- Elevance Health (Sparta, WI)
- **LTSS Service Coordinator (Case Manager)** **Hiring near Southwestern Wisconsin in counties:** Pepin, Buffalo, Trempealeau, Jackson, Clark, La Crosse, Monroe, ... an accommodation is granted as required by law._ The **LTSS Service Coordinator ** is responsible for conducting service coordination functions for a defined caseload… more
- Highmark Health (Madison, WI)
- …obtain necessary and/or additional information when necessary. + Consult with staff clinical pharmacist for guidance and assistance as necessary. + Document all ... through paid clams review. + Participate as pharmacy representative in onsite member appeals and grievances sessions. + Serve as a resource for technical staff. +… more
- Intermountain Health (Madison, WI)
- … provides advanced training to hospital coding staff, compliance, CDI, physicians, and clinical staff. This Coordinator serves as a subject matter expert for ... audit and monitor all areas of hospital coding. The coordinator works with providers and clinical staff...compliance and the CDI team. + Audits and creates appeals for all payer and regulatory denials and downgrades… more