- Nuvance Health (Danbury, CT)
- …delays in reimbursement. This role plays a critical part in preventing payment denials by providing timely and accurate clinical information to all payers, ... *Hybrid/Remote* * *Summary:* The purpose of the Denial Prevention Nurse is to ensure that all patient admissions are...initial status is to be re-considered. * Identify incomplete clinical reviews in work queues and complete them within… more
- Cognizant (Hartford, CT)
- …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
- Nuvance Health (Danbury, CT)
- *Description* *Summary:* The Manager, Denials Prevention & Appeals Operations is responsible for the direct oversight of daily operations of clinical denial ... are approved for medical necessity. This position will work closely with the Denials Prevention & Appeals Administration Manager to guide the development and… more
- Nuvance Health (Danbury, CT)
- …communications with the System Business Office related to appeals , denial and clinical reviews 9. Reviews new denials and appeal upheld cases in work ... 5-9pm- Rotate Weekends/Evenings* *Summary:* Provides high quality administrative support to Clinical Denial Prevention & Appeals Specialist RNs, Physician… more
- Nuvance Health (Danbury, CT)
- …or a related field preferred * Current licensure as a registered nurse ( RN ) * Minimum of 5 years of clinical experience in an acute care setting * ... strategic leadership and operational oversight for a team of utilization review staff, denials and appeals specialists, non- clinical support staff while… more
- Eastern Connecticut Health Network (Manchester, CT)
- …degree in an applicable field required + Must have a current license as a Registered Nurse in the State of Connecticut . + Professional certification in case ... one week of discharge or receipt of a notice of denial. Successfully appeals denials , when indicated. + Performs comprehensive assessments and re-assessments of… more