- Hartford HealthCare (Farmington, CT)
- …system. *_Position Summary:_* Responsible for assisting the Accounts Receivable (AR) Follow Up/ Denials Supervisor, in the day-to-day operations of the AR Follow Up & ... Denials Specialist Level 1, Level 2 and Level 3....process of interviewing applicants and provides feedback to hiring manager . Assists in the onboarding and training of new… more
- Community Health Systems (Franklin, TN)
- …ensures efficient and effective management of utilization review processes, including denials and appeals activities. This role collaborates with payers, hospital ... process improvement initiatives, and serves as a key liaison to reduce denials and optimize patient outcomes. **Essential Functions** + Submits initial assessments,… more
- UNC Health Care (Raleigh, NC)
- …through post discharge for quality, efficiency, and effectiveness. The Utilization Manager works collaboratively with other Clinical Care Management staff to ensure ... met and care delivery is coordinated across the continuum. The Utilization Manager completes admission, continued stay, and discharge reviews in accordance with… more
- Colorado State University (Fort Collins, CO)
- Posting Detail Information Working TitleSenior Manager of Access and Registration Position LocationFort Collins, CO Work LocationPosition is fully ... and a thriving arts and entertainment industry. Position Summary The Senior Manager of Access & Registration is responsible for organizing and overseeing the… more
- Texas Health Resources (Arlington, TX)
- Social Worker (SW) Care Transition Manager - PRN Work location: Texas Health Arlington 800 W. Randol Mill Road TX 76012 Work hours: PRN Department Highlights * Team ... discharge disposition, barriers to discharge, avoidable days, and potential denials . Coordinates/facilitates patient care progression throughout the continuum with… more
- Baystate Health (Springfield, MA)
- …- Midpoint - Maximum $46.22 - $53.13 - $62.85 **Per Diem Hospital Case Manager / Utilization Management** The **RN Hospital Case Manager ** is a registered ... of a designated population of patients. The Hospital Case Manager is responsible for overseeing an efficient plan that...for patients at risk for readmissions + Manages concurrent denials and works with physicians to overturn for appropriate… more
- Rush University Medical Center (Chicago, IL)
- …vary depending on the circumstances of each case. **Summary:** The Nurse Care Manager 1 works with physician practices and inpatient teams to promote the effective ... care for adult, geriatric, neonate, pediatric and adolescent patients. The Nurse Care Manager 1 contributes to the team's effectiveness by reviewing plans of care,… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- *_SUMMARY:_* We are currently seeking a*Utilization Review Manager * to join ourTransitional Care Team.This is a full-time role and will be required to work onsite. ... manage and respond to all concurrent and post-discharge third party payer denials of outpatient and inpatient cases alleged to be medically inappropriate. Including,… more
- Baystate Health (Springfield, MA)
- …- Midpoint - Maximum $46.22 - $55.87 - $69.33 + **Per Diem Hospital Case Manager ** The **RN Hospital Case Manager ** is a registered nurse responsible for the ... of a designated population of patients. The Hospital Case Manager is responsible for overseeing an efficient plan that...for patients at risk for readmissions + Manages concurrent denials and works with physicians to overturn for appropriate… more
- Cabinet Peaks Medical Center (Libby, MT)
- Cabinet Peaks Medical Center is looking for an experienced Health Information Management (HIM) Manager to join our HIM team! HIM Manager , working under the ... quarterly or as needed with the Release of Information and Records Manager /Director or appointed designee to ensure compliance. HIPAA Privacy Officer: Develop and… more