- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Clinical Appeals Supervisor (RN) directs and coordinates the accurate implementation of the clinical appeal ... the activities and serves as a resource for associates within the Clinical Appeals and Analysis unit supporting Government Programs lines of business. We are… more
- LA Care Health Plan (Los Angeles, CA)
- Supervisor , Appeals and Grievances Clinical Operations RN Job Category: Clinical Department: CSC Appeals & Grievances Location: Los Angeles, CA, US, ... support the safety net required to achieve that purpose. Job Summary The Supervisor of Appeals and Grievances Clinical Operations (A&G) RN is responsible for… more
- R1 RCM (Salt Lake City, UT)
- …encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our ** Clinical Appeals and Denials Manager** , you will serve as ... an expert on clinical appeals and denials management. Every day...Denials Manager** + Responsible for the oversight of department supervisor (s) and overall department vision. + Mentors, supports, and… more
- Alameda Health System (San Leandro, CA)
- Care Management Clinical Appeals Specialist + San Leandro, CA + Finance + Patient Financial Svcs - Facil + Full Time - Day + Business Professional & IT + Req ... and executes the appeal process for all AHS facilities clinical appeals and third party audits. **DUTIES...Initiates the appeal process, at the direction of the Supervisor and/or physician advisors, until the case is overturned,… more
- Glens Falls Hospital (Glens Falls, NY)
- …**Job:** **Allied Health - Health Information Management* **Title:** *Coding Reimbursement Appeals Supervisor - Health Information Management (HIM) * ... but with emphasis on Inpatient Coding. Collaborates with Professional Coders, Clinical Document Improvement Specialists, "Scrubber" Edit Specialists and Providers to… more
- Genesis Healthcare (Seven Fields, PA)
- …plans to Full-Time and Part-Time team members. + **Support for New Grads & Clinical Fellows:** Our Powerback Clinical Mentorship Program kicks off on day one, ... our Clinicians in Action professional development program. Responsibilities The Denials and Appeals Specialist is responsible for the follow up of denied claims from… more
- State of Colorado (Arapahoe County, CO)
- CORRECTIONAL, YOUTH, OR CLINICAL SECURITY SUPERVISOR III - Marvin W. Foote YSC - Englewood, CO Print ... (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4797351) Apply CORRECTIONAL, YOUTH, OR CLINICAL SECURITY SUPERVISOR III - Marvin W. Foote YSC -… more
- City and County of San Francisco (San Francisco, CA)
- …looks like in action. Under general direction, the Medical Social Work Supervisor works for the Department Disability and Aging Services Hub. This position ... and Class 2940 Protective Services Worker staff. Along with supervision, this supervisor provides consultation concerning the most difficult cases and serves as… more
- State of Colorado (Sterling, CO)
- CDOC Social Worker/Counselor IV-Mental Health Supervisor - (STERLING) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4761065) Apply CDOC ... Social Worker/Counselor IV-Mental Health Supervisor - (STERLING) Salary $7,087.00 - $9,922.00 Monthly Location...of Corrections Mission: $25,000 HIRING INCENTIVE FOR FULL TIME CLINICAL PROFESSIONALS! If your goal is to build a… more
- UNC Health Care (Goldsboro, NC)
- …the Physician Advisors and subject matter experts for all audit and appeals work activities. Responsibilities: 1. Provides leadership, clinical expertise and ... denials for validity and probability to overturn, proactively gathers required clinical documentation and formulates appropriate appeals . Coordinates the denial… more
- State of Colorado (CO)
- …for a smaller clinic, a shift within a larger complex facility, or a supervisor in a specialized clinical treatment unit. This position may be required ... CDOC Nurse Supervisor Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4764859) Apply CDOC Nurse Supervisor Salary $8,204.00 - $11,487.00… more
- Lane County (Lane County, OR)
- …issuing marriage licenses and domestic partnerships, and supporting the Property Value Appeals Board. As the Recording Supervisor , your primary responsibility ... Elections and Recording Supervisor Print (https://www.governmentjobs.com/careers/lanecountyor/jobs/newprint/4787720) Apply Elections and Recording Supervisor … more
- State of Colorado (Denver, CO)
- …the social work department and in collaboration with leadership. As a student supervisor , Social Worker III is responsible for clinical and administrative ... Social Worker III (Forensics) - Clinical Services - Colorado Mental Health Hospital in...of the department's action. For more information about the appeals process, the official appeal form, and how to… more
- LA Care Health Plan (Los Angeles, CA)
- Supervisor , Authorization Technician Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time ... the safety net required to achieve that purpose. Job Summary The Supervisor , Authorization Technician supports the Utilization Management (UM) Specialist by handling… more
- RWJBarnabas Health (Oceanport, NJ)
- …activities are performed accurately, completely and timely to limit financial risk. The supervisor is responsible for submitting appeals of insurance denials in ... with the physician or nurse as needed to obtain clinical information. In addition, the Supervisor will perform employee reviews. Job Requirements: + Bachelor s… more
- Hackensack Meridian Health (North Bergen, NJ)
- …healthcare and serve as a leader of positive change. The ** Supervisor , Care Management** integrates and coordinates utilization management, care coordination, ... functions and performance improvement activities for all care managers. The Supervisor , Care Management is accountable for oversight of the department's designated… more
- Select Medical (Dallas, TX)
- …joint venture with Select Medical & Baylor Scott & White Health Dallas, TX ** Clinical Liaison (RN, OT, PT, or SLP)** **Territory includes DFW, West of 75, including ... Monday through Friday 8am - 5pm** **Competitive base salary with monthly bonuses!** Clinical Liaisons are advocates who educate and guide patients toward the next… more
- Select Medical (O'Fallon, MO)
- …Transitional Center St. Louis, MO New Location Opening quarter 1 of 2025 ** Clinical Liaison (RN, OT, PT, or SLP)** **Full-Time** **Competitive base salary with ... monthly bonuses!** Clinical Liaisons are advocates who educate and guide patients...Obtaining insurance approvals and authorizations, as well as facilitating appeals for patients + Demonstrates positive referrer satisfaction and… more
- Baylor Scott & White Health (Dallas, TX)
- **JOB SUMMARY** The Supervisor Utilization Review RN is accountable for daily oversight of the Utilization Review (UR) function, and provides direction for complex ... communication. **ESSENTIAL FUNCTIONS OF THE ROLE** + Functions as a working Supervisor for Utilization Review Department, through the monitoring of staff workload,… more
- UPMC (Erie, PA)
- …Behavioral Health at Safe Harbor is seeking a passionate **Service Coordinator Supervisor ** to lead a new initiative focused on providing case management services ... To address the growing complexity of housing instability, the **Service Coordinator Supervisor ** will follow the Cultivating Health for Success (CHFS) model. This… more