Plan is calling a Clinical Program Coordinator RN who will: Support the commercial insurance based line of business... of clinical nursing experience Experience working with physicians in the collaboration and management of patient care RN License...
with Select Medical & Baylor Scott & White Health* Dallas, TX Clinical Liaison (RN, OT, PT, or SLP) Full-Time, Monday... through Friday 8am - 5pm Competitive base salary with monthly bonuses! Clinical Liaisons are advocates who educate...
quarter 1 of 2025 Clinical Liaison (RN, OT, PT, or SLP) Full-Time Competitive base salary with monthly bonuses...! Clinical Liaisons are advocates who educate and guide patients toward the next level of care, while building relationships...
, tracks and appeals clinical denials. Supports and facilitates the design, development and implementation of Utilization... of an accredited school of nursing, with strong clinical case management experience 2. Three (3) years experience in Utilization...
Responsibilities Processes, tracks and appeals clinical denials. Supports and facilitates the design, development... Management 1. Graduate of an accredited school of nursing, with strong clinical case management experience 2. Three (3) years...
Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise... dedicated to being a vital partner for health solutions in the public sector. Acentra Health seeks a Clinical Assessor...
Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise... dedicated to being a vital partner for health solutions in the public sector. Acentra Health seeks a Clinical Assessor...
needs to assure the cost effective delivery of care. Collaborates with Clinical Leaders to implement daily services... and supervise clinical care of the interdisciplinary team in both business units. Responsible for medical review and reimbursement...
needs to assure the cost effective delivery of care. Collaborates with Clinical Leaders to implement daily services... and supervise clinical care of the interdisciplinary team in both business units. Responsible for medical review and reimbursement...
with or knowledge of Quality Measures Familiarity with utilization review, behavioral health, and/or clinical appeals and denials... care and health services business of Johns Hopkins Medicine. YOU belong here. What you will do: As the Clinical Quality...
) Independent Medical Exam(s) (IME) RN Coordinator RN Case Manager Legal Assistant Paralegal Clinical Reviewer... management relative to one or more of the following categories: utilization management, coding, claims review, clinical appeals...
history of providing health insurance that works for our members, no matter their circumstances. Job Summary: The Clinical... and ancillary claims to ensure that all reimbursement to the provider is paid accurately. The Clinical Auditor II is a liaison...
Job Summary This team member will serve in a clinical and clerical role. The team member delivers quality patient... care under the supervision of a Registered Nurse (RN) or Provider; they also provide clerical support in complex matters...
of specialty and assists nurses in developing their professional skills; may provide clinical supervision and education... to appropriate professional personnel and community resources. Participates in clinical investigations and studies in the area...
on the importance of accurate and complete clinical documentation Assign targeted DRG Analysis to CDI Appeals staff Report... and Education Responsible for hiring orientation and evaluation of CDI DRG Appeals RN Conduct ongoing evaluation of CDI Specialists...
's most skilled and highly regarded multidisciplinary team of healthcare professionals. Summary Clinical Denials Coordinator... functions as needed. Clinical Denials Coordinators are also responsible for reviewing denied accounts, establishing trends...
Resources Inc., is an Equal Opportunity Employer (EOE) M/F/D/V/SO clinical appeals, cdi specialist, CDIP, CCDS, CCS, RHIA...Clinical Documentation Specialist Full time & Part Time/Remote $32 - $52 per hour Purpose Our Clinical...
regarding additional reports or changes to reports for tracking and trending of clinical denials appeals reporting metrics... reviews of medical necessity appeals completed based on Organization payer and adverse determinations documents as to assure...
Clinical Reviewer: Must have an active RN State license Must have 1-3 years of experience in acute care utilization review...JOB TITLE (#25188): Registered Nurse / Clinical Reviewer / Remote - New York State Minimum 1-3 years of experience...
, and accreditation requirements functions include but are not limited to appeals, case management, , utilization management. Participate... requirements functions include but are not limited to appeals, case management, utilization management,. This entails reviewing...