- Locations: Texas, California, New York, Florida, Illinois
- Related Keywords: Denials, Denials Management, Management, RN
- RN ER Case Manager - Evening Shift (1pm-1am) at Sierra Providence East
- Tenet Health (El Paso, TX)
- ...E) Complete concurrent reviews of the medical record; F) Manage concurrent denials ; G) Review those patients with issues/special needs or extended length of stay daily with the Director of Case Management H) Complete continued stay Inter-Qual on 100% inpatients; I) Assure that...
- Mgr- Denials Management
- Scottsdale Healthcare (Scottsdale, AZ)
- Send this job to a friend Mgr- Denials Management Department: Denial Management Schedule: Full-Time Shift:...Nursingfrom an accredited NLN /CCNEinstitution State Licensure Basic Experience 5 years RN experience 2 years Utilization Management , Claims or regulatory...
- Appeals/ Denials RN
- Execu-Search (Queens, NY)
- In this newly created Appeals/ Denials position, the RN will be working alongside the hospital's talented Finance/Accounts Payable...experience to take on an exciting position and help create the hospital's Denials Management team! If you're a highly motivated nurse with a...
- Appeals/ Denials RN
- The Execu|Search Group (Queens, NY)
- ...Teaching Hospital in Queens is currently seeking a well-rounded and ambitious RN to fill the role of Appeals/ Denials Nurse. This is...to take on an exciting position and help create the hospital's Denials Management team! If you're a highly motivated nurse with...
- RN - Denials And Appeals / Rev Cycle Integrity And Traing (Registered Nurse)
- Greenville Hospital System (Greenville, SC)
- ...clinical denials and appeals of the system-wide comprehensive denials and appeals management program. Performs the necessary audits...in Nursing with five (5) years nursing experience in a hospital setting and current SC RN License required. Minimum Salary: $21.05/Hour
- Mgr- Denials Management
- Scottsdale Healthcare (Scottsdale, AZ)
- Send this job to a friend Mgr- Denials Management Department: Denial Management Schedule: Full-Time Shift:...Nursingfrom an accredited NLN /CCNEinstitution State Licensure Basic Experience 5 years RN experience 2 years Utilization Management , Claims or regulatory...
- Mgr- Denials Management
- Scottsdale Healthcare (Scottsdale, AZ)
- ...patients' expectations of service. We are currently hiring for a(n) Mgr- Denials Management Department: Denial Management Schedule:...accredited NLN /CCNE institution State Licensure Basic Experience 5 years RN experience 2 years Utilization Management , Claims or...
- Senior Denials and Appeals Analyst
- UMC Southern Nevada (Las Vegas, NV)
- ... management /utilization review processes, or managed care contract experience. Prefer: RN or Certified Coder with experience in case management and utilization review; experience in overturning clinical denials and experience with Managed Care payers, Medicare and Medicaid....
- Appeals- Denials Specialist (SH) FT-Days
- Universal Health Services, Inc. (Las Vegas, NV)
- Appeals- Denials Specialist (SH) FT-Days Job Code: 19968 Facility: Summerlin Hospital Medical Center Location: LAS...or Case Management with UR responsibilities. Technical Skills License/Certification: Current RN license in the State of Nevada. Certification as CCM desirable but...
- Senior Denials and Appeals Analyst
- University Medical Center (Las Vegas, NV)
- ...or managed care contract experience. Prefer: RN or Certified Coder with experience in case management and utilization review; experience in overturning clinical denials and experience with Managed Care payers, Medicare and Medicaid. Ability to prepare clear and concise reports,...
- RN with Case Management Implementation- Nationwide
- ACS inc (St. Louis, MO)
- ...to work for a world-class company with a great marketplace reputation, apply today. POSITION Provide expertise as a Registered Nurse ( RN ) and functional consultantto healthcare clients of ACS Healthcare Solutions. Implement case management systems,determine best practice roll-out, and...
- Case Management RN
- The Execu|Search Group (New York, NY)
- ...in the field of medicine, with responsibilities including reimbursement, denials , and Medicare. Take advantage of this exciting resume-building opportunity...Company Description Specialty Hospital Job Description As a Case Management RN for this respected facility, your primary...
- RAC Coordinator Utilization Review
- Cleveland Clinic (Independence, OH)
- ...level of care options affecting hospital revenue. Medical necessity denials issued by the RAC Contractors are evaluated for financial...Management role preferred. Required Licensure and Certification: . RN Licensure, BSN preferred. Required Physical: . Requires extensive sitting...
- Appeals Manager
- North Shore Long Island-Jewish Health System (New York, NY)
- ...utilization issues concurrently and retrospectively as they relate to potential denials related to IPRO, managed care and third party reviewers....implementation of patient care across the continuum. yyy Current NYS RN licensure required. yyy BSN preferred. yyy Minimum of 5...