- Elevance Health (IN)
- **LTSS Service Coordinator ( Case Manager )** **Location:** Seeking candidates to work in Bartholomew County, Delaware County, Daviess County, Dubois County, Grant ... to client needs, and direct, hands-on engagement. The **LTSS Service Coordinator ( Case Manager )** is responsible for conducting service coordination functions… more
- Amergis (French Camp, CA)
- …$518.00 $924.00 $3,042.00 **Local Pay $75/hr** - No stipend pay The RN Case Manager is responsible for coordinatingcontinuum of care activities for assigned ... in state practicing + At least one year of Case Management experience preferred + Current CPR if applicable...nurse: We need someone that is current with Denials, Appeals and utilization review . If a candidate had… more
- Elevance Health (Dayton, OH)
- **LTSS Service Coordinator ( Case Manager )** **Hiring statewide across Ohio** **Location** : This field-based role enables associates to primarily operate in the ... + Assists and participates in appeal or fair hearings, member grievances, appeals , and state audits. **Minimum Requirements:** + Requires BA/BS degree and a… more
- Tufts Medicine (Melrose, MA)
- …careers, and reimagining healthcare. Ready to grow with us? If you are a Case Manager , that enjoys working with complex cases that require strong problem-solving ... home with a community hospital. **Job Overview** The RN Case Manager manages a designated caseload to...providing clinical updates to insurance companies. 11. Coordinates insurance appeals related to discharges and adhering to policies and… more
- Arnot Health (Elmira, NY)
- …Description Remote work available! Up to $10,000 Sign on Bonus for qualified Case Managers! MAIN FUNCTION: The Case Management (denial/prior auth) will review ... and recurring issues. 4. Facilitates, coordinates and prepares denial appeals working with internal and external customers in a...inclusive of all duties that may be assigned. MEETINGS: Case management staff meetings. Case management staff… more
- Crouse Hospital (Syracuse, NY)
- …health education and outreach programs. Crouse's Care Coordination team is hiring a Manager who is responsible for providing day to day management of the RN ... $95,000 plus based on education and experience Schedule: Full-Time, 8:00am-4:30pm Manager , Care Coordination Responsibilities: + Manager is responsible for… more
- Bozeman Health (Bozeman, MT)
- …the claims denial process for insurance carriers and develops an appropriate appeals response as necessary. Minimum Qualifications: Required + High School diploma ... Previous ICD-10 and CPT coding + Previous experience in medical pre-authorization, case management and / or financial counseling Essential Job Functions: In addition… more
- Cardinal Health (Honolulu, HI)
- …insurance plan coverage, including out-of-pocket costs, and provide guidance on the appeals process if needed + Resolve patient's questions and any representative ... for the patient's concerns regarding status of their request for assistance + Demonstrate expertise in payer landscapes and insurance processes. Remain knowledgeable about long and short-range changes in the reimbursement environment including Medicare,… more
- Sharp HealthCare (La Mesa, CA)
- …Status** Per Diem **Shift** Day **FTE** 0 **Shift Start Time** **Shift End Time** Certified Case Manager (CCM) - Commission for Case Manager ... CA Board of Registered Nursing **Preferred Qualifications** + Bachelor's Degree in Nursing + Certified Case Manager (CCM) - Commission for Case Manager … more
- Houston Methodist (The Woodlands, TX)
- …and coordination as needed **FINANCE ESSENTIAL FUNCTIONS** + Informs social worker/ case manager of the patients' available benefits through insurance/managed ... At Houston Methodist, the Case Management Representative position is responsible for providing...+ Supports and assists with concurrent insurance denials and appeals process, transmission of utilization reviews to insurance companies,… more
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