- Catholic Health (Buffalo, NY)
- …identification of root cause and process improvement opportunities to eliminate recurring clinical denials . The position acts as a liaison between front-end ... and level of care denial trends. Responsibilities: EDUCATION + Registered Nurse with a current New York...(3 ) years of experience monitoring, reviewing and appealing clinical denials or relevant experience preferred +… more
- Tenet Healthcare (Detroit, MI)
- Registered Nurse Case Manager Contingent Days - 2506000443 Description : DMC Detroit Receiving Hospital , Michigan’s first Level I Trauma Center, helped pioneer ... Acute hospital case management experience preferred. 3. License to practice as a Registered Nurse in the State of Michigan. 4. Accredited Case Manager… more
- Geisinger (Scranton, PA)
- …Experience Minimum of 3 years-Nursing (Required) Certification(s) and License(s) Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania OUR PURPOSE ... through appropriate administrative and medical channels to avoid third party payer denials . + Maintains awareness of all concurrent denials through interaction… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Case Manager (CM) Certified position is a registered nurse (RN) responsible for comprehensively planning for case management of a ... in case management **LICENSES AND CERTIFICATIONS - REQUIRED** + Health Services\RN - Registered Nurse - Texas State Licensure and/or Compact State Licensure… more
- RWJBarnabas Health (Rahway, NJ)
- Per Diem Case Manager Registered Nurse (RN), Case ManagementReq #:0000183145 Category:Nursing Status:Per Diem Shift:Day Facility:RWJ Rahway Department:Case ... + Successful completion of all Orientation Programs Certifications and Licenses Required: + Current Registered Nurse License in the state of New Jersey + Basic… more
- Intermountain Health (Des Moines, IA)
- … and recoupment efforts. Additionally, the Manager will support coordinating efforts on clinical denials for medical necessity when needed and collaborate with ... multi-disciplinary teams; specifically related to high dollar and high volume clinical denials . + Develops and maintains new policies, procedures and guidelines… more
- AdventHealth (La Grange, IL)
- …AND EXPERIENCE REQUIRED:** . Associates Degree Nursing or RN Diploma degree . Registered Nurse (RN) . Two (2) years of medical/hospital nursing experience ... **LICENSURE, CERTIFICATION OR REGISTRATION REQUIRED:** **.** State of Illinois registered nurse license **LICENSURE, CERTIFICATION OR REGISTRATION PREFERRED:**… more
- AdventHealth (Winter Park, FL)
- …201 North Lakemont Avenue, Winter Park 32792 **The role you'll contribute:** The Nurse Clinical Expeditor is an effective steward of scarce resources, using ... by the unit of work (see competencies) **LICENSURE, CERTIFICATION OR REGISTRATION REQUIRED:** * Registered Nurse Current valid Florida State Licensure as a RN… more
- Bon Secours Mercy Health (Boardman, OH)
- …* Be mindful of revenue cycle components including scheduling, registration, clinical coverage/treatment, documentation, billing, collections, and denials . * ... effectiveness. Our hospitals, care sites and clinicians are recognized for clinical and operational excellence. **Summary of Primary Function/General Purpose of… more
- R1 RCM (Salt Lake City, UT)
- …appeals.Represent clients at telephonic hearings if needed. **Required Skills:** + Active Registered Nurse license For this US-based position, the base pay ... analytics, AI, intelligent automation, and workflow orchestration. As our ** Clinical Appeals Nurse ** , you will help...clients by serving as an expert on appeals and denials management where claims were denied by either governmental… more