Care denials . + Monitors for ... Health Assistance Fund that offers free employee-only coverage to full -time and part-time colleagues based on income. Learn more...nurses play a vital part. We know that every nurse 's path and purpose is unique. Do you want… more
- Glens Falls Hospital (Glens Falls, NY)
- …charge discrepancies, CCI edits, and charge review * Serve as a clinical resource for appeals and denials * Review/update of Charge Master * Monitor and reports ... is seeking a strategic, forward thinking, and motivated Registered Nurse with leadership experience to join as our next...summary of these offerings, which are available to active, full -time and part-time employees who work at least 30… more
- Ascension Health (Manhattan, KS)
- …related to coding, medical records/documentation, precertification, reimbursement and claim denials / appeals . + Assess and coordinate discharge planning needs ... **Details** + **Department:** Utilization Management + **Schedule:** Full Time, 40 hours weekly, Monday - Friday 7:30am - 4pm + **Hospital:** Ascension Via Christi… more