- Guthrie (Sayre, PA)
- …adherence to payer-specific appeal timelines and protocols + Collaborate with clinical, utilization management , billing, HIM, and coding teams to resolve medical ... Denial, Appeal, and Audit Manager is responsible for the oversight and management of all payer denials, appeals, and audit processes within the health system.… more
- Hartford HealthCare (Meriden, CT)
- …required workload, forecasted units of service and programmatic changes. Assures appropriate fiscal management of COI program and the proper utilization of HHC's ... Director for the Connecticut Orthopedic Institute (COI), Central Region, the Manager is responsible for day-to-day operations throughout the continuum of the… more
- Harmony United Psychiatric Care (Winter Garden, FL)
- … and Director of Operations to ensure appropriate and timely use of Utilization Management guidelines. Compensation Package + Excellent base compensation + ... Company: Harmony United Psychiatric Care Job Title: Assistant Manager Operations / Full-Time Employment / Winter Garden About Us Harmony United Psychiatric Care is… more
- HCA Healthcare (Bradenton, FL)
- …Analyst, OR Director, CV Director, Radiology Director, OR Nurses, Surgeons, Revenue Integrity Nurse , and the Facility Management team + Is authorized to ... like family! Jump-start your career as a Procedural Operations Manager today with HCA Florida Blake Hospital. **Benefits** HCA...of all OR supply + Responsible for implementation and management of the OR perpetual inventory system (POU) to… more
- HCA Healthcare (Port Charlotte, FL)
- …want you to apply! **Job Summary and Qualifications** We are seeking a Registered Nurse Case Manager . You will provide clinical expertise to ensure all patients ... satisfaction. + You will promote cost effectiveness through the integration of case management , utilization review management and discharge planning. **What… more
- NHS Management, LLC (Crystal River, FL)
- …difference in your life! We are in search of a qualified RN Unit Manager + Assists in maintaining resident care standards by supervising and directing activities of ... subordinate nurses engaged in quality assurance, infection control, and utilization review activities. + Receives physicians' instructions regarding resident care… more
- NHS Management, LLC (Vestavia Hills, AL)
- …along the way. We are in search of a qualified RN Clinical Services Manager : + Assists in maintaining resident care standards by supervising and directing activities ... of subordinate nurses engaged in quality assurance, infection control, and utilization review activities. + Receives physicians' instructions regarding resident care… more
- HCA Healthcare (Trinity, FL)
- …organizations. Apply Today! **Job Summary and Qualifications** We are seeking a Registered Nurse Case Manager . You will provide clinical expertise to ensure all ... care like family! Jump-start your career as a(an) Case Manager RN today with HCA Florida Trinity Hospital. **Benefits**...will promote cost effectiveness through the integration of case management , utilization review management and… more
- HCA Healthcare (St. Petersburg, FL)
- …organizations. Apply Today! **Job Summary and Qualifications** We are seeking a Registered Nurse Case Manager . You will provide clinical expertise to ensure all ... care like family! Jump-start your career as a(an) Case Manager RN PRN today with HCA Florida St. Petersburg...will promote cost effectiveness through the integration of case management , utilization review management and… more
- Advanced Orthopedics and Sports Medicine Institute (Freehold, NJ)
- …Bachelor's degree in nursing or a related field. Current NJ state nursing license Case Management Certification (CCM, COHN, or similar) preferred Equal ... Workers Compensation Case Manager Location(s) 301 Professional View Dr Freehold, NJ...NJ and NY workers' compensation regulatory requirements. Manage the utilization of medical services and resources to ensure that… more