- Stanford Health Care (Palo Alto, CA)
- …Days or + CCDS - Cert Clinical Document Spec required within 180 Days + RN - Registered Nurse - State Licensure And/Or Compact State Licensure required . ... Revenue Cycle Denials Management Department by managing and resolving clinical appeals related to government audits and denials . This position requires… more
- Alameda Health System (San Leandro, CA)
- …AHA-American Heart Association. Required Licenses/Certifications: Valid license to practice as a Registered Nurse in the State of California. **PAY RANGE** ... SLH Case Manager RN + San Leandro, CA + San Leandro...contacts with payers conducting phone reviews and initiates denial appeals as needed. + Encourages patients to develop realistic… more
- Cognizant (Sacramento, CA)
- …have to be considered** . Educational background - Registered Nurse ( RN ) . 2-3 years combined clinical and utilization management experience with managed ... Eastern Time **Location:** Remote **About the role** As a Registered Nurse you will make an impact...related to clinical denial management and managing clinical denials from Providers to the Health… more
- Robert Half Accountemps (Los Angeles, CA)
- …expertise in denials management and medical collections? We are seeking a Clinical Appeals Medical Collector to join our team remotely! The ideal candidate ... will be experienced in handling denials , appeals , and working with various insurance...+ Proficiency in medical billing software and systems. + RN , LVN, or medical coding certification is a plus.… more
- Sharp HealthCare (La Mesa, CA)
- …**Shift End Time** Certified Case Manager (CCM) - Commission for Case Manager Certification; California Registered Nurse ( RN ) - CA Board of Registered ... care nursing experience or case management experience. + California Registered Nurse ( RN ) - CA...advice to Revenue Cycle/HIM regarding RAC decision to appeal, denials , input into appeals , share findings with… more
- Amergis (French Camp, CA)
- … documentation and critical thinking ?? Required Experience: + 2+ years of clinical RN experience + Acute Case Management experience + Current Discharge ... Salary: $3242 / Week The RN Case Manager is responsible for coordinating continuum...Management experience ? Key Responsibilities: + Discharge Planning + Appeals & Denials + Utilization Review +… more
- Amergis (French Camp, CA)
- …Case Manager Experience in ACUTE setting** Current Discharge Planning experience Denials experience + Appeals Experience Utilization review experience InterQual ... Working with multidisciplinary teams Knowledge of current Medicare guidelines Clinical critical thinking Clinical experience x 2...experience x 2 years Experience with PERFORMANT or CDCR denials PREFERRED not REQUIRED. The RN Case… more
- Sharp HealthCare (San Diego, CA)
- …**Shift End Time** Certified Case Manager (CCM) - Commission for Case Manager Certification; California Registered Nurse ( RN ) - CA Board of Registered ... or equivalent experience in the healthcare setting. + California Registered Nurse ( RN ) - CA...advice to Revenue Cycle/HIM regarding RAC decision to appeal, denials , input into appeals , share findings with… more
