- Children's Mercy Kansas City (Kansas City, MO)
- …the lives of children beyond the walls of our hospital. Overview The Denials Prevention Analyst is directly responsible for reviewing current denial data to ... and tracking implementation of root cause resolutions under the supervision of the Denials Prevention leadership within CMH. This position also adheres to the Shared… more
- 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 system. This role ensures timely resolution of claim denials , effective appeal strategies, and proactive audit response. The manager leads a team of… more
- Carle Health (Champaign, IL)
- …This position is also responsible for tracking coding trends and assists with mitigation of coding-based denials through education of coding team members. The ... Overview The Manager over Coding Education and Quality is responsible...related to coding + Provide necessary education to mitigate denials to coding team based on review + Collaborate… more
- Texas Health Resources (Arlington, TX)
- Manager Payment Integrity Professional _Are you looking for a rewarding career with family-friendly hours and top-notch benefits? We're looking for qualified ... direction of the PBO Revenue Integrity Director, the PBO Payment Integrity Manager is responsible for overseeing insurance payment activities to ensure accuracy,… more
- AdventHealth (Winter Park, FL)
- …AdventHealth Orthopedic Institute **The role you'll contribute:** The RN Care Manager in collaboration with the patient/family, social workers, nurses, physicians ... and progression through the continuum of care. The RN Care Manager ensures efficient and cost-effective care through appropriate resources monitoring, and… more
- AdventHealth (Minneola, FL)
- …together we are even better **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 (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 (Overland Park, KS)
- **Inpatient Social Worker Case Manager Weekend Days AdventHealth South Overland Park** **All the benefits and perks you need for you and your family:** + Vision, ... Mission, Kansas. **The role you'll contribute:** The Social Work Care Manager intervenes with patients who have complex psychosocial needs, require assistance… more
- Texas Health Resources (Arlington, TX)
- Manager Compliance Coding _Are you looking for a rewarding career with family-friendly hours and top-notch benefits? We're looking for qualified candidates like you ... work hours: Monday - Friday; 8:00a-5:00p; Position Summary The Coding Compliance Manager oversees and manages auditing and monitoring activities related to billing… more
- CenterWell (Tallahassee, FL)
- …for the following: clinical and survey metrics, clinical operations metrics, claims denials , AO/state survey results, risk mitigation , clinical compliance, QAPI ... + Previous experience in branch leadership (Branch Director/Administrator or Clinical Manager ) preferred + Multi-site leadership preferred + Home Health experience… more