- State of Colorado (Denver, CO)
- …ten (10) calendar days from your receipt of notice or acknowledgement of the department 's action. For more information about the appeals process, the official ... Assistant Nurse Manager - Nurse III - Colorado Mental Health...Job Type Full Time Job Number IIC 05943 06/06/2025 Department Colorado Department of Human Services Division… more
- Hartford HealthCare (Farmington, CT)
- …Key responsibilities include timely investigation of DRG downgrades, submitting appeals , coordinating follow-up actions, and ensuring compliance with regulatory ... documentation to validate or appeal payer denials. . Prepare, document, and submit appeals for DRG denials, ensuring appeals are well-supported with clinical… more
- Genesis Healthcare (York, PA)
- …making a meaningful impact in the communities we serve. Responsibilities The Manager , Case Management is responsible for the clinical, administrative, and financial ... of owned and managed centers is effectively managing resource utilization , improving clinical outcomes, maximizing reimbursement, complying with contractual… more
- Alameda Health System (San Leandro, CA)
- SLH Case Manager RN, Full Time, Benefited, Days, 8hours, 1.0fteFeatured Job + San Leandro, CA + San Leandro Hospital + SLH Social Services + Full Time - Day + Care ... + FTE:1 + Posted:July 22, 2025 **Summary** **Job Summary:** The SLH Case Manager RN is responsible for providing comprehensive case management services to clients… more
- Stony Brook University (Stony Brook, NY)
- …skills while adhering to our high standard of excellence. **Duties of a Case Manager in the Care Management Department may include the following but are ... Case Manager - Per Diem **Position Summary** At Stony...not limited to:** + Completes Utilization review screen for inpatient and observation cases. Activity… more
- Houston Methodist (Katy, TX)
- At Houston Methodist, the Manager Revenue Cycle position is responsible for the daily management of the staff and operations for one or more of the following areas ... to: medical coding, insurance billing, collections, patient account resolution, appeals /denials, customer service, cash applications, revenue integrity, etc. This… more
- State of Colorado (Pueblo, CO)
- …renewal of authorizations. + Reports current authorization information or concerns to the Utilization Review Manager , weekly, at a minimum. + Schedules clinical ... department 's action. + For more information about the appeals process, the official appeal form, and how to...the titles you held working in a medical record department . 04 Do you have experience with Utilization… more
- Alameda Health System (San Leandro, CA)
- SLH Case Manager RN + San Leandro, CA + San Leandro Hospital + SLH Social Services + Part Time - Day + Care Management + $58.74 to $97.91 per hour + Req ... + FTE:0.6 + Posted:July 31, 2025 **Summary** **JOB SUMMARY** The SLH Case Manager RN is responsible for providing comprehensive case management services to clients… more
- Corewell Health (Grand Rapids, MI)
- Job Summary - Manager , Payment Integrity Seeking a strategic and results-driven leader to join Priority Health as a Manager , Payment Integrity. This role is ... will lead cross-functional efforts, ensuring interdependencies across Network Contracting, Utilization Management, and Billing Policy are effectively managed to… more
- Trinity Health (Berwyn, IL)
- **Employment Type:** Full time **Shift:** **Description:** The Lead Case Manager position reports to the Manager of Nurse Care Management. Their specific duties ... achieve high standards of patient care and quality outcomes. + The Case Manager Lead works with the multidisciplinary team including physicians, staff and payers to… more
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