Job Description: Under supervision of the Director of Case Management, the Clinical Appeals Nurse, reviews... and appeals for reconsideration of medical services that may have been denied, either in part, or in whole, during the initial...
Under supervision of the Director of Case Management, the Clinical Appeals Nurse, reviews and appeals.... Reviews records and determines potential for appeal on denied claims. Drafts appeal letters based on clinical judgment...
Job Description: Under general supervision of the Director of Case Management, RN Case Manager provides support... quality of clinical outcomes and patient satisfaction while managing the cost of care and providing timely and accurate...
Under general supervision of the Director of Case Management, RN Case Manager provides support to the physician... and interdisciplinary team in facilitating patient care, with the underlying objective of enhancing the quality of clinical outcomes...