- CenterWell (Lansing, MI)
- …or requested. **Use your skills to make an impact** **Required Experience/Skills:** + Registered Nurse or Physical Therapist. + Current state license as a ... and help us put health first** The **Denials Management Specialist ** is responsible to respond to, monitor and analyze... Registered Nurse or Physical Therapist. + 5… more
- Molina Healthcare (Sterling Heights, MI)
- **JOB DESCRIPTION** For this position we are seeking a ( RN ) Registered Nurse who must be licensed for the state they reside This position will support ... appeals outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse ( RN ) performs clinical/medical reviews of… more
- State of Michigan (Lansing, MI)
- …Psychologist (LLP); Fully Licensed Psychologist (LP); Licensed Master Social Worker (LMSW); Registered Nurse ( RN ); Licensed Professional Counselor (LPC) + ... Departmental Specialist 13 - Specialized Nursing Home OBRA Program.... Reviews, coordinates and represents the Department on statewide appeals of preadmission screenings/annual resident reviews Medicaid recoveries before… more
- Corewell Health (Southfield, MI)
- …HIM and Revenue Cycle professionals in third party payer DRG audits and appeals . + Educates members of the healthcare team about clinical documentation guidelines, ... 3 years of relevant experience + State of Michigan RN License or a Physician License upon hire +...MD with CCDS or CDIP + Certified Clinical Documentation Specialist , CCDS or Documentation Improvement Practitioner About Corewell Health… more