- Huron Consulting Group (Van Buren, AR)
- …committed to delivering exceptional care while maintaining strong financial stewardship. The Denials Prevention and Analytics Manager plays a critical role in ... health by identifying, analyzing, and addressing the root causes of post-billing denials and avoidable write-offs across both hospital and professional claims. This… more
- Baptist Memorial (Memphis, TN)
- …successfully meet productivity requirements and training goals as determined by the Manager /Director of the Denial Mitigation Department. The Denial ... along to healthcare insurance providers in response to post-claim denials received by BMHCC. Physician Advisor communication may be...- Appeal Specialist II RN role reports to the manager of the Denial Mitigation Department and… more
- TEKsystems (Annapolis, MD)
- …Summary The clinical denial appeals specialist is responsible for the identification, mitigation , and prevention of clinical denials . This staff member reviews ... The clinical denial appeals specialist also works to prevent future clinical denials by communicating with clinical and revenue cycle leadership about denial root… more
- AdventHealth (Hinsdale, IL)
- …Street, Hinsdale, IL **The role you'll contribute:** The Social Work Care Manager intervenes with patients who have complex psychosocial needs, require assistance ... members of the care team). The Social Work Care Manager , in collaboration with the patient/family, care manager...health into transitions of care planning and applies risk mitigation interventions to meet the individual needs of each… more
- AdventHealth (Altamonte Springs, FL)
- …and world-class resource **The role you'll contribute** **:** The RN Care Manager in collaboration with the patient/family, social workers, nurses, physicians and ... and progression through the continuum of care. The RN Care Manager ensures efficient and cost-effective care through appropriate resources monitoring, and… more
- AdventHealth (Bolingbrook, IL)
- …Blvd, Bolingbrook, IL **The role you'll contribute:** The Social Work Care Manager intervenes with patients who have complex psychosocial needs, require assistance ... members of the care team). The Social Work Care Manager , in collaboration with the patient/family, care manager...health into transitions of care planning and applies risk mitigation interventions to meet the individual needs of each… more
- AdventHealth (Hinsdale, IL)
- …N OAK ST, Hinsdale, 60521 **The role you'll contribute:** The RN Care Manager in collaboration with the patient/family, social workers, nurses, physicians and the ... and progression through the continuum of care. The RN Care Manager ensures efficient and cost-effective care through appropriate resources monitoring, and… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Case Manager (CM) Advanced position is a registered nurse (RN) responsible for promoting the achievement of optimal clinical and resource ... has achieved an expert level at all the objectives delineated in the Case Manager and Case Manager Certified job roles and is responsible for facilitating… more
- CenterWell (Olympia, WA)
- …for the following: clinical and survey metrics, clinical operations metrics, claims denials , AO/state survey results, risk mitigation , clinical compliance, QAPI ... for the following: clinical and survey metrics, clinical operations metrics, claims denials , AO/state survey results, risk mitigation , clinical compliance, QAPI… more
- Huron Consulting Group (Van Buren, AR)
- …Oversee various revenue cycle-wide processes, including but not limited to denials & write-off prevention, vendor management, data insights, and systems applications ... KPI targets, report identified risks to management and provide recommendations for mitigation . + Extrapolate market and payer trends and coordinate with operational… more