team, and The Power of Every One. Job Title Concurrent Denial Nurse BU Location Cleveland Facility Remote Location... world. As a Concurrent Denial Nurse, you will support the Utilization Management Department by reviewing concurrent...
for expected reimbursement. Evaluates denials and non-certified days from 3rd party payors to determine appropriateness of denial... Acute/Critical Care Nursing (Adult, Pediatric & Neonatal). MCG. ABMCM Certified Managed Care Nurse. ACMA Case Management...
Title - Clinical Review Nurse- Concurrent Review Duration - 11 months Location- Remote, Compact Nursing License...-(Weekends are more of an if needed basis but holidays are rotated Pay rate: $35-42.00/hr Responsibilities Denial Letters...
Job Category: Finance Job Description: Inova Health is looking for a dedicated Registered Nurse (RN) Clinical... work schedules, and remote and hybrid career opportunities. Registered Nurse (RN) Clinical Documentation Denials Auditor...
Job Category: Administrative Job Description: MAJOR FUNCTION: The Denial and Appeals Coordinator tracks... and coordinates third party payer activity and timeliness of organizational response. Identifies, analyzes, and reports denial trends...
Appeals and Denials Nurse Manager (Onsite - Miami Beach) As Mount Sinai grows, so does our legacy in high-quality... and retrospectively, as needed. Supports the clinical denial management process, ensuring that all denials related to medical necessity...
for assisting the Nurse Denials Specialist in managing patient medical denials through the request of documentation and assistance... to assist Nurse Denials Specialist in preparing and following up on cases. Assist in preparing documentation for appeal...
Utilization Management Nurse Job Description Responsible for reviewing and documenting prior authorization... and concurrent stay requests, as well as member case histories, in compliance with policies, procedures, clinical criteria (MCG...
of services including: · Utilization Management services supporting medical necessity and denial prevention · Coordination..., securing and documenting authorization for services from payers, managing concurrent disputes, collaborating with payers...
Utilization Management Nurse Job Description Responsible for reviewing and documenting prior authorization... and concurrent stay requests, as well as member case histories, in compliance with policies, procedures, clinical criteria (MCG...
Employment Type: Full time Shift: Day Shift Description: Position Summary The Nurse Manager – Care Coordination... utilization management processes, level‑of‑care determinations, concurrent reviews, denials management, and appeals Collaborate...
RN- Utilization Review Nurse Inpatient *Hybrid* Must reside within the New York Tri-State Area - NY, NJ, or CT... and passionate RN as Utilization Review Nurse for a Full-Time position. This is an exciting and dynamic position from the comfort...
for case management scope of services including: Utilization Management supporting medical necessity and denial prevention...-disciplinary patient care conferences; Managing concurrent disputes Other duties as assigned Qualifications: Minimum...
Utilization Management Nurse Job Description Responsible for reviewing and documenting prior authorization... and concurrent stay requests, as well as member case histories, in compliance with policies, procedures, clinical criteria (MCG...
Job Title: Utilization Management NurseJob Description As a Utilization Management Nurse - Post Acute..., you will be responsible for reviewing and documenting prior authorization and concurrent stay requests, as well as member case histories...
RN- Utilization Review Nurse Inpatient *Hybrid* Must reside within the New York Tri-State Area - NY, NJ, or CT... and passionate RN as Utilization Review Nurse for a Full-Time position. This is an exciting and dynamic position from the comfort...
. 2. Communicates with attending physician and care coordination nurse around notification of denial of care to gain... to be part of Mass General Brigham. Staff Nurse - 40hr Variable Day - BWH Utilization Management Job Summary The Insurance...
, Managed Care and Business Office to improve concurrent review process to avoid denial or process delays in billing accounts...Join our dedicated healthcare team where compassion meets innovation! As a Registered Nurse with us, you'll have the...
for case management scope of services including: Utilization Management supporting medical necessity and denial prevention...-disciplinary patient care conferences; Managing concurrent disputes Making appropriate referrals to other departments; Identifying...
Join our dedicated healthcare team where compassion meets innovation! As a Registered Nurse with us, you'll have the... supporting medical necessity and denial prevention. Transition Management promoting appropriate length of stay, readmission...