- 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 (Detroit, MI)
- …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
- Area Agency On Aging 1-b (Southfield, MI)
- …an administrative clinical setting, including 1-2 years medicaid managed care appeals process & Health/Human Services. + The ability to effectively interact with ... organizational, training, and investigative skills. The ability to conduct clinical case/documentation reviews, present findings and appeals recommendations.… more
- Molina Healthcare (Sterling Heights, MI)
- … and Grievances department. We are seeking a Registered Nurse with previous Appeals and Grievances experience and a clinical background. The candidate must ... 8:00am -5:00pm. Michigan RN license preferred. + Functions as a hands-on supervisor , providing direction and guidance to the auditing team to ensure implementation… more