• Denials Prevention Specialist

    Datavant (Springfield, IL)
    …Ideal candidate should be a Licensed Practical Nurse or Registered Nurse well versed in DRG downgrade denials and appeal writing for inpatient admission. ... by management Ideal candidate should be a Licensed Practical Nurse or Registered Nurse well versed in DRG downgrade denials and appeal writing… more
    Datavant (11/12/25)
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  • RN - Clinical Transition Specialist

    Carle Health (Urbana, IL)
    …assists the team for timely planning and collaboration. Qualifications Certifications: Licensed Registered Professional Nurse ( RN ) - Illinois Department of ... 1 year of nursing experience Responsible for the oversight, coordination, and management of the functional and financial outcomes during acute illness requiring… more
    Carle Health (09/18/25)
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  • HIM Clin Doc Integrity Specialist NE - CFH

    Carle Health (Champaign, IL)
    …Administrator (RHIA) - American Health Information Management Association (AHIMA); Licensed Registered Professional Nurse ( RN ) - Illinois Department of ... nurses, ancillary staff, and the coders in Health Information Management to identify and record principal and secondary diagnoses,...peers and providers we needed or requested. Reviews DRG denials and provides information to the denials more
    Carle Health (11/26/25)
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  • Social Work Case Manager

    AdventHealth (Hinsdale, IL)
    …for individuals from at-risk populations from interdisciplinary team members (including physicians, RN Care Managers, staff nurses, and other members of the care ... The Social Worker is under the general supervision of the Care Management Supervisor or Manager and is responsible for patient evaluations of post-hospital… more
    AdventHealth (11/06/25)
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