- R1 RCM (Salt Lake City, UT)
- …encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our ** Clinical Appeals Supervisor ** , you will help support ... excelling in this remote position. **Here's what you will experience working as a Clinical Appeals Supervisor :** + Track and monitor the workflow of the … more
- Catholic Health Services (Melville, NY)
- …Island's Top Workplace! Job Details Position Summary: The Utilization and Appeals Coordinator will perform activities to help facilitate utilization management and ... appeals functions to include coordination of specific process and...all insurance and regulatory audits and provides information to supervisor related to inaccurate and/or missing documentation as applicable.… more
- Integra Partners (Troy, MI)
- …criteria (eg, InterQual, CMS, health plan policies). + Review and process clinical and administrative appeals ; coordinate with Medical Director when required. ... The Utilization Management (UM) Nurse Supervisor is responsible for providing direct leadership and...team performance, escalating issues as needed to the UM Clinical Manager. + Ensure compliance with all regulatory, contractual,… more
- UNC Health Care (Goldsboro, NC)
- … denials for validity and probability to overturn, proactively gathers required clinical documentation and formulates appropriate appeals . Coordinates the denial ... **Description** Summary: Coordinates and leads all clinical denial processes and clinical audit...Advisors and subject matter experts for all audit and appeals work activities. Assists with documentation review to support… more
- Trinity Health (Livonia, MI)
- …and initiates resolutions for denial prevention. May assist PFS with complex denial appeals . Works with PFS and other Revenue Integrity leaders to create and ... active participation. + Elicits feedback from interdisciplinary team, including clinical colleagues, and involves them in decision-making as appropriate. Ensure… more
- Ventura County (Ventura, CA)
- Certified Coding Supervisor - Health Information Management Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4892159) Apply Certified Coding ... Supervisor - Health Information Management Salary $94,952.15 - $132,946.07...Information Management (HIM) department related to coding and CDI ( clinical documentation improvement). The ideal candidate will have a… more
- Veterans Affairs, Veterans Health Administration (San Diego, CA)
- …informal complaints of employees and referring others, such as formal grievances and appeals to the supervisor or an appropriate management official. Prepares ... Summary The Lead Health Technician (Telehealth Clinical ) provides direct leadership to a team of...direction relating to the telehealth program. Works with the supervisor to develop assignments for team members in order… more
- Select Medical (Dallas, TX)
- …venture with Select Medical & Baylor Scott & White Health Dallas, TX ** Clinical Liaison (RN strongly preferred)** **Full-Time, Monday through Friday 8am - 5pm** ... **Competitive base salary with monthly bonuses!** Clinical Liaisons are advocates who educate and guide patients toward the next level of care, while building… more
- US Tech Solutions (May, OK)
- …**Responsibilities:** + The role involves ensuring the accuracy of case setup and clinical review of Medicare appeals cases by thoroughly reviewing internal ... for ensuring cases are accurately set up for our members, review clinical information for decisioning the request, performing outreach to providers for more… more
- University of Washington (Seattle, WA)
- …and experiential offerings. The University of Washington School of Law's Clinical Program provides students with real-world legal experience assisting clients and ... for academic credit supervised by experienced faculty members. The Clinical law program currently has 10 in-house clinics (https://www.law.uw.edu/academics/experiential-learning/clinics)… more