• Case Manager I - Sharp Memorial…

    Sharp HealthCare (San Diego, CA)
    …**Job Status** Regular **Shift** Day **FTE** 1 **Shift Start Time** **Shift End Time** Certified Case Manager (CCM) - Commission for Case Manager ... Nurse (RN) - CA Board of Registered Nursing; Accredited Case Manager (ACM) - American Case...Cycle/HIM regarding RAC decision to appeal, denials, input into appeals , share findings with providers.Review all cases with readmission… more
    Sharp HealthCare (07/13/25)
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  • Case Manager

    PSKW LLC dba ConnectiveRx LLC (Pittsburgh, PA)
    …perspective and experience makes ConnectiveRx better than the sum of its parts. The Case Manager 's primary duty is to assist customers with chronic illnesses in ... by gaining access to their wellbeing needs, journey and treatment plan. The Case Manager collaborates and maintains consistent communications with internal and… more
    PSKW LLC dba ConnectiveRx LLC (06/26/25)
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  • Clinical Case Manager

    LifePoint Health (Rutherfordton, NC)
    …admitted to the hospital by facilitating initiation of care starting.2. The ED Case Manager starts initiation and utilization process, encouragement of use of ... discharge plans.5. Follows up with any denials through the appeals process; including RAC chart audit reviews. Emergency Department...appropriate areas of the hospital, ie outpatient.3. The ED Case Manager is responsible for monitoring and… more
    LifePoint Health (06/09/25)
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  • Clinical Reimbursement Case Management…

    Genesis Healthcare (York, PA)
    …while making a meaningful impact in the communities we serve. Responsibilities The Manager , Case Management is responsible for the clinical, administrative, and ... Manager will also perform the functions of the Case Management Job Description and will be measured based...and outstanding clinical accounts as needed and generates clinical appeals when necessary. 15. Assists with and completes special… more
    Genesis Healthcare (07/01/25)
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  • Reimbursement Case Manager

    TEKsystems (Morrisville, NC)
    Job Title: Work from home Reimbursement Case Manager Job Description As a Reimbursement Case Manager , you will be an expert in reimbursement, co-pay, ... and triage cases according to program standard operating procedures. + Document case management activities in the system, including status and background notes. +… more
    TEKsystems (07/22/25)
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  • SLH Case Manager RN, Full Time,…

    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 + ... + Posted:July 22, 2025 **Summary** **Job Summary:** The SLH Case Manager RN is responsible for providing...contacts with payers conducting phone reviews and initiates denial appeals as needed. 3. Encourages patients to develop realistic… more
    Alameda Health System (08/04/25)
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  • Case Manager - Inpatient…

    Select Medical (Dallas, TX)
    …White Institute for Rehabilitation** **Dallas, TX** **Neuro Transitional Rehabilitation Center** ** Case Manager (RN, LMSW, PT, OT, SLP)** **Hours: Monday-Friday ... Salary: $70,000** We are currently seeking a Full Time Case Manager with neuro rehabilitation experience, who...the time of discharge. + Obtains insurance authorizations and appeals denials as needed + Works collaboratively with workers… more
    Select Medical (06/12/25)
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  • Registered Nurse (RN), Clinical Case…

    LifePoint Health (Hickory, NC)
    *Registered Nurse (RN), Clinical Case Manager * PRN * * *Your experience matters* At Frye Regional Medical Center, we are driven by a profound commitment to ... **Job:** **Nursing* **Organization:** ** **Title:** *Registered Nurse (RN), Clinical Case Manager PRN* **Location:** *NC-Hickory* **Requisition ID:**… more
    LifePoint Health (07/16/25)
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  • RN, Lead Case Manager

    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 ... standards of patient care and quality outcomes. + The Case Manager Lead works with the multidisciplinary...of financial indicators including care readmission rates, denial and appeals . + Use data to drive decisions and plan/implement… more
    Trinity Health (07/01/25)
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  • RN, Case Manager (Part time), Forbes

    Highmark Health (Monroeville, PA)
    …BSN **LICENSES or CERTIFICATIONS** **Required** + None **Preferred** + ACM Certification (Accredited Case Manager ) - American Case Management Association - ... + Case Management - American Board of Occupational Health Nurses (ABOHN) andCertified Case Manager (CCM) + Commission for Case Manager Certification… more
    Highmark Health (05/13/25)
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