- Guthrie (Sayre, PA)
- Summary The Denial, Appeal, and Audit Manager is responsible for the oversight and management of all payer denials, appeals, and audit processes within the health ... of claim denials, effective appeal strategies, and proactive audit response. The manager leads a team of specialists, coordinates with internal departments, and… more
- Hartford HealthCare (Wethersfield, CT)
- …Island. We consist of a team of professionals ranging from Medical Assistants to Physician Assistants and everything in between. Our physician led medical group ... travel and more! *JOB SUMMARY* The ICP Community Care Manager is a healthcare professional position, working as a...continuum * Reviews and identifies at risk patients (ED utilization , high risk score, care gaps, etc) for proactive… more
- HCA Healthcare (Manchester, NH)
- …want to join an organization that invests in you as a Social Worker Case Manager MSW PRN? At Catholic Medical Center, you come first. HCA Healthcare has committed up ... We are looking for a dedicated Social Worker Case Manager MSW PRN like you to be a part...Oncology, NICU, Transplant, and ED. The MSW responds to physician , non-discharge planning social work consults throughout the facility.… more
- Bon Secours Mercy Health (Emporia, VA)
- …clinicians are recognized for clinical and operational excellence. **Registered Nurse (RN) Care Manager - Southern Virginia Medical Center - PRN** The RN Care ... Manager is responsible for providing coordination of care for...are in the appropriate classification as guided by the physician . + Works in conjunction with patient access to… more
- Rochester Regional Health (Rochester, NY)
- Job Title: Assistant Nurse Manager Department: SSDU Location: RGH Hours Per Week: 40 hours per week/Full Time Schedule: M-F Days, primarily Position Summary:The ... Assistant Nurse Manager (ANM) is responsible for the clinical care to...to improve clinical practice.*Completes at least one clinical research utilization (CRU) form for submission to Nursing Research Department… more
- ZOLL Medical Corporation (Honolulu, HI)
- …(Cardiologists, Electrophysiologists, Hospitalists, CT Surgeons etc.), Nurse Practitioners, Physician Assistants, nurses, case managers and administrators. Other ... with relevant clinical, reporting, and technical information that supports the utilization of ZOLL Cardiac Diagnostic products for appropriate patients. +… more
- Providence (Orange, CA)
- …**Preferred Qualifications:** + Master's Degree Nursing. + 5 years Experience as a utilization /case manager in an acute care setting. + Experience in a ... Nursing. + Upon hire: California Registered Nurse License. + 3 years Experience in Utilization Management. + Experience working with InterQual and MCG guidelines.… more
- GE HealthCare (Miami, FL)
- **Job Description Summary** The role of a Cardiac PET Account Manager CPAM at GE HealthCare (GEHC) involves driving the timely adoption and growth of GEHC's cardiac ... sales forecasts and shared volume targets. With your Cardiac PET Physician Outreach teammate, conduct regular business analyses of the local market-customers,… more
- Banner Health (Glendale, AZ)
- …that require an extra level of acute medical care. As a Behavioral Case Manager you will have the opportunity to work with a wide variety of diagnostic ... of care and develops, implements, monitors and documents the utilization of resources and progress of the patient through...patient care from admission to discharge, interacting with the physician and other members of the clinical treatment team… more
- Bluestone Physician Services (Blaine, MN)
- Bluestone Physician Services delivers great outcomes by bringing exceptional care to patients living with complex, chronic conditions and disabilities. Our unique, ... beneficiary. Position Overview: As a GUIDE Model Dementia Case Manager , you will assist in delivering the 9...teams to ensure high quality team-based care + Use utilization management tools to facilitate appropriate transitional care management… more
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