- CenterWell (Honolulu, HI)
- …or requested. **Use your skills to make an impact** **Required Experience/Skills:** + Registered Nurse or Physical Therapist. + Current state license as a ... caring community and help us put health first** The ** Denials Management Specialist ** is responsible to respond... Registered Nurse or Physical Therapist. + 5... Registered Nurse or Physical Therapist. + 5 years of professional… more
- Houston Methodist (Sugar Land, TX)
- …and nongovernmental payers preferred **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure -- Compact Licensure - Must ... At Houston Methodist, the Senior Denials Management Specialist position is responsible for performing utilization review activities, and monitoring the clinical… more
- Houston Methodist (Sugar Land, TX)
- At Houston Methodist, the Utilization Review Specialist Nurse (URSN) position is a licensed registered nurse (RN) who comprehensively conducts point of ... three years in case management **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure -- Compact Licensure - Must obtain… more
- UPMC (Pittsburgh, PA)
- …Coding Specialist (CCS) OR Certified Professional Coder (CPC) OR Certified Registered Nurse Practitioner OR Doctor of Medicine (MD) OR Registered ... UPMC Corporate Revenue Cycle is hiring a DRG Specialist to work on inpatient auditing within our...OR Registered Health Information Technician (RHIT) OR Registered Nurse (RN) + Act 34 *Current… more
- Community Health Systems (Franklin, TN)
- …regulations and patient confidentiality standards. **Licenses and Certifications** + RN - Registered Nurse - State Licensure and/or Compact State Licensure ... **Job Summary** The Clinical Utilization Review Specialist is responsible for evaluating the necessity, appropriateness, and efficiency of hospital services to… more
- St. Luke's University Health Network (Allentown, PA)
- …Works inside with adequate lighting, comfortable temperature and ventilation. EDUCATION: Registered Nurse required, BSN preferred. Current license required. . ... patient's ability to pay for health care. The RN Clinical Review Appeals Specialist retrospectively reviews patient medical records, claims data and coding of all… more
- Project Renewal, Inc. (Bronx, NY)
- …psychiatric services are provided Monday through Friday, staffed by a psychiatrist, nurse practitioner, registered nurse , and a licensed practical ... Title: Housing Specialist Program: Ana's Place Men's Shelter Salary Range...tracking system for submitted applications, interviews, and selections or denials . Performs follow-up to any denial of housing applications… more
- HonorHealth (AZ)
- …Degree in Nursing from an accredited NLN/CCNE institution Required Experience 3 years Registered Nurse in an acute care setting. Required 1 year experience ... in UR/UM or Case Management Required Licenses and Certifications Registered Nurse (RN) State And/Or Compact State Licensure Required more
- Hawaii Pacific Health (Honolulu, HI)
- …159-bed hospital in Honolulu, a network of neighborhood clinics and a visiting specialist program that reaches throughout the state of Hawai'i. With over 200 ... families. The Straub Cancer Center team includes board certified physicians, nurses, registered dietitians, outpatient and inpatient staff, and a quality of life… more
- Nuvance Health (Danbury, CT)
- …Review experience(or a certification ACMA, MCG, Interqual) Required : CT Registered Nurse License Working Conditions: Manual: significant manual skills/motor ... rotate one weekend per month Summary: The purpose of the Utilization Management Nurse is to support the physician, the interdisciplinary team, and organization with… more
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