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69

Denials Case Management Coordinator Denial Management Jobs





Job info
 
Company
**********
Location
Hot Springs, AR
Posted Date
Jan 23, 2018
Info Source
Employer  - Full-Time  90  

RN-CASE MANAGER - CASE MANAGEMENT - FULL TIME','Full-time','RN','FULL TIME','FULL TIME','80','80','Occasional','Occasional','ARKANSAS-HOT ... the patient. ESSENTIAL FUNCTIONS: Care Management Plan Actively supports care management plans and process to measure, ... quality, patient..

 
Company
Humana Inc.
Location
Jersey City, NJ
Posted Date
Mar 23, 2021
Info Source
Employer  - Full-Time  90  

... to the Vice President, Medical Management Operations and serves as a ... functions related to HGB's Care Management programs to include predictive models, ... corresponding support. Also leads Utilization..

 
Company
**********
Location
Honolulu, HI
Posted Date
Mar 21, 2021
Info Source
Employer  - Full-Time  90  

... to the Vice President, Medical Management Operations and serves as a ... functions related to HGB's Care Management programs to include predictive models, ... corresponding support. Also leads Utilization..

 
Company
**********
Location
Modesto, CA
Posted Date
Feb 27, 2022
Info Source
Employer  - Full-Time  90  

... select positions. Summary The RN Case Manager is responsible to facilitate ... position integrates national standards for case management scope of services including: Utilization ... scope of services including:..

 
Company
**********
Location
Washington, DC
Posted Date
Apr 02, 2023
Info Source
Employer  - Full-Time  90  

HSCPC Case Manager (PRN) Day (8:30a to ... requirements)','230000VZ','The HSC Pediatric Center (HSCPC) Case Manager oversees patients' progression through ... from referral/admission through discharge. The Case Manager actively coordinates the..

 
Company
**********
Location
Orange City, FL
Posted Date
Mar 25, 2021
Info Source
Employer  - Full-Time  90  

... Conviva Care Solutions is a management services organization representing nearly 300 ... for care facilitation, inpatient care management coordination, gathering clinical information to ... to include discharges, admissions and..

 
Company
**********
Location
Durham, NC
Posted Date
Feb 25, 2022
Info Source
Employer  - Full-Time  90  

... Support (173) Operations (315) Quality/Risk Management (23) Type Contract (0) Fellowship ... Save Agent Loading... Please wait. Case Manager-DUH Gen Med Duke University ... Florida NEW! NEW! Registered Nurse..

 
Company
Humana Inc.
Location
Daytona Beach, FL
Posted Date
Jan 25, 2022
Info Source
Employer  - Full-Time  90  

... Conviva Care Solutions is a management services organization representing nearly 300 ... for care facilitation, inpatient care management coordination, gathering clinical information to ... to include discharges, admissions and..

 
Company
**********
Location
Winter Park, FL
Posted Date
Mar 01, 2022
Info Source
Employer  - Full-Time  90  

... procedures and coordinates with Care Management leadership throughout the process. ● ... to appropriate level of Care Management leadership ● Assists with End ... medical necessity and escalates potential..

 
Company
**********
Location
, KS
Posted Date
May 21, 2023
Info Source
Employer  - Full-Time  90  

... including preventive care and the management and coordination of primary and ... and prior authorization processes, including denial decisions for cases that do ... medical review and support for..

 
Company
**********
Location
Cheverly, MD
Posted Date
Feb 25, 2022
Info Source
Employer  - Full-Time  90 

... limited supervision, the Director, Care Management is accountable and responsible for ... and responsible for the 24/7 management, leadership, coordination, productivity, and operation ... and operation of system-wide care..

 
Company
**********
Location
Washington, DC
Posted Date
Feb 21, 2022
Info Source
Employer  - Full-Time  90 

Description The Case Manager Hybrid I/II will provide ... Manager Hybrid I/II will provide case management services to patients and their ... Columbia (Required) Current certification in Case Management or..

 
Company
**********
Location
Daytona Beach, FL
Posted Date
Mar 24, 2022
Info Source
Employer  - Full-Time  90  

... Conviva Care Solutions is a management services organization representing nearly 300 ... for care facilitation, inpatient care management coordination, gathering clinical information to ... to include discharges, admissions and..

 
Company
CVS Health.
Location
New York City, NY
Posted Date
Dec 27, 2021
Info Source
Employer  - Full-Time  90  

... and values. Links the quality management activities to business goals. Proactively ... influence business strategies. Responsible for management of a variety of quality ... of a variety of quality..

 
Company
**********
Location
Home, PA
Posted Date
Feb 21, 2022
Info Source
Employer  - Full-Time  90  

... and service and the appropriate management of medical resources.Job DutiesDuties and ... medical resources.Job DutiesDuties and Responsibilities:Medical Management:Takes a leadership role in medical ... a leadership role in medical..

 
Company
**********
Location
Tulsa, OK
Posted Date
Mar 21, 2021
Info Source
Employer  - Full-Time  90  

... to the Vice President, Medical Management Operations and serves as a ... functions related to HGB's Care Management programs to include predictive models, ... corresponding support. Also leads Utilization..

 
Company
Humana Inc.
Location
Portsmouth, NH
Posted Date
Mar 23, 2021
Info Source
Employer  - Full-Time  90  

... to the Vice President, Medical Management Operations and serves as a ... functions related to HGB's Care Management programs to include predictive models, ... corresponding support. Also leads Utilization..

 
Company
**********
Location
El Paso, TX
Posted Date
Feb 25, 2022
Info Source
Employer  - Full-Time  90  

... Bachelor's degree in Human Resource Management, Social or Behavioral Science, Business ... three (3) years of professional management experience, including one (1) year ... other documentation. Determine approval and/or..

 
Company
**********
Location
Kissimmee, FL
Posted Date
Feb 25, 2022
Info Source
Employer  - Full-Time  90  

... Support (173) Operations (315) Quality/Risk Management (23) Type Contract (0) Fellowship ... Loading... Please wait. Registered Nurse Case Manager FT Days AdventHealth Kissimmee, ... Florida NEW! NEW! Registered Nurse..

 
Company
Humana Inc.
Location
Green Bay, WI
Posted Date
Mar 23, 2021
Info Source
Employer  - Full-Time  90  

... to the Vice President, Medical Management Operations and serves as a ... functions related to HGB's Care Management programs to include predictive models, ... corresponding support. Also leads Utilization..

 
Company
**********
Location
Hartford, CT
Posted Date
May 28, 2023
Info Source
Employer  - Full-Time  90  

... access to mirror Inpatient Care Coordinator partner access. Coordinator peer to peer reviews with ... with Medical Directors for Pre-Service Coordinator training as needed. Complete processes ... Educate facilities..

 
Company
**********
Location
Chesterfield, MO
Posted Date
Apr 29, 2022
Info Source
Employer  - Full-Time  90 

... 100 Places to Work.”Overview: Provides case management services for members covered through ... to network providers, and other case management services. This position is part ... team of Utilization..

 
Company
**********
Location
Saint Louis, MO
Posted Date
Jan 22, 2022
Info Source
Employer  - Full-Time  90 

... calls, provides referral and other case management services for members covered through ... team of Utilization Managers and Case Managers and may provide assistance ... integration of QI processes..

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