- Hartford HealthCare (Farmington, CT)
- …of education and experience in accordance with job responsibilities *Experience* . Minimum: . Registered Nurse ( RN ) with 5 or more years CDS experience ... manages an effective and comprehensive Health Information Management (HIM) Clinical Documentation Integrity (CDI) quality, audit, education, and denials prevention… more
- Nuvance Health (Danbury, CT)
- …or a related field preferred * Current licensure as a registered nurse ( RN ) * Minimum of 5 years of clinical experience in an acute care setting * ... and operational oversight for a team of utilization review staff, denials and appeals specialists, non- clinical support staff while partnering with local case… more
- CommonSpirit Health Mountain Region (Westminster, CO)
- …day, qualified Assistant Nurse Manager candidates will need the following: + 2 years clinical RN experience + 6 months - 1 year clinical leadership ... provide excellent patient-centered care with teamwork and compassion. Our department appeals to anyone interested in furthering their skillset, specifically in the… more
- Community Health Systems (Franklin, TN)
- …Knowledge of HIPAA regulations and patient confidentiality standards. **Licenses and Certifications** + RN - Registered Nurse - State Licensure and/or ... **Job Summary** The Clinical Utilization Review Specialist is responsible for evaluating...conducts admission and continued stay reviews, supports denials and appeals activities, and collaborates with healthcare providers to facilitate… more
- CommonSpirit Health Mountain Region (Westminster, CO)
- …the workplace each day, qualified candidates will need the following: + 3 years RN experience, required + 1-year clinical leadership experience, required + High ... care for orthopedic, abdominal, and general surgeries. 5 West appeals to anyone interested in broadening their skillset as...greater cause is something we value even more. The Clinical Nursing Manager is responsible for the management of… more
- Houston Methodist (Sugar Land, TX)
- …care for government and nongovernmental payers preferred **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure -- ... cycle clinical role + Experience includes writing clinical appeals for medical necessity compliance or...care contracts and coordination of benefits related to coverage, clinical appeals , and denials to include knowledge… more
- State of Colorado (Denver, CO)
- …their job duties. This position works under the supervision and direction of a registered nurse and assists with psychiatric nursing care of mentally ill ... include: Provide Therapeutic Patient Care: Under the direction and supervision of a registered nurse , engage with patients to establish and maintain a… more
- Sharp HealthCare (San Diego, CA)
- …**Shift End Time** Certified Case Manager (CCM) - Commission for Case Manager Certification; California Registered Nurse ( RN ) - CA Board of Registered ... or equivalent experience in the healthcare setting. + California Registered Nurse ( RN ) - CA...will participate in venues to reduce barriers to discharge.The RN CM I Collaborates with Clinical Resource… more
- Sacramento County (Sacramento, CA)
- …Psychologist, Licensed Clinical Social Worker, Marriage and Family Therapist, or Registered Nurse . AND Either: Two years of experience coordinating and/or ... Clinical Social Worker, Marriage Family Therapist, or Registered Nurse . Note: Failure to maintain a...Street, Room 2640, Sacramento, CA 95814, telephone: ###. Such appeals must be filed within thirty (30) calendar days… more
- Children's Mercy Kansas City (Kansas City, MO)
- …Utilization Review, and Performance Improvement Leadership + One of the following: Licensed RN - MO, Registered Nurse Multistate License Missouri required ... patients, and coworkers. + Utilizes knowledge of hospital processes, clinical patient care, state and federal regulations and payer...upon hire + One of the following: Licensed RN - Kansas, Registered Nurse … more