- Sharp HealthCare (San Diego, CA)
- …Day **FTE** 1 **Shift Start Time** **Shift End Time** Accredited Case Manager (ACM) - American Case Management Association (ACMA); Bachelor's Degree in Nursing; ... Master's Degree; Certified Case Manager (CCM) - Commission for Case Manager ...organization goals including reductions in length of stay, decreasing denials , improvement of care transitions, and reduction in avoidable… more
- Carle Health (Champaign, IL)
- Overview The Manager over Coding Education and Quality is responsible and accountable for initial and ongoing education and audit of providers, Carle coding team ... level of coding quality and accuracy for Carle. The manager organizes and coordinates the coding audit teams to...tracking coding trends and assists with mitigation of coding-based denials through education of coding team members. The role… more
- Sharp HealthCare (San Diego, CA)
- …**Shift** Day **FTE** 1 **Shift Start Time** **Shift End Time** Certified Case Manager (CCM) - Commission for Case Manager Certification; California Registered ... Nurse (RN) - CA Board of Registered Nursing; Accredited Case Manager (ACM) - American Case Management Association (ACMA); Bachelor's Degree in Nursing; Master's… more
- BronxCare Health System (Bronx, NY)
- Overview Assists in the analysis and preparation of responses to payor denials and develop strong appeals for the purpose of securing reimbursement for acute care ... and (d) Patient and Customer Service. - Reviews and denials notification letters along with the medical records and...improve outcomes. - Maintains an excel log related to denials /appeals activities in order to monitor successful appeals. -… more
- Reno Behavioral Healthcare Hospital (Reno, NV)
- …Office is opened daily and comments are entered in the system for authorization, denials and EOB's timely, scanned in DoclLnk and filed in monthly Business Office ... folder. + Discuss denials with UR staff and update Denial Tracker accordingly....and update Denial Tracker accordingly. Review EOB'S for potential denials and or refunds. + Review daily discharge report… more
- Penn Medicine (Plainsboro, NJ)
- …each day. Are you living your life's work? Summary: + The Case Manager suports the interdisciplinary team in facilitating patient care, with the underlying objective ... care facilitation and discharge planning functions. In addition, the Case Manager helps drive change by identifying areas where performance improvement in… more
- HCA Healthcare (Nashville, TN)
- …**Introduction** Do you have the career opportunities as a Quality Control Senior Manager you want with your current employer? We have an exciting opportunity for ... you want to work as a Quality Control Senior Manager where your passion for creating positive patient interactions...and address payer medical policies that lead to inappropriate denials , advocating for fair and accurate coverage. + Provide… more
- Crouse Hospital (Syracuse, NY)
- …and outreach programs. Crouse's Care Coordination team is hiring a Care Coordination Manager who is responsible for providing day to day management of the RN ... on education and experience Schedule: Full-Time, Monday-Friday, 8:00am-4:30pm Care Coordination Manager Responsibilities: + Manager is responsible for providing… more
- Cardinal Health (Columbia, SC)
- ** Manager , Revenue Cycle Manager , Collections** **About Navista** We believe in the power of community oncology to support patients through their cancer ... with a strong emphasis on oncology practice needs. **_Job Purpose:_** The Manager , Revenue Cycle Management, is responsible for overseeing the insurance collection… more
- Highmark Health (Pittsburgh, PA)
- …contractual requirements. + Documents, monitors, intervenes/resolves and reports clinical denials /appeals and retrospective payer audit denials . Collaboratively ... CERTIFICATIONS** **Required** + None **Preferred** + ACM Certification (Accredited Case Manager ) - American Case Management Association - American Case Management… more