- UNC Health Care (Goldsboro, NC)
- …team in order to establish appeals plan based on the type of denial. 7. Conducts case studies for those complex denials in order to plan appeal strategies and to ... the team in the strategy to appeal all clinical denials . Provides the clinical expertise to draft the first...1. Provides leadership, clinical expertise and organization to the Denials Management Team. 2. Stays up to date and… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Case Management (CM) Coordinator position is a proficient CM representative that provides technical, clerical and data management ... support to the case management and social work department staff to facilitate...other community resources and transportation. In addition, the CM Coordinator position anticipates independent actions necessary to provide competent… more
- Sharp HealthCare (San Diego, CA)
- …patient care, SNF, home health, or hospice settings. + Experience as a case manager or discharge planner interacting with managed care payers. + Experience with ... hospital stay beginning with the admission review of the case manager and reviews with the Case ...accurately follows Health Plan and/or Medicare Guidelines when issuing denials .Ensures that all denials for medical necessity… more
- Project Renewal, Inc. (New York, NY)
- …for extended periods to review the client data and update the information in the case management systems. Further, the Housing Coordinator must be able to lift ... Housing Coordinator Nursing - Kenton Hall, 333 Bowery, New...addition to on-site rehabilitation services, our comprehensive services include case management, individual and group counseling, recreational activities and… more
- Kaleida Health (Buffalo, NY)
- **Coding Quality Coordinator ** **Location:** Larkin Bldg @ Exchange Street Location of Job: US:NY:Buffalo Work Type: Full-Time **Shift:** Shift 1 Job Description ... **Summary:** The Coding Quality Coordinator (CQC) professionals ensures accurate coding and data collection for reimbursement. They strive to promote an accurate and… more
- Hackensack Meridian Health (Neptune, NJ)
- …transform healthcare and serve as a leader of positive change. The **Care Coordinator , Utilization Management** is a member of the healthcare team and is responsible ... the patient's treatment. Accountable for a designated patient caseload; the Care Coordinator , Utilization Management plans effectively in order to manage length of… more
- Hackensack Meridian Health (Holmdel, NJ)
- …transform healthcare and serve as a leader of positive change. The **Care Coordinator , Utilization Management** is a member of the healthcare team and is responsible ... the patient's treatment. Accountable for a designated patient caseload; the Care Coordinator , Utilization Management plans effectively in order to manage length of… more
- UNC Health Care (Hendersonville, NC)
- …of the unique communities we serve. Summary: The Recovery Audit Contractor (RAC) Coordinator (RN) is responsible and accountable for all Care Management Denial and ... (RAC) requests and follow-ups, including tracking of approvals and denials as well as coordinating and completing the appeal...certification Preferred * Experience working in a care / case management capacity. * Certified Case Manager… more
- Brockton Hospital (Brockton, MA)
- PURPOSE OF POSITION: The Director of Case Management is responsible for planning, directing, and managing of the activities of the Case Management Program for ... of staff (RNs, LPN's,SWs and non-clinical support), evaluation and maintenance of case management skills and outcomes, management of all policies and procedures, and… more
- Complete Specialty Solutions (Katy, TX)
- Job description Oral Surgery/Perio/Endo - Treatment Coordinator * Houston area applicants only * Must have a minimum of 1 year recent experience in an OS practice ... pediatric dental offices. We are looking to add a full-time Specialty Treatment Coordinator (TC) to our team. This role is primarily remote, with occasional travel… more
- HCA Healthcare (Coppell, TX)
- …Do you have the PRN career opportunities as a Occupational Medicine Care Coordinator PRN you want with your current employer? We have an exciting opportunity ... group of colleagues. Do you want to work as a Occupational Medicine Care Coordinator PRN where your passion for creating positive patient interactions is valued? If… more
- Complete Specialty Solutions (Houston, TX)
- …model provides an exceptional level of care; and we are adding a full time Treatment Coordinator (TC) to our team. At the heart of our success is a relentless focus ... services into independent general and pediatric dental offices. The Treatment Coordinator serves to provide remote training to enhance office efficiency and… more
- Complete Specialty Solutions (TX)
- …an exceptional level of care; and we are adding a full time Treatment Coordinator (TC) to our team. Position Overview: This role will support the integration of ... services into independent general and pediatric dental offices. The Treatment Coordinator serves to provide remote training to enhance office efficiency and… more
- Nuvance Health (Danbury, CT)
- …Monday-Friday 8:30am-5:00pm, and 1 weekend per month Summary: The Clinical Care Coordinator - Unit is responsible for providing direction and leadership to the ... new patients daily and collaborates with Social Worker to manage elements of case . Collaborates with Care Coordination assistants to meet the administrative needs of… more
- Behavioral Center of Michigan (Warren, MI)
- Under general supervision, the Utilization Review Coordinator provides professional assessment, planning, coordination, implementation and reporting of complex ... supports the operations of Samaritan Behavioral Center. The Utilization Review Coordinator reviews the patient's chart and records clinical information and criteria.… more
- RWJBarnabas Health (West Long Branch, NJ)
- Coordinator SchedulingReq #:0000181679 Category:Billing/Collections/Registration Status:Full-Time Shift:Day Facility:Barnabas Health Medical Group ... Functions: + Accurately obtains all missing information needed from initial scheduling of case + Schedules cases with a high level of accuracy and brings questions… more
- CommonSpirit Health at Home (Elizabethtown, KY)
- …support functions for site leadership which may include: mailing consolidated billing denials , handling third party payor single case agreements, invoice coding ... elevating their quality of life to new heights. **Responsibilities** The Site Operations Coordinator performs a wide range of functions critical to the success of… more
- Prime Healthcare (Boonton Township, NJ)
- …continuum of the health care management. Responsible for contacting external case managers and managed care organizations for pre-authorization, concurrent reviews ... and appeals/ denials management throughout the duration of a consumer's stay....experience in direct care (inpatient or outpatient) mental health, case management, discharge planning or nursing management is preferred.… more
- Compass Family Services (San Francisco, CA)
- …to Diversity, Equity, Inclusion, and Belonging I Resourceful Responsibilities: The Case Manager (also called Resource and Housing Specialist) works directly with ... Program, assess family needs, explore available housing options using case management/problem-solving strategies, support with housing location, and provide… more
- Hackensack Meridian Health (Hackensack, NJ)
- …healthcare and serve as a leader of positive change. The Integrated Case Management Specialist performs selected services and functions related to insurance ... Oversees the sorting and distribution of mail in the department. Answers case management and social work phones. Medicaid appointment, all discharge functions for… more