• SLH Case Manager RN

    Alameda Health System (San Leandro, CA)
    …Minimum Experience: Two years related in acute care facility and/or utilization review training. Minimum Experience: Varied clinical experience or experience in ... other documentation; contacts with payers conducting phone reviews and initiates denial appeals as needed. + Encourages patients to develop realistic plans. Makes… more
    Alameda Health System (08/08/25)
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  • Director of Care Coordination (RN)

    Catholic Health Services (West Islip, NY)
    …not limited to, Medical Staff, Quality/Risk Management, CH Utilization and Central Appeals , Managed Care and Revenue Cycle and Patient Access departments to ensure ... the most advantageous clinical and financial outcomes. + Supports all CH and...of Participation. + Implements care management programs, including utilization review , intake and discharge planning. + Evaluates patient care… more
    Catholic Health Services (07/18/25)
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  • Administrator of Admissions, Outreach & Intake

    Calvary Hospital (Bronx, NY)
    …to facilitate reimbursement for services provided by the Hospital. Oversees the appeals process for those cases for which reimbursement has been denied. Conducts ... interdepartmental meetings related to the quality and utilization of clinical services. Serves on various Hospital committees as assigned. Attends meetings and… more
    Calvary Hospital (08/20/25)
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