- Locations: Texas, California, Florida, New York, Massachusetts
- RN ER Case Manager - Evening Shift (1pm-1am) at Sierra Providence East
- Tenet Health (El Paso, TX)
- ...without problem; D) Review the medical record for utilization patterns; 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...
- Resource Case Manager
- Bethesda Healthcare (Boynton Beach, FL)
- ...to utilization and quality with the primary responsibility for coordinating denials and appeals. *Participates in data collection and analysis of...and the Quality Improvement/Case Management Department as requested. EDUCATION: A Nurse with current license in the State of Florida and...
- Appeals/ Denials RN
- Execu-Search (Queens, NY)
- ...perspective. This well-established Community Teaching Hospital in Queens is currently seeking a well-rounded and ambitious RN to fill the role of Appeals/ Denials Nurse . This is an outstanding opportunity for a driven RN with solid clinical and appeals/ denials experience to take on...
- Appeals/ Denials RN
- The Execu|Search Group (Queens, NY)
- ...Opportunity This well-established Community Teaching Hospital in Queens is currently seeking a well-rounded and ambitious RN to fill the role of Appeals/ Denials Nurse . This is an outstanding opportunity for a driven RN with solid clinical and appeals/ denials experience to take on...
- RN - Denials And Appeals / Rev Cycle Integrity And Traing (Registered Nurse )
- Greenville Hospital System (Greenville, SC)
- Job Description: Responsible for the coordination and resolution of the clinical denials and appeals of the system-wide comprehensive denials and appeals management program. Performs the necessary audits to evaluate the revenue cycle process and educates staff on issues impacting...
- Appeals- Denials Specialist (SH) FT-Days
- Universal Health Services, Inc. (Las Vegas, NV)
- Appeals- Denials Specialist (SH) FT-Days Job Code: 19968 Facility:...Job BankAmerican Case Management AssociationAmerican Health Information Management AssociationAmerican Nurse TodayAmerican Occupational Therapy AssociationAmerican Payroll AssociationAmerican Physical Therapy...
- Registered Nurse /RN/ Nurse -Position (Utilization Management Mange
- Unknown (Long Beach, CA)
- CompanyNurse Resolutions Job Title Registered Nurse /RN/ Nurse -Position (Utilization Management Manger) Job Code Job...regards to Medicare and Medi-Cal integration processes: Referrals, Service Denials , Member Appeals, Benefit Interpretation. Contributes to the achievement of...
- Sr. Research Nurse
- Johns Hopkins University (Baltimore, MD)
- Sr. Research Nurse Requisition #: 41402 Role: ACRP Level: 4 Range: MF Status: Full Time Hours Worked: 37.5 Work...process for phase I subjects. Assures appropriate staff members are aware of insurance denials and follows up on status of appeals, etc. In conjunction with PI/study team,...
- Nurse Registered Nurse Care Coordinator (Full-time &
- Hospital Jobs Online (Fort Lauderdale, FL)
- ...ensuring admissions meet criteria for appropriateness of care and medical necessity. Manages the process to review and, as appropriate, appeal denials received from payors. Coordinates the discharge planning process ensuring involvement of all members of the healthcare team. Counsels with...
- Utilization Review Nurse
- UMC Southern Nevada (Las Vegas, NV)
- 17192 - Utilization Review Nurse Open Date: 2009-06-02 Closing Date: 2009-12-14 Exam #: 09-8530 Division:...whether care provided is within established parameters and determining whether denials of reimbursement should be appealed. Reviews patient admissions for appropriateness,...
- Compliance Specialist (Registered Nurse - RN)
- Maxim Healthcare Services (Dallas, TX)
- Title: Compliance Specialist (Registered Nurse - RN) Location: TX-Dallas Maxim Healthcare Services is one of the leading...of care, quality indicators, medical necessity, lengths of stay, billing and denials . * Makes proposals related to compliance and continuous quality improvement. *...
- Utilization Management Nurse
- Continuum Health Partners (New York, NY)
- ...a Utilization Nurse at St. Lukes Hospital. Job Description: We are seeking a Utilization Nurse at our Utilization Management Department with appeals/ denials and utilization/insurance experience. Requirements: Current NYS RN License At least 2yrs current UM experience with...
- Quality Assurance Nurse
- Gentiva (Sandy Springs, GA)
- ...benefits and a positive work environment. As a Quality Assurance Nurse , you will: *Review all Medicare client charts and files...the receipt of denial notices. Assess the validity of these denials and respond with additional information. Inform the Director of Home...
- Clinical Reimbursement Analyst
- Prestige Staffing (Dallas, TX)
- ...Analyst Description Prestige Staffing is seeking a Licensed Vocational/Practical Nurse for an opportunity in Fort Worth with a...experience *working with government and non-government payors appeals and denials -Excellent written verbal and communication skills Prestige Staffing is...