• Denials Management Specialist

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

    AdventHealth (Altamonte Springs, FL)
    …2 years utilizing InterQual and/or MCG . Minimum of three (3) years' experience as Registered Nurse ( RN ) in an acute clinical setting . Clinical experience ... more
    AdventHealth (01/27/25)
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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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  • Clinical Documentation and Denial…

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

    BayCare Health System (St. Petersburg, FL)
    …**Weekend Requirement:** every 3rd + **On Call:** No **Certifications and Licensures:** + Required RN ( Registered Nurse ) + Preferred ACM (Case Management) + ... more
    BayCare Health System (03/12/25)
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  • CDI Specialist III

    Covenant Health Inc. (Knoxville, TN)
    Overview Clinical Documentation Integrity Specialist Part Time, 48 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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  • CDI Specialist

    Granville Medical Center (Oxford, NC)
    …of CDI. Required: Graduation from a Board-approved nursing program with current licensure as a Registered Nurse ( RN ) or Licensed Practical Nurse (LPN) in ... more
    Granville Medical Center (03/21/25)
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  • CDI Specialist

    Granville Health System (Oxford, NC)
    …of CDI. Required:# Graduation from a Board-approved nursing program with current licensure as a Registered Nurse ( RN ) or Licensed Practical Nurse (LPN) ... more
    Granville Health System (03/06/25)
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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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  • Clinical Nurse Specialist CNS

    Ascension Health (Milwaukee, WI)
    **Details** + **Specialty: Clinical Nurse Specialist ** + **Subspecialty Interest: Med-Surge** + **Schedule: Full-time Monday-Friday 8:00 am- 5:00 PM** + **Call ... more
    Ascension Health (02/18/25)
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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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  • Revenue Integrity Specialist / Revenue…

    Hartford HealthCare (Farmington, CT)
    …Business Office in Newington. *_Position Summary:_* The Revenue Integrity Specialist determines the appropriateness of patient charges, and Charge Description ... more
    Hartford HealthCare (01/09/25)
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  • Clinical & Coding Specialist - Senior

    Independent Health (Buffalo, NY)
    … Health Information Technician (RHIT), Certified Clinical Documentation Specialist (CCDS), American Health Information Management Association (CCS-H, CCS-P), ... more
    Independent Health (01/14/25)
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  • Utilization Review Nurse

    MD Anderson Cancer Center (Houston, TX)
    …degree in nursing (ADN). Experience Required: Three years of experience as a Registered Nurse . Licensure Required: Current State of Texas Professional Nursing ... more
    MD Anderson Cancer Center (03/21/25)
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  • Utilization Review Spec Sr

    BayCare Health System (Clearwater, FL)
    …then eligible for remote) + **On Call:** No **Certifications and Licensures:** + Required RN ( Registered Nurse ) + Preferred ACM (Case Management) + Preferred ... 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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