- Cognizant (St. Paul, MN)
- …cycle or clinic operations . Experience in utilization management to include Clinical Appeals and Grievances, precertification, initial and concurrent reviews . ... have to be considered** . Educational background - Registered Nurse (RN) . 2-3 years combined clinical ...stand out** . Epic experience . Experience in drafting appeals disputing inpatient clinical validations audits is… more
- Veterans Affairs, Veterans Health Administration (Eagan, MN)
- …(ie, Puerto Rico), or in the District of Columbia. Occupational Therapist ( Clinical Specialist ), GS-13 Grade Requirements: Experience: In addition to meeting ... program eligibility, service delivery, location, level of care discharge planning, appeals process, and performance improvement. Conducts comprehensive clinical … more
- Veterans Affairs, Veterans Health Administration (Eagan, MN)
- …in VHA must be proficient in written and spoken English. Physical Therapist ( Clinical Specialist ), GS-13 Grade Requirements: Experience: In addition to meeting ... program eligibility, service delivery, location, level of care discharge planning, appeals process, and performance improvement. Conducts comprehensive clinical … more
- Fairview Health Services (St. Paul, MN)
- …the development of denial reports and other statistical reports. + Collaborates with Clinical Denials Nurse Specialist and Leadership in high-dollar claim ... **Job Overview** The Inpatient Coding Denials Specialist performs appropriate efforts to ensure receipt of...records and coding guidelines to formulate coding arguments for appeals and/or coding guidance for potential re-bills. Maintains a… more