• Denials Management Specialist

    St. Luke's University Health Network (Allentown, PA)
    …communities we serve, regardless of a patient's ability to pay for health care. The Denials Management Specialist reviews inpatient CMS and third party ... more
    St. Luke's University Health Network (02/12/25)
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  • RN Registered Nurse Care…

    AdventHealth (La Grange, IL)
    …skills **.** Teamwork principles **EDUCATION AND EXPERIENCE REQUIRED:** . Associates Degree Nursing or RN Diploma degree . Registered Nurse ( RN ) . ... more
    AdventHealth (02/11/25)
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  • Registered Nurse [Clinical…

    City and County of San Francisco (San Francisco, CA)
    …At least one (1) year of experience working as a Registered Nurse SPECIALTY REQUIREMENTS: + Clinical Documentation Specialist (CCDS) certification + At least ... more
    City and County of San Francisco (02/04/25)
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  • Appeal Specialist RN

    Rush University Medical Center (Chicago, IL)
    …with Rush policies and procedures. **Other information:** **Required Job Qualifications:** * Licensed, registered nurse in the State of IL with at least 5 ... more
    Rush University Medical Center (03/15/25)
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  • RN Utilization Review Specialist

    HonorHealth (Scottsdale, AZ)
    …1 year experience in UR/UM or Case Management Required Licenses and Certifications Registered Nurse ( RN ) State And/Or Compact State Licensure Required ... more
    HonorHealth (03/20/25)
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  • RN -Denial Reviewer - remote

    PeaceHealth (Vancouver, WA)
    …DRG-downgrade denials in the inpatient acute care setting Credentials + Required: Registered Nurse In state of practice or + Required: Certified Clinical ... more
    PeaceHealth (03/12/25)
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  • UR Clinical Specialist (Remote)

    Community Health Systems (Franklin, TN)
    …Knowledge of HIPAA regulations and patient confidentiality standards. **Licenses and Certifications** + RN - Registered Nurse - State Licensure and/or ... more
    Community Health Systems (03/28/25)
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  • CDI Specialist III

    Covenant Health Inc. (Knoxville, TN)
    Overview Clinical Documentation Integrity Specialist Full Time, 80 Hours Per Pay Period, Day Shift Covenant Health Overview: Covenant Health is the region's ... more
    Covenant Health Inc. (03/15/25)
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  • Utilization Management Specialist

    Sanford Health (Sioux Falls, SD)
    …for Nursing Commission for Nursing Education Accreditation (NLN CNEA). Currently holds an unencumbered registered nurse ( RN ) license with the State Board of ... more
    Sanford Health (03/13/25)
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  • Clinical Documentation and Denial…

    CaroMont Health (Gastonia, NC)
    …with Health Information Management , Utilization Review and Clinical Documentation Specialist to mitigate coding denials . This position is for CaroMont ... more
    CaroMont Health (02/21/25)
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  • Housing Specialist

    Project Renewal, Inc. (Bronx, NY)
    …psychiatric services are provided Monday through Friday, staffed by a psychiatrist, nurse practitioner, registered nurse , and a licensed practical ... more
    Project Renewal, Inc. (02/21/25)
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  • Revenue Integrity Specialist / Revenue…

    Hartford HealthCare (Farmington, CT)
    …now have our own identity with a unique payroll, benefits, performance management system, service recognition programs and other common practices across the system. ... more
    Hartford HealthCare (01/09/25)
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  • Clinical Appeals Specialist II (Remote)

    Community Health Systems (Franklin, TN)
    **Job Summary** The Appeals Specialist II, under the direction of the Director of Denial Support Services, logs and reviews per documentation guidelines for report ... more
    Community Health Systems (03/26/25)
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  • Clinical & Coding Specialist - Senior

    Independent Health (Buffalo, NY)
    Registered Health Information Technician (RHIT), Certified Clinical Documentation Specialist (CCDS), American Health Information Management Association ... more
    Independent Health (01/14/25)
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  • Utilization Review Spec Sr

    BayCare Health System (Clearwater, FL)
    …Call:** No **Certifications and Licensures:** + Required RN ( Registered Nurse ) + Preferred ACM (Case Management ) + Preferred CCM (Case Manager) ... more
    BayCare Health System (12/31/24)
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  • CDM Analyst RI Auditor

    Chesapeake Regional Healthcare (Chesapeake, VA)
    …20 years of experience as an intensive care unit, emergency department or documentation specialist nurse auditor or an LPN with a combined coding and auditing ... more
    Chesapeake Regional Healthcare (01/25/25)
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  • Licensed Clinical Social Worker Care…

    AdventHealth (Bolingbrook, IL)
    …for individuals from at-risk populations from interdisciplinary team members (including physicians, RN Care Managers, staff nurses, and other members of the care ... more
    AdventHealth (03/28/25)
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  • Social Worker/ Nurse - Care Manager Weekend…

    AdventHealth (Shawnee, KS)
    …pertinent to care management + Masters in Social Work (MSW) or RN License in Kansas + Minimum three (3) years experience in hospital/medical social work ... more
    AdventHealth (03/05/25)
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  • Medical Records Technician (Coder…

    Veterans Affairs, Veterans Health Administration (Long Beach, CA)
    …certifications include: Certified Coding Specialist (CCS), Certified Coding Specialist - Physician-based (CCS-P), Registered Health Information Technician ... more
    Veterans Affairs, Veterans Health Administration (03/22/25)
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  • Sr Coding Compliance Auditor

    Catholic Health Initiatives (Chattanooga, TN)
    …Licensure and Certifications** Coding Certification through American Health Information Management Association (AHIMA) as Certified Coding Specialist (CCS) ... more
    Catholic Health Initiatives (03/06/25)
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