- Memorial Sloan-Kettering Cancer Center (New York, NY)
- …the globe. **Exciting Opportunity at MSK:** Are you passionate about using your Case Management experience to support Oncology Patients? The MSK Case Management ... for evaluating and responding to clinical and administrative denials referred to Case Management Department for appeal. You will participate in the daily management… more
- St. Luke's University Health Network (Allentown, PA)
- …serve, regardless of a patient's ability to pay for health care. The Case Manager , Behavioral Health, will provide comprehensive care of patients participating ... rs, ancil la rydepa rtme nts , a nd the Manager re ga rd i ng va ri ances, asp ec...me . S tanding f or up to 1 ho ur perday , 1 ho uratati me. Wa lk i ng… more
- Beth Israel Lahey Health (Plymouth, MA)
- …of treatments/procedures to optimize reimbursement. + Collaborates with the UR team regarding level of care determination/LOS. + Coordinates continuing ... in healthcare preferred. + CCM certification preferred. + A minimum of 1 year case management experience working independently in an acute or post-acute setting or a… more
- Beth Israel Lahey Health (Plymouth, MA)
- …prevention strategies * Integrate clinical and reimbursement knowledge for optimal outcomes **RN Case Manager - Emergency Department UR & Discharge ... the last 3 years + Proficiency in InterQual required + CCM, ACM, or other case management certification preferred or in progress ** Manager - Utilization Review &… more
- Nuvance Health (Danbury, CT)
- …with Manager Denials Prevention & Appeals Administration to oversee UR processes for inpatient, outpatient observation and outpatient in-a-bed services, ensuring ... *Description* *Summary:* The Manager , Denials Prevention & Appeals Operations is responsible...daily operations of clinical denial prevention and Utilization Review ( UR ) activities, including daily collaboration with physicians as well… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- …of any of the following: CPHM (Certified Professional in Healthcare Management), CCM (Certified Case Manager ), ACM (Accredited Case Manager ) required or ... *_SUMMARY:_* We are currently seeking a*Utilization Review Manager * to join ourTransitional Care Team.This is a full-time role and will be required to work onsite.… more
- State of Connecticut, Department of Administrative Services (Middletown, CT)
- …to join their team! The Utilization Review Behavioral Health Program Manager ( UR BHPM) is responsible for oversight of all ... Behavioral Health Program Manager Office/On-Site Recruitment # 251008-1450MP-001 Location Middletown, CT...functions and staff throughout CT Valley Hospital (CVH). The UR BHPM provides direct supervision to all staff in… more
- Devereux Advanced Behavioral Health (Malvern, PA)
- …Devereux Children's Behavior Health Center has its Advantages!** As an **Admissions & UR Manager ** at Devereux Children's Behavior Health Center (DCBHC), you ... neighboring states. Our treatment team, which includes psychiatrists, clinical case managers, nurses, teachers, licensed psychologists and clinical social workers,… more
- Beth Israel Lahey Health (Plymouth, MA)
- …Denials Management Manager , you will:** + Directs staff performance regarding UR and the analysis, resolution, monitoring & reporting of clinical denials. + ... people's lives.** Full Time **Job Description:** **Utilization Review & Denials management manager - Full Time** **Who We Are:** At **Beth Israel Deaconess… more
- Northeast Alabama Regional Medical Center (Anniston, AL)
- …for documentation issues as they relate to the working DRG developed by the Case Manager /Coder. Assists with special projects as directed or requested by the ... Under the direction of the Case Management Coordinator, coordinates, negotiates, procures and manages...in a related field such as QA, CM or UR . Three years of clinical experience required. Leadership experience… more