• Senior Denials Mgmt Specialist

    Houston Methodist (Sugar Land, TX)
    …appeal strategies. **PEOPLE ESSENTIAL FUNCTIONS** + Serves as an educational liaison to clinical staff including physicians/providers and clinical directors, and ... and describing decision-making rationale for service requested. + Facilitates direct admissions and transfers into facility or service to include appropriate level… more
    Houston Methodist (07/31/25)
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  • RN Case Manager Part Time

    HCA Healthcare (Kissimmee, FL)
    …level of care, patient status and resource utilization + Evaluates admissions for medical necessity using approved criteria at defined intervals throughout ... the established chain of command + Acts as a liaison through effective and professional communications between and with...card required within 30 days of start + Registered Nurse Diploma + Associates Degree in Nursing or Diploma… more
    HCA Healthcare (07/27/25)
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  • Surgery Scheduler - UPMC Washington, Orthopaedic…

    UPMC (Washington, PA)
    …cases and communicates with hospital personnel to obtain approval for hospital admissions . + Discuss and coordinate financial arrangements prior to surgery including ... billing and insurance information is current and accurate. + Act as liaison between patient and referring physicians. + Obtain pre-certification and/or referral… more
    UPMC (07/19/25)
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  • Case Mgr RN

    HCA Healthcare (Salem, VA)
    …for benefits may vary by location._** It is an exciting time to be a nurse at HCA Healthcare! Come unlock your career potential and see how rewarding it can ... is communicated to appropriate clinical disciplines. . You will evaluate admissions for medical necessity using approved criteria at defined intervals throughout… more
    HCA Healthcare (07/16/25)
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  • Behavioral Health Therapist (Peds/Adults) - LCSW,…

    UCLA Health (Santa Monica, CA)
    …to the team, individual, family or group psychotherapeutic treatment; liaison with community agencies; treatment plan documentation; and disposition planning ... patients to improve access to psychiatric care and to prevent unnecessary ED admissions and hospitalizations. In this role, you will have three main functions: 1.… more
    UCLA Health (07/15/25)
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  • Physician - Mental Health Residential…

    Veterans Affairs, Veterans Health Administration (Palo Alto, CA)
    …treatments, and follow up visits. Performs medical screenings for potential admissions . Supports NP's care for patients with complex medical conditions as ... clerical, addiction therapy, occupational therapy, social work, psychology staff, nurse practitioners (NPs), and other physicians (MD/DOs) who provide medical… more
    Veterans Affairs, Veterans Health Administration (07/10/25)
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  • RN Care Manager - Inpatient (1.0 FTE)

    Billings Clinic (Billings, MT)
    …systems, healthcare professionals and community and state agencies. Serves as a liaison between hospital, clinic and community agencies to facilitate the exchange of ... be responsible for the following duties: * Screens ED admissions using established criteria for specific payer populations *...employment Within 1 year of hire * Current Registered Nurse license in the state of Montana Billings Clinic… more
    Billings Clinic (07/08/25)
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  • Director of Patient Services, Homecare RN - Hapi

    The New Jewish Home (Bronx, NY)
    …assessed upon admission to the agency. o Ensures that clients are accepted for admissions according to the agency's criteria and policies. o Ensures that a plan of ... and performance improvement initiatives. 19. Functions as the Quality liaison for the development of analytic systems and databases...Current license and registration to practice as a Registered Nurse in New York State. + Bachelor's Degree in… more
    The New Jewish Home (06/25/25)
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