- Datavant (Lebanon, TN)
- …rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, ... + Ability working in a high-volume environment. + Processing medical record requests such as: Insurance requests, DDS Requests,...reviewed by Datavant Human Resources and determined on a case -by- case basis. Depending on the state in… more
- UNC Health Care (Smithfield, NC)
- …to Manager. 2. Discharge Facilitation - Identifies patient/families with the complex psychosocial, on-going medical discharge planning issues, continuing care ... revenue protection by reconciling physician orders, bed billing type, and medical necessity. This may include delivering notifications to patients directly.… more
- CVS Health (New Albany, OH)
- …and coordinating all case management activities with members to evaluate the medical needs of the member to facilitate the member's overall wellness. + Develops ... with heart, each and every day. **Position Summary** **This Case Manager RN position is 100% remote and the...+ Through the use of clinical tools and information/data review , conducts an evaluation of member's needs and benefit… more
- Corewell Health (Grand Rapids, MI)
- …a full and fair review ;Coordinate and manage reviews with Independent Review Organizations (IRO) when appropriate; work with Medical Directors to suggest ... procedures, including medical policies which may impact the appeal and review process + Intermediate or advanced level using Microsoft Office Suite + Previous… more
- University of Colorado (Denver, CO)
- …Assistive Technology coordinator (total of 4.5 FTE) including weekly meetings for case review and/or administrative matters; coordinate their annual performance ... for Disability Resources & Services:** What you will do: Student Support & Case Management: + Review disability related documentation with regard to currency,… more
- McLaren Health Care (Grand Blanc, MI)
- …of the patient care team. Educates health team colleagues about complex clinical appeals/denials, utilization review , including role, responsibilities tools, ... five years of accepting position. + Three years of recent denial management, case management, clinical documentation, or utilization review experience + Five… more
- Veterans Affairs, Veterans Health Administration (Fargo, ND)
- …for the facility. Other duties include providing intensive case management services, continuous quality improvement activities, evaluation/consultation, psychosocial ... clinical complexity. The incumbent has full supervisory responsibility for all case managers (exception of nursing) and administrative staff within the ICMHR/RANGE… more
- Datavant (NY)
- …rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, ... corporate strategy, integration management, or project management within a complex or high-growth organization. + Strong analytical and organizational skills… more
- Veterans Affairs, Veterans Health Administration (Lebanon, PA)
- …serving as the care manager and psychotherapist to a patient population with highly complex health and mental health problems. The LPMHC is assigned to work within ... participant in interdisciplinary treatment planning, to include creation and review of treatment plans, as needed. Participating in interdisciplinary discharge… more
- Datavant (New York, NY)
- …rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, ... and relationship-building within the healthcare provider ecosystem. + Experience with complex sales cycles and strategic opportunity management, preferably with SaaS… more