• Clinical Appeals Supervisor

    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
    CareFirst (11/09/24)
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  • Clinical Appeals Supervisor

    R1 RCM (Detroit, MI)
    …encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our ** Clinical Appeals Supervisor ** , you will help support ... excelling in this remote position. **Here's what you will experience working as a Clinical Appeals Supervisor :** + Track and monitor the workflow of the … more
    R1 RCM (11/01/24)
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  • Central Denials Account Representative - Hospital,…

    Guidehouse (Birmingham, AL)
    …to Insurance Companies to resolve claim denials and account balances. + Performing Non- Clinical Appeals . + Assisting Supervisor /Manager as needed with ... various projects. + Escalate payer issues/trends to a supervisor with the appropriate information or take appropriate action...+ 0-2 years medical provider experience working with UB04, appeals & denials. **What Would Be Nice to Have**… more
    Guidehouse (11/02/24)
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  • Supervisor , Appeals and Grievances…

    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
    LA Care Health Plan (09/20/24)
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  • Utilization Review Nurse - Appeals

    The Cigna Group (Bloomfield, CT)
    …related issues, implications and decisions. The Case Management Analyst reports to the Supervisor /Manager of Appeals and will coordinate and perform all appeal ... Cigna Medicare Part C Appeals Reviewer: Appeals Processing Analyst We...as well as research and provide a written detailed clinical summary for the Plan Medical Director. + Determine… more
    The Cigna Group (11/15/24)
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  • Coding Reimbursement Appeals

    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
    Glens Falls Hospital (10/16/24)
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  • Community Service Supervisor

    Louisiana Department of State Civil Service (Jackson, LA)
    Community Service Supervisor Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4731071) Apply  Community Service Supervisor Salary $4,470.00 ... as a Registered Social Worker (RSW), Licensed Master's Social Worker (LMSW) or Licensed Clinical Social Worker (LCSW). NOTE: Any college hours or degree must be from… more
    Louisiana Department of State Civil Service (11/16/24)
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  • Youth & Adult Intervention Supervisor

    Clark County, NV (Las Vegas, NV)
    …Counselor (LCADC), or Clinical Psychologist (LCP). Professional licensing as a Clinical Alcohol and Drug Counselor Supervisor (LCADC-S), LCSW Supervisor ... the following (select all that apply): + AAMFT Approved Supervisor + Clinical Alcohol/Drug Counselor Supervisor...applicant's response to each item in the assessment, score appeals will not be allowed for this recruitment. +… more
    Clark County, NV (11/16/24)
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  • CDOC (Social Worker/Counselor IV) Mental Health…

    State of Colorado (Pueblo, CO)
    CDOC (Social Worker/Counselor IV) Mental Health Supervisor - PUEBLO Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4725027) Apply  CDOC ... (Social Worker/Counselor IV) Mental Health Supervisor - PUEBLO Salary $7,087.00 - $9,922.00 Monthly Location Pueblo, CO Job Type Full Time Job Number CAA SCCF 10220… more
    State of Colorado (11/09/24)
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  • CDOC Nurse Supervisor

    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/4383689) Apply  CDOC Nurse Supervisor Salary $8,204.00 - $11,487.00… more
    State of Colorado (10/03/24)
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  • Occupational Therapist Supervisor

    State of Colorado (Pueblo, CO)
    Occupational Therapist Supervisor - Therapist IV Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4506134) Apply  Occupational Therapist ... Supervisor - Therapist IV Salary $98,000.00 Annually Location Pueblo,...care in groups or individualized treatment sessions + Provide clinical and administrative supervision to OT staff providing OT… more
    State of Colorado (10/19/24)
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  • Medical Records Technician Supervisor

    City and County of San Francisco (San Francisco, CA)
    …Team is responsible for designing, configuring, testing, implementing and training the clinical and financial aspects of the DPH Electronic Health Record. The ideal ... HIM program specifically, within the organization; + Collaborate with HIM, RC, clinical groups and operations in configuring, training and/or optimizing Epic EHR; +… more
    City and County of San Francisco (11/17/24)
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  • Clinical Liaison - NeuroTransitional Center…

    Select Medical (Dallas, TX)
    …A joint venture with Select Medical & Baylor Scott & White Health Dallas, TX ** Clinical Liaison (RN, OT, PT, or SLP)** **Full-Time, Monday through Friday 8am - 5pm** ... **Competitive base salary with monthly bonuses!** Clinical Liaisons are advocates who educate and guide patients toward the next level of care, while building… more
    Select Medical (08/27/24)
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  • Supervisor , Authorization Technician

    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
    LA Care Health Plan (10/26/24)
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  • Correctional, Youth, Or Clinical Security…

    State of Colorado (Colorado Springs, CO)
    CORRECTIONAL, YOUTH, OR CLINICAL SECURITY OFFICER II - Spring Creek Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4723533) Apply  ... CORRECTIONAL, YOUTH, OR CLINICAL SECURITY OFFICER II - Spring Creek Salary $2,276.31...in accordance with the living unit master schedule, shift supervisor and/or other administrative direction. Provide corrective cognitive, emotional… more
    State of Colorado (11/09/24)
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  • Supervisor , Care Management

    Hackensack Meridian Health (Edison, NJ)
    …functions and performance improvement activities for all care managers. The ** Supervisor , Care Management** is accountable for oversight of the department's ... requirements. **Responsibilities** A day in the life of a ** Supervisor , Care Management** at **Hackensack Meridian** **_Health_** includes: + Facilitates… more
    Hackensack Meridian Health (11/12/24)
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  • Supervisory Consumer Safety Officer/Supervisory…

    Food Safety and Inspection Service (Dodge City, KS)
    …responsibility. You will also review and render decisions on plant management appeals of in-plant level decisions and actions. Requirements Conditions of Employment ... animal science, avian medicine, food safety, infectious diseases, veterinary clinical sciences, pathobiology, biomedical sciences, veterinary anatomy, veterinary preventive… more
    Food Safety and Inspection Service (11/14/24)
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  • Billing Supervisor

    Aston Carter (Portsmouth, NH)
    Billing Supervisor Portsmouth, NH Responsibilities: + Oversee daily operations of the billing department to ensure timely submission of claims and payments. + Assist ... billing and revenue reports for management review. + Collaborate closely with clinical teams to ensure accurate documentation and coding of orthopedic procedures. +… more
    Aston Carter (11/14/24)
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  • Utilization Management Assoc / Clinical

    Hartford HealthCare (Wethersfield, CT)
    …the Clinical Resource Management Nurse with support for denials, appeals , and physician advisor communication. 5. Retrieves, manages and/or triages department ... the current, rapidly changing medical environment. *_Position Summary:_* *_ _* The Clinical Resource Management Associate is an integral part of the Care Management… more
    Hartford HealthCare (10/21/24)
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  • Clinical Assessment Manager, UAS Field…

    VNS Health (Nassau, NY)
    …of member UAS-NY for potential new members and existing members' conditions clinical , environmental, and social to establish an individual plan of care needed ... from providers, members, and care management team and renders clinical determinations in accordance with VNS Health Plans policies...a safe member centered service plan + Consult with supervisor and others in overcoming barriers in meeting goals… more
    VNS Health (10/03/24)
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