- BrightSpring Health Services (Louisville, KY)
- Our Company BrightSpring Health Services Overview Director of Clinical Denials Management and Audit supervises a team of RN/LPN clinical reviewers as ... training, and ensure the denial department provides subject matter expertise around clinical denial management . This position will also support detailed level… more
- Kaleida Health (Buffalo, NY)
- ** Director Clinical and DRG Denials...**Position** Director Clinical and DRG Denials **Location** US:NY:Buffalo | Management | Full-Time ... Type: Full-Time **Shift:** Shift 1 Job Description **Summary:** The Director , Clinical & DRG Denials ...execute, support, implement, and monitor the DRG and Utilization Management Clinical Denial teams Work Plan and,… more
- Community Health Systems (Antioch, TN)
- …staff, case management , providers and central billing to resolve payment denials and clinical documentation issues. + Communicates and coordinates with ... , audit request and appeals. + Builds and analyzes management reports to identify patterns and trends, and recommends...to coding, billing, and any other issues related to denials prevention. + Performs essential clinical reviews… more
- HCA Healthcare (Nashville, TN)
- …Payer Contracting & Analytics (PCA) to assess, define and execute Denials Management strategies for HCA. The Director will establish and lead dedicated URS ... **Job Summary and Qualifications** The Utilization Review Services (URS) Director of Denial Operations collaborates with Case Management...resources focused on reducing new denials and final denial write-offs. The Director … more
- Brockton Hospital (Brockton, MA)
- PURPOSE OF POSITION: The Director of Case Management is responsible for planning, directing, and managing of the activities of the Case Management Program ... responsibilities include the development and supervision of staff (RNs, LPN's,SWs and non- clinical support), evaluation and maintenance of case management skills… more
- Prime Healthcare (Ontario, CA)
- …Responsibilities The Corporate Director of Clinical ... individual and Company performance. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/172723/corporate- director -of- clinical -utilization- management /job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilityPrime Healthcare… more
- UPMC (Pittsburgh, PA)
- …recruitment and management toolsthat promote retention. * Partner with the Director of Practice Management or designee for the development, implementation, ... programs within the service line providing direction to the management and staff regarding standards of clinical ...management and audit processes. * Work with the Director of Practice Management or designee in… more
- MD Anderson Cancer Center (Houston, TX)
- …implementation or enhancement that will impact billing and collections. + Responsible for clinical denials workload processing by team of RNs and oversight of ... therapy). This includes the evaluation and appeal of both clinical and technical denials . Position ensures that...clinical departments to include New Patient Referral, Case Management , Registration and Admitting. + Must be knowledgeable and… more
- HCA Healthcare (Greenwood Village, CO)
- …limits? Our HealthONE Hospice & Family Care team is looking for a(an) Hospice Director of Clinical Services. HCA Healthcare is an advanced healthcare network ... impact standards of care and save lives across the country? Apply today to our Hospice Director of Clinical Services and be a part of the innovation of ideas.… more
- Huron Consulting Group (Chicago, IL)
- …firm setting with a focus on hospital or physician _revenue cycle_ , and denials management . + Experience managing both onshore and offshore staff. + Team ... and medical clinics are under immense pressure to improve clinical outcomes and reduce the cost of providing patient..._revenue cycle_ -wide processes, including but not limited to denials & write-off prevention, vendor management , data… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …and leadership programs + And more **Description** We are seeking a capable ** Director , Care Management ** who has acquired broad experience in caring for ... the care of a particular patient population. + The Director , Care Management (CM) Provides oversight, direction,...authorization, medical necessity, and status designation. + The CM Director provides clinical leadership for all CM… more
- Trevecca Center for Rehabilitation and Healing (Nashville, TN)
- …data quality and maximize therapist efficiency. . Managing Medicare Medical Review and Denials Management process in conjunction with the Regional CareRite ... Assistant Director of Rehabilitation (ADOR) The Assistant Director.... Knowledge of rehab community. . Demonstrated leadership and management skills. . Skills applicable to clinical … more
- Stanford Health Care (Palo Alto, CA)
- …process preferred + Knowledge of admission criteria for all levels of care and denials management + Knowledge of case management principles, processes, and ... to delivering evidence-based and patient-centered care. We are seeking a results-driven director to further develop the framework for clinical , operational, and… more
- Houston Methodist (Houston, TX)
- …which includes identification of opportunities for appropriate utilization of resources to avoid denials and resource management as it pertains to delivery of ... At Houston Methodist, the Director Case Mgmt Social Svcs position is responsible...responsible for strategy, function and operations of the Case Management & Social Work department. This position is an… more
- RWJBarnabas Health (Newark, NJ)
- …with physicians, payors, and patients and families + Excellent working knowledge of denials management + Knowledge of professional standards for RN Case Managers ... Beth Israel Medical Ctr, 201 LYONS AVENUE, NEWARK, NJ 07112-2027 Job Title: Director of Case Management Location:Newark Beth Israel Medical Center Req#:0000189007… more
- UCHealth (Denver, CO)
- …CRC, as well as revenue cycle analytics related to patient access, collections, denials management , and other revenue cycle areas. Responsibilities: + Develops ... Director of Revenue Cycle Analytics to lead our Clinical Revenue Cycle (CRC) analytics and Administrative Revenue Cycle...denials . + Provide leadership and direction to the Clinical Revenue Cycle and Revenue Cycle Analytics teams, ensuring… more
- Aegis Therapies (Johnston, IA)
- **Area Director of Rehabilitation / State Director - CCRC** A Continuing Care Retirement Community (CCRC) offering a diverse setting with a wide range of ... throughout the continuum of care. + **Position: Iowa State Director of Rehab** + **Full time/Salaried plus Bonus** Salary...viability. Works with Rehab Team to ensure operational and clinical functions deliver desired results across defined area +… more
- Huron Consulting Group (Chicago, IL)
- …comprehensive _Physician Billing and Coding_ teams, including but not limited to denials & write-off prevention, vendor management , data insights, and systems ... Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and reduce the cost of providing patient care. Investing in new… more
- CaroMont Health (Gastonia, NC)
- …work collaboratively with Health Information Management , Utilization Review and Clinical Documentation Specialist to mitigate coding denials . This position ... Denial Management and Appeals based on departmental needs. The Clinical Documentation and Denial Specialist is responsible for assisting the denial coordinator… more
- CVS Health (Columbus, OH)
- …urgent cases can be done from your laptop. **Fundamental Components:** * Utilization management - The medical director will perform concurrent and prior ... part of a centralized team that supports the Medical Management staff ensuring timely and consistent responses to members...authorization reviews with peer to peer coverage of denials . * Appeals - The medical director … more