- State of Colorado (Grand Junction, CO)
- Board Certified Behavior Analyst (BCBA), ( Clinical Behavioral Specialist II ) - Grand Junction Print ... (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4770759) Apply Board Certified Behavior Analyst (BCBA), ( Clinical Behavioral Specialist II ) -… more
- State of Colorado (CO)
- CDOC Addiction Specialist II Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4765768) Apply CDOC Addiction Specialist II Salary ... Number CAA Statewide D&A 01/2025 Department Department of Corrections Division Clinical and Correctional Services Opening Date 12/19/2024 Closing Date 6/30/2025 4:00… more
- Priority Health Care (Marrero, LA)
- JOB SUMMARY: The Revenue Cycle Specialist II must adhere to the Code of Ethical Conduct and foster positive relationships within the company, across departments, ... response from third-party payors, processing payor denials, documentation requests, and appeals , and monitoring day-to-day activities related to appeal follow-up and… more
- State of Colorado (Denver, CO)
- Health Care Tech II - Transitional Care Specialist MHTL- Westminster Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4780128) Apply Health ... Care Tech II - Transitional Care Specialist MHTL- Westminster Salary...documents refusals of medications and reports this to the clinical team; and all information relevant to all aspects… more
- Guthrie (Sayre, PA)
- Position Summary: Fulfills all requirements of Insurance Specialist I, as well as serving as a group leader by participating in staffing and employment issues. ... Serves as a resource specialist within the department. Trains Insurance Billing Specialists I...to complete all types of complex insurance billings and appeals . Reviews and analyzes the insurance processing procedures to… more
- Dignity Health (Bakersfield, CA)
- …position is remote** **within California** **.** **Position Summary:** As a Delegation Management Specialist II , you will play a critical role in managing and ... Dignity Health MSO is dedicated to providing quality managed care administrative and clinical services to medical groups hospitals health plans and employers with a… more
- MetLife (Bloomfield, CT)
- …with both external and internal resources, such as physicians, attorneys, clinical /vocational consultants as needed to gather data such as medical/occupational ... and thorough manner. Identifies and refers appropriate matters to our appeals , complaint, or litigation support areas. Essential Business Experience and Technical… more
- MetLife (Tampa, FL)
- …with both external and internal resources, such as physicians, attorneys, clinical /vocational consultants as needed to gather data such as medical/occupational ... and thorough manner. Identifies and refers appropriate matters to our appeals , complaint, or litigation support areas. Essential Business Experience and Technical… more
- LA Care Health Plan (Los Angeles, CA)
- …dates for each file. Inform nurses of a new case received from Grievance and Appeals Specialist .; submit all Grievances and Appeals response letters to ... Authorization Technician II Job Category: Clinical Department: Utilization...to achieve that purpose. Job Summary The Authorization Technician II supports the Utilization Management (UM) Specialist … more
- State of Colorado (Denver, CO)
- …the social work department and in collaboration with leadership. The Social Worker II provides autonomous clinical service provision by ensuring their work ... Social Worker II - Colorado Mental Health Hospital in Fort...interventions and comprehensive aftercare plans with placement. Services include clinical assessment, treatment planning, individual therapy, group therapy, family… more
- State of Colorado (Crowley County, CO)
- CDOC Mental Health Counselor Social Worker/Counselor II (Arkansas Valley) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4718727) Apply CDOC ... Mental Health Counselor Social Worker/Counselor II (Arkansas Valley) Salary $6,122.00 Monthly Location Crowley County, CO Job Type Full Time Job Number AVCF SWC … more
- State of Colorado (Denver, CO)
- …on CDHS recruiting events! CDHSCareers Description of Job About this job: This Clinical Therapist II position exists to provide recreation therapy services using ... In addition to assisting with streamlining TR service delivery, the Clinical Therapist II position participates in Therapeutic Activity Department… more
- State of Colorado (Pueblo, CO)
- CDOC Psychologist II (Pueblo) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4779145) Apply CDOC Psychologist II (Pueblo) Salary ... Number Psychologist SCCF 680 1/2025 Department Department of Corrections Division Clinical and Correctional Services Opening Date 01/16/2025 Closing Date 1/30/2025… more
- State of Colorado (Denver, CO)
- …Location Denver, CO Job Type Full Time Job Number Den 14021 PharmTech II 01/2025 Department Department of Corrections Division Clinical and Correctional Services ... PHARMACY TECHNICIAN II - Denver Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4798958) Apply PHARMACY TECHNICIAN II - Denver Salary… more
- Novant Health (Winston Salem, NC)
- …up to $5,000 at qualifying locations! Novant Health is seeking an experienced Therapist II for our clinical team on the Inpatient Psychiatric Unit at Forsyth ... such as petitioning for guardianship and navigating the Medicare appeals process. + Willingness to cross train between Inpatient...required. + For the Substance Use Therapist role, Licensed Clinical Addiction Specialist or Licensed Clinical… more
- Hackensack Meridian Health (Hackensack, NJ)
- …departments to reduce clinical denials by: I. Peer-to Peer (P2P) Concurrent appeals ii . Written Concurrent appeals iii. Recovery Audit Contractors & ... **Overview** The Senior Utilization Review Specialist collaborates with the healthcare team in the...and resolution of activities that assure the integrity of clinical records for the patient population and Hackensack UMC.… more
- University of Rochester (Rochester, NY)
- …Position Summary Serves as the patient referral and prior authorization specialist , with oversight of data and compliance to enterprise standards and ... referral and prior authorization guidelines. Communicates regularly with patients, families, clinical and non- clinical staff, identifying barriers to appointment… more
- Trinity Health (Newtown Square, PA)
- …and references in the assignment of Internal Classification of Diseases, Clinical Modification diagnosis and procedure codes, and Current Procedural Terminology / ... of current, compliant coder query practices when consulting with physicians, Clinical Documentation Specialists (CDS) or other healthcare providers when additional… more
- Whitney Young Health Center (Albany, NY)
- Claims Coding Specialist (Req 100825) Albany, NY (http://maps.google.com/maps?q=526+Central+Ave+Albany+NY+USA+12206) Apply Description GENERAL RESPONSIBILITIES: ... including revenue and rate codes in addition to category II coding for our value base payment arrangements.Please note,...function; reviews the work of other medical coding and clinical staff to ensure compliance with departmental policies and… more
- State of Colorado (Trinidad, CO)
- …Location Trinidad, CO Job Type Part Time Job Number CAA TCF DCA II C6Q2XX 12.2024 Department Department of Corrections Opening Date 01/03/2025 Closing Date 1/30/2025 ... assessment, diagnosis and treatment of patients in a prison clinical setting. Assures daily completion of dental clinic operations...of the department's action. For more information about the appeals process, the official appeal form, and how to… more