- Locations: Illinois, California, Pennsylvania, Florida, Massachusetts
- Related Keywords: Care, Care Coordinator, Coordinator, Denial, Denial Management, Management
- Supervisor, Specialty Case Review
- CVS Caremark (Northbrook, IL)
- ...program operationsEducationPharmD or RpH degree.ExperienceExperience 3-5 years experience in acute care , ambulatory care or home care ...processes and procedures to health plan/employer specifics, and review of denial management processes. - Documentation and validation of...
- Nurse Reviewer
- Hawaii Medical Service Association (Honolulu, HI)
- ...criteria and knowledge of standard practice to determine the appropriateness of care for all HMSA lines of business. Duties and Responsibilities: *...pharmaceutical management is unclear, 2) there is a potential denial of services, or 3) a potential of reducing the length...
- Coordinator Reimbursement, Customer Svc and Denial Mgt
- Northside Hospital (Atlanta, GA)
- ...resultsFinance & Acctg Job Description At Northside, we realize that the care we deliver is only as good as the people who deliver... Denial Managementto join our team.The Reimbursement, Customer Service & Denial Management Coordinator will oversee all aspects of...
- Clinical Care Coordinator
- WVU Healthcare (Morgantown, WV)
- ... Care Coordinator Summary: The Clinical Care Coordinator comprehensively plans for Care Management of targeted...resource management , including denial management , utilization management , access to the appropriate level of care , discharge planning,...
- Part Time Utilization Management Coordinator
- Hickory Trail Hospital (Desoto, TX)
- The UR Coordinator is responsible for assisting with the treatment activities offered to the...establishment of treatment plans, interface with the treatment team/external case managers/managed care organizations and implementation and supervision of the discharge planning. Case...
- Utilization Management Coordinator
- Universal Health Services, Inc. (Highlands Ranch, CO)
- Utilization Management Coordinator Job Code: 23356 Facility: Highlands Behavioral Health Location:...Full Time Job Level: Minimum Education Required: Master's Degree Skills: Health Care ->Social Work/Case Management Category: Professionals FTE: 1.0 Position...
- Alternative Care Coordinator
- Kaiser Permanente (Silver Spring, MD)
- Title: Alternative Care Coordinator Location: Silver Spring MDPURPOSE: (One sentence summary of the job...of alternative community, local, state, and federal resources. 12. Document rational for denial letters in the letter management system (LMS) within mandated...
- Appeals Nurse Coordinator - Care Management
- Johns Hopkins Bayview Medical Center (Baltimore, MD)
- Job Details: Bachelors Degree in Nursing required Maryland RN license and CPR certification required Job Duties: Reduces adjusted denial rate through recovery and prevention for the Medical Center by reviewing payors' decisions to deny reimbursement to the Medical Center and identifying...
- Alternative Care Coordinator
- Kaiser - Mid-Atlantic (Silver Spring, MD)
- ...Collaborates with the member/member's family, and the Multi-disciplinary Health Care Team (Primary Care Physicians, Specialty Physicians, and...local, state, and federal resources. 12. Document rational for denial letters in the letter management system (LMS)...
- Alternative Care Coordinator
- Kaiser Permanente (Rockville, MD)
- ...1. Collaborates with the member/member's family, and the Multi-disciplinary Health Care Team (Primary Care Physicians, Specialty Physicians, and...community, local, state, and federal resources. 12. Document rational for denial letters in the letter management system (LMS)...
- Utilization Management Coordinator
- UHS - Highlands Behavioral Health System (Littleton, CO)
- The Utilization Review Coordinator assists in the operations of the Utilization Review Department and ensures compliance with patient care quality standards. Coordinates activities in the process of evaluating the use of professional medical care , services, procedures and...
- HIM Revenue Enhancement Coordinator
- Caritas Christi Health Care Systems (Boston, MA)
- HIM Revenue Enhancement Coordinator Caritas St. Elizabeth's Medical Center Boston - Department: Coding & Analysis...Using official Coding rules: Position will review and resolve rejections and denial management using Denials Guru application, Claimstrust, and documentation...
- Clinical Care Coordinator
- WVU Healthcare (Morgantown, WV)
- ... Care Coordinator Summary: The Clinical Care Coordinator comprehensively plans for Care Management of targeted...resource management , including denial management , utilization management , access to the appropriate level of care , discharge planning,...
- Ambulatory Services Manager
- Johns Hopkins University (Baltimore, MD)
- ...Records Room Staff, Clerical Staff, and Phlebotomy Staff. Supervise Clinic Coordinator for Rockland Practice. Collaborates with manager for County Program,...record of increasing job responsibility linked to accomplishments in health care management . Must have the ability to build...