• Denial Appeal Coding Spec

    Rush University Medical Center (Chicago, IL)
    …the Care Management Department and Rush University Medical Center. 11. Coordinates clinical appeals process and participates in in compliance investigations as ... circumstances of each case. **Summary:** This position reviews initial clinical denials, document appeals for clinical...of experience with hospital denial or case management or nurse audit. * Knowledge of hospital revenue cycle and… more
    Rush University Medical Center (01/01/26)
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  • Denial RN DRG Appeal Writer1 / HIM Coding

    Hartford HealthCare (Farmington, CT)
    …. Prepare, document and submit appeals for DRG denials, ensuring appeals are well-supported with clinical evidence, coding guidelines, and regulatory ... and appeals preferred. **Licensure, Certification, Registration** * Active Registered Nurse license from the State of Connecticut * Certified Clinical … more
    Hartford HealthCare (11/26/25)
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  • Clinical Documentation Specialist

    CaroMont Health (Gastonia, NC)
    …for promoting and monitoring safe, high-quality, cost-effective healthcare with the best clinical outcomes possible. Provide physician and nurse education to ... and reporting. Perform data collection and analysis, trend identification for assigned clinical outcomes, and present this data at the appropriate meetings as… more
    CaroMont Health (12/17/25)
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  • Health Facilities Surveyor

    Iowa Department of Administrative Services (State Of Iowa, IA)
    …IA Job Type Full-time Job Number 26-01561 Agency 427 Department of Inspections, Appeals & Licensing Opening Date 12/15/2025 Closing Date 3/15/2026 11:59 PM Central ... + Description + Benefits + Questions Job Description Join theDepartment of Inspections, Appeals , and Licensing's Health & Safety Divisionand play a vital role in… more
    Iowa Department of Administrative Services (12/16/25)
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  • CDOC Mid-Level Provider/(NP/PA) - Gender Affirming…

    State of Colorado (Denver, CO)
    …venipuncture and other related laboratory tests; + Follow the CDOC clinical services standards and procedures, protocols, guidelines, or policies pertaining to ... medical practice and treatment as specified by Clinical Services administration; + May provide initial emergency medical...must possess current, valid licensure as an Advanced Practice Nurse / Nurse Practitioner from the Colorado… more
    State of Colorado (01/01/26)
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  • Medical Director - Medical Oncology

    Elevance Health (Miami, FL)
    ** Clinical Operations Medical Director** **Medical Oncology** **Carelon Medical Benefit Management** **Virtual** : This role enables associates to work virtually ... Our platform delivers significant cost-of-care savings across an expanding set of clinical domains, including radiology, cardiology and oncology._ The ** Clinical … more
    Elevance Health (12/04/25)
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  • Mental Health Clinician I - Continuity…

    State of Colorado (Pueblo, CO)
    …increase and support treatment programming in all CMHHP patient units by managing clinical staff call-offs and deployment in order to minimize clinical treatment ... cancellations. The goal of the department is to maintain clinical staffing levels which will assist with patient stabilization,...+ Reports abuse allegations right away to the charge nurse and immediate supervisor, and refers to public safety.… more
    State of Colorado (01/06/26)
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  • RN/Case Manager-MSH-Case Management-PT-Days

    Mount Sinai Health System (New York, NY)
    …for assessment, communication and monitoring of discharge planning process (The clinical nurse initiates the discharge planning process on admission). ... with physicians and managed care companies on concurrent denial appeals e. Communicates clinical information to the...companies on concurrent denial appeals e. Communicates clinical information to the payor, as needed, coordinating direct… more
    Mount Sinai Health System (12/23/25)
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  • RN* Health Compliance Inspector, Acute Care Hfemsd…

    State of Colorado (Denver, CO)
    …and Emergency Medical Services Division. and Current, valid licensure as a Registered Nurse from the Colorado Board of Nursing or any state participating in the ... Enhanced Nurse Licensure Compact (eNLC). OR Education & Experience: A...as location and availability Essential Competencies (Required) + RN clinical judgment in the field: Applies nursing standards to… more
    State of Colorado (12/17/25)
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  • Mental Health Clinician I - Colorado Mental Health…

    State of Colorado (Denver, CO)
    …duties. This position works under the supervision and direction of a registered nurse and assists with psychiatric nursing care of mentally ill patients; observes, ... Therapeutic Patient Care: Under the direction and supervision of a registered nurse , engage with patients to establish and maintain a therapeutic relationship which… more
    State of Colorado (01/01/26)
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