- Trinity Health (Mason City, IA)
- …Full time **Shift:** Day Shift **Description:** The Care Transitions Case Manager collaborates with physicians, social services, nurses, community agencies and other ... quality care and to achieve optimal quality outcomes. The Care Transitions Case Manager is primarily responsible for selection of and ensuring the timely and… more
- Amgen (San Jose, CA)
- …sales, and performing total territory account management. The Specialty Account Manager , Nephrology (NSAM) is responsible for representing Amgen products to ... eligibility and benefit verification, prior-authorization, billing, coding, claims, and appeals/ denials ), Medicare and Medicaid rules and regulations, and OSHA and… more
- Sanford Health (Rapid City, SD)
- …Details** Join our team as a Utilization Review and Case Management Manager and lead a high-impact, data-driven program that elevates patient outcomes while ... and interaction with payers. Additional duties include management of medical denials , appeals, and grievances. Understand and provide insight into evaluating current… more
- Children's Mercy Kansas City (Kansas City, MO)
- …utilizing InterQual and/or MCG screening guidelines, and clinical denials /appeals oversight. Participates in department and hospital performance improvement ... One of the following: American Case Management, Certified Case Manager required upon hire + Employees must obtain American...within 730 days + Employees must obtain Certified Case Manager or equivalent within 730 days + Refer to… more
- Actalent (Derby, CT)
- Medical Coding Manager Role Overview An Inpatient Coding Manager is responsible for overseeing the coding operations for hospital inpatient services, ensuring ... Collaborate with billing and clinical documentation teams to minimize claim denials and maximize reimbursement. Monitor DRG assignments and case mix index… more
- Dartmouth Health (Bennington, VT)
- The Hospital Billing Manager is responsible for management of patient accounts receivable staff and related functions for SVMC. This position supervises the daily ... and develops all staff to maximize professional and personal growth. The manager also maintains and up-dates Meditech Charge Master, Claims, Procedures and… more
- Beth Israel Lahey Health (Cambridge, MA)
- …taking a job, you're making a difference in people's lives.** The Manager , Anatomical Pathology, directs the daily operations of the anatomic pathology laboratory. ... queues in Laboratory Information System to reduce insurance claim denials . + Reviews all attorney requests for slides/reports and...with the Director of the Laboratory and/or the Laboratory Manager prior to release. + Keeps abreast of developments… more
- Huron Consulting Group (Chicago, IL)
- …team as the expert you are now and create your future. The Manager of Utilization Management is responsible for planning, organizing, developing, and directing ... + Performance Tracking and Improvement: Provides analysis and reports of utilization, denials , and appeals KPIs, trends, patterns, and impacts to resources. Tracks,… more
- NHS Management, LLC (Tuscaloosa, AL)
- Job Description Regional MDS Case Manager $10k sign on bonus + company car! MDS (minimum data set) experience required. RAC certified highly desired! Are you a RN ... your career? NHS is seeking an experienced MDS Case Manager to add to our team of regional leaders....in gathering information for Medicare and Medicaid appeals and denials as requested. + During facility visits, conducts an… more
- Banner Health (Phoenix, AZ)
- …health care transformation, planning the future of Banner Health.** The **Senior Manager , Acute Patient Access Services** for **Banner University ER** will lead ... patient financial services, or financial service processes. Degree preferred. The Senior Manager is a great advancement opportunity into a leadership role in… more