• Case Coordinator - Denials

    Methodist Health System (Dallas, TX)
    …of patient care through coaching and mentoring care givers, case managing selected cases, and facilitating discharge/transition planning. Participates in ... - PREFERRED * Associates Degree in Nursing with insurance or hospital case management experience will be considered. * Current license to practice professional… more
    Methodist Health System (06/12/25)
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  • Case Manager and Utilization Review…

    Scottish Rite for Children (Dallas, TX)
    …priority! We're committed to giving children back their childhood! Job Posting Title: Case Manager and Utilization Review Coordinator Location: Dallas - Hospital ... regulations + Provide concurrent review and follow up with appropriate personnel regarding denials + Collect denial data for trending + Work with appropriate staff… more
    Scottish Rite for Children (05/23/25)
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  • Precertification Coordinator - Hematology…

    Ascension Health (Austin, TX)
    …history. + Document insurance coverage of services to be provided. + Notify case management about interactions with insurance companies regarding services. + Manage ... denials or potential denials as described by insurer. + Monitor and review applicable schedule to ensure that authorization and initial length of stay is obtained… more
    Ascension Health (06/10/25)
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  • PRN UR Coordinator

    San Antonio Behavioral Health (San Antonio, TX)
    The Utilization Review Coordinator conducts utilization reviews to determine if patients are receiving care appropriate to illness or condition. Monitors patient ... Essential Duties: + Collaborate and set standards with registered nurse (RN) case managers (CMs) and outcome managers to ensure that all hospitalized patients… more
    San Antonio Behavioral Health (05/28/25)
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  • Transplant Coordinator RN

    Catholic Health Initiatives (Houston, TX)
    …candidates. Review medical information, schedule testing including physician and coordinator consultations, collect data, review results and compile data for ... presentation of patient's case at Medical Review Board. + Primary responsibility for...Provide clinical updates to payers in order to eliminate denials . + Initiate and oversee all pre-op and post-op… more
    Catholic Health Initiatives (05/17/25)
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