• Specialist-Denial II RN

    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
    Baptist Memorial (07/11/25)
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  • Social Work Case Manager

    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 (08/07/25)
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  • Registered Nurse Care Manager

    AdventHealth (Winter Garden, FL)
    …mind, body, and spirit! **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
    AdventHealth (08/07/25)
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  • Registered Nurse Care Manager Weekends

    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 (08/07/25)
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  • Social Work Case Manager

    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 (08/07/25)
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  • Registered Nurse RN Care Manager

    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
    AdventHealth (08/07/25)
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  • RN Case Manager

    AdventHealth (La Grange, IL)
    …RD, La Grange, IL 60525 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
    AdventHealth (08/07/25)
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  • Revenue Integrity Process Manager - Revenue…

    Penn State Health (Hershey, PA)
    …position influences all charges though charge capture process mapping, risk mitigation through education and problem solving through analytics. Collaboration occurs ... was needed to optimize charge/cash capture. This position reports to Team Manager Revenue Integrity and the Revenue Integrity Support Services Leadership. **MINIMUM… more
    Penn State Health (07/24/25)
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  • RN Market Executive of Clinical Quality

    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
    CenterWell (07/09/25)
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