- 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 (Franklin, TN)
- **Job Summary** The Coder Physician- ** Denials Management ** provides quality review and analysis of a wide range of patient medical records and ensures accuracy ... staff, corporate CHS management and/or other CHS affiliated personnel. + Possess clinical knowledge and ability to evaluate and summarize clinical records to… more
- AdventHealth (Hinsdale, IL)
- … serves as the market leader integrating practices in coordination with clinical executives, facility executive leadership, and revenue management executives. ... or leadership duties in the absence of the Executive Director . Identifies latent skills in staff and provides opportunities...business champion for new technology implementations within the revenue management team by taking part of clinical … 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
- 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
- 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
- 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
- BriteLife Recovery (Englewood, NJ)
- Job Title : Director of Revenue Cycle Management Hybrid Remote position; EST preferred General responsibilities: : Oversee the processes of Billing, Utilization ... To : Chief Revenue OfficerLocation: Remote Position Summary: The Director of Revenue Cycle Management (RCM) is...issues and implement strategies to reduce the frequency of denials . + Educate the billing, coding, and clinical… 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. Candidate ... and direct comprehensive revenue cycle-wide processes, including but not limited to denials & write-off prevention, vendor management , data insights, and systems… more
- Cleveland Clinic (Cleveland, OH)
- …controllable loss, agency use and contract terms. + Oversees the administrative and clinical denials management to include prevention, resolution, reduction, ... Leads successful and compliant professional insured insurance billing, follow-up, denials management and prevention. Facilitates continuous improvement, reduced… more
- LifePoint Health (Brentwood, TN)
- …hospital CFOs, and others to design processes for securing authorizations and preventing clinical denials . * Supports patient care performance as measured by key ... *System Director Utilization Review* *Who we are:* At Lifepoint...acute care setting managing utilization review, medical necessity and denials management .Experience leading education training programs and/or… 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
- HealthTrust Workforce Solutions (Pasadena, TX)
- …and resource management , cost control, contract compliance, quality improvement, utilization management , denials management and management of ... jobs nationwide. **_JOB SUMMARY_** The Interim Leader of Case Management Services is a Registered Nurse who participates as...will also be responsible for the appeal process regarding denials of hospitalization. The analysis of data and reporting… 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
- 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
- Texas Health Resources (Arlington, TX)
- …monitoring of care management services, manages resources and supervises care management leaders across multiple entities. The Director of Care Transition ... ** Director Care Transitions** _Are you looking for a...provides overall direction and oversight of the care management function to achieve outcomes in alignment with system… more
- Penn Medicine (Hamilton, NJ)
- …Director Summary: + To provide high quality comprehensive clinical services that include: psychiatric evaluation, medication monitoring, supportive psychotherapy, ... participates in the psychiatric on-call system. In collaboration with the Medical Director for the Outpatient Site, provides clinical and administrative… more
- UPMC (Moosic, PA)
- …interests, we invite you to learn more and apply today! The Senior Medical Director provides guidance for clinical operational aspects of the program, including ... have an exciting opportunity for a full-time Senior Medical Director to join our leadership team with UPMC Community...as a physician reviewer for cases referred by care management staff. + Ensures the quality of clinical… 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