• CLIVE Patient Access Representative I, M-F Days

    Trinity Health (Clive, IA)
    …that patients meet financial requirements including Medicare medical necessity, payer pre-certifications and referrals. Provides excellent patient focused customer ... or individual performance improvement initiatives as assigned or directed by manager and necessary day-to-day tasks aimed at ensuring departmental metric… more
    Trinity Health (12/24/25)
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  • Patient Service Representative - Radiology

    Beth Israel Lahey Health (Boston, MA)
    …referrals for scheduled visit and documents in system. Document appropriate payer information, including worker's compensation and auto liability. Informs patient of ... timing for patients and providers. Addresses scheduling problems and concerns with manager to resolve issues. Records and forwards accurate messages to providers and… more
    Beth Israel Lahey Health (12/23/25)
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  • RN - Home Health

    UnityPoint Health (Urbandale, IA)
    …with Home Health Conditions of Participation, qualifying home care criteria, payer coverage criteria, and providing visits/treatments consistent with the plan of ... care. . Communicates with Registered Nurse Case Manager /Clinical Supervisor and participates in care coordination to achieve high quality care. . Performs other… more
    UnityPoint Health (12/23/25)
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  • Clinical Resource Management Nurse (RN) - Case…

    Hartford HealthCare (Manchester, CT)
    …of 300,000 people in 19 towns. POSITION SUMMARY: The Utilization Review Case Manager (UR CM) works in collaboration with the physician and interdisciplinary team to ... Level of Care and status on all patients through collaboration with Case Manager . * Demonstrates thorough knowledge in the application of medical necessity criteria.… more
    Hartford HealthCare (12/23/25)
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  • RN Nurse Preceptor

    HCR Home Care (Rochester, NY)
    …referral sources. Essential Functions In addition to the essential functions of an RN Case Manager , the RN Nurse Preceptor may be required to : + Provide in - home ... + Participate in case conference/staff meetings with preceptee and manager weekly during orientation period. + O ther duties...Knowledge of State and Federal regulations, as well as payer guidelines. + Current, unexpired NYS Driver's License .… more
    HCR Home Care (12/22/25)
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  • Master Social Worker Care Coordination

    Banner Health (Glendale, AZ)
    …coordination provided is situational and appropriate based on patient need and payer requirements. This position is accountable for clinical quality of Care ... Banner Registry and Travel positions require a minimum of one year Case Manager experience in an acute care hospital. PREFERRED QUALIFICATIONS Certification for CCM… more
    Banner Health (12/22/25)
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  • Senior Specialty Representative - Dermatology…

    Amgen (Dallas, TX)
    …of our products to medical professionals and helping them navigate the complex payer environment. We are actively searching for a Senior Specialty Representative to ... marketing strategy and promoting Amgen products as led by the District Manager . Responsibilities include: . Provide current and comprehensive knowledge of Amgen's… more
    Amgen (12/21/25)
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  • Utilization Review Coordinator

    Behavioral Center of Michigan (Warren, MI)
    …educate the staff and physicians regarding charting. REPORTS TO: Utilization Review Lead/ Manager QUALIFICATIONS: + High School Diploma or equivalent. + Bachelor of ... those duties include all tasks requested by the UR Manager , CEO or Medical Director to meet the needs...to the case management entity for the specific insurance payer . Enters billing information for services. Receives and processes… more
    Behavioral Center of Michigan (12/21/25)
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  • Client Service Coordinator

    AccentCare, Inc. (Knoxville, TN)
    …and resolves payroll and billing questions under direction from the Client Service Manager * Functions as liaison for Field Supervisors in communication with ... payer Case Management teams * Supports recruiting and onboarding...client visits by Field Supervisor * Assists Client Service Manager in the presentation of staff training related to… more
    AccentCare, Inc. (12/21/25)
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  • Clinical Business Operations Representative 3 (H)

    University of Miami (Miami, FL)
    …to ensure that the appropriate documents are obtained that are required to bill the payer . + Posts Medicaid and other 3rd party payments in the CMS Database system. ... on provider payments. + Communicates identified problems to Supervisor / Fiscal Manager and makes recommendations as appropriate. + Generates fiscal billing and data… more
    University of Miami (12/20/25)
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