- AdventHealth (Winter Garden, FL)
- …patients who no longer meet medical necessity and escalates potential denials , documents avoidable days, and facilitates progression of care. + Collaborates ... primary care physician identification and scheduling of follow-up PCP and specialist appointments for post-hospital follow up care. + Ensures discharge disposition… more
- McLaren Health Care (Bay City, MI)
- …other related duties as required and directed. **Qualifications:** **_Required:_** + Registered Health Information Technician (RHIT), Licensed Practical Nurse ... resolution, process improvement initiatives, and response to inquiries to payer denials . **Essential Functions and Responsibilities as Assigned:** 1. Supports… more
- Carle (Urbana, IL)
- …REQUIREMENTS Associate's Degree in Nursing or Doctorate CERTIFICATION & LICENSURE REQUIREMENTS Registered Nurse (RN) Illinois or Registered Health ... Clinical Documentation Integrity Specialist + Department: Health Information Management + Entity:...peers and providers we needed or requested. Reviews DRG denials and provides information to the denials … more
- BayCare Health System (Clearwater, FL)
- …Critical Care or Emergency Nursing RN. **Certifications and Licensures:** + Required RN ( Registered Nurse ) + Preferred ACM (Case Management) + Preferred CCM ... **BayCare Health System** is currently seeking a **Utilization Review Specialist Senior** to join our outstanding and compassionate team....2 years in Case Management + Preferred 3 years Registered Nurse in Critical Care or Emergency… more
- Granville Health System (Oxford, NC)
- …CDI. Required:# Graduation from a Board-approved nursing program with current licensure as a Registered Nurse (RN) or Licensed Practical Nurse (LPN) in the ... Summary:#The CDI Specialist is responsible for improving the overall quality...of Present on Admission indicators. #Obtains documentation relevant to denials avoidance related to the Recovery Audit program, the… more
- Select Medical (West Orange, NJ)
- …of referrals scheduled for admission to the acute inpatient rehabilitation hospital. + Registered Nurse (RN) or Licensed Practical Nurse (LPN) required. ... and denials through TOC. **Qualifications** **Minimum Qualifications** + Licensure as a Registered Nurse or LVN/LPN is required + 2 years of direct… more
- Cleveland Clinic (Vero Beach, FL)
- …from an accredited school of professional nursing. + Current state licensure as a Registered Nurse (RN). + Basic Life Support (BLS) certification through the ... information to the payer, UM data collection and reporting, concurrent denials appeals process, clinical team interaction, Physician Adviser interaction and special… more
- Tufts Medicine (Burlington, MA)
- …**Job Description** **Minimum Qualifications:** 1. Bachelor's Degree in Nursing 2. Active Registered Nurse (RN) license in Massachusetts or compact state 3. ... **Job Profile Summary** The role of the Clinical Documentation Integrity (CDI) Specialist III is responsible for concurrent and retrospect review and analysis of the… more
- Project Renewal, Inc. (Bronx, NY)
- …psychiatric services are provided Monday through Friday, staffed by a psychiatrist, nurse practitioner, registered nurse , and a licensed practical ... Housing Specialist Shelter- Ana's Place, 4380 Bronx Blvd, Bronx,...tracking system for submitted applications, interviews, and selections or denials . Performs follow-up to any denial of housing applications… more
- Select Medical (Peoria, AZ)
- …14. Performs other duties as requested. **Qualifications** **Minimum Qualifications** + Licensure as a Registered Nurse or LVN/LPN is required + 2 years of of ... joint venture with Select Medical & Banner Health Phoenix, Arionza **Prior Authorization Specialist / Payor Relations Specialist ** **Remote position - Must live… more