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UNIVERSITY OF UTAH HEALTH Logo
Manager, Case Management
UNIVERSITY OF UTAH HEALTH

Salt Lake City, Utah

Featured!
UNIVERSITY OF UTAH HEALTH Logo
RN Case Manager
UNIVERSITY OF UTAH HEALTH

Salt Lake City, Utah

Featured!
QTC Medical Logo
Case Manager-Healthcare
QTC Medical

Chantilly , Virginia

Off-Site Mobile Case Worker
+MEDRITE

New York, New York

MultiCare Health System Logo
Child, Youth, and Family Therapist
MultiCare Health System

Lakewood, Washington

NEW!
Vanderbilt Health Logo
VMG Psychotherapist
Vanderbilt Health

Nashville, Tennessee

NEW!
MultiCare Health System Logo
Infant and Early Childhood Mental Health Therapist
MultiCare Health System

Burien, Washington

NEW!
Baylor Scott & White Health Logo
Member Navigator
Baylor Scott & White Health

Temple, Texas

NEW!
CASE MANAGEMENT NURSE
Natividad

Salinas, California

NEW!
Mary Washington Healthcare Logo
Social Worker - PRN - Days
Mary Washington Healthcare

Fredericksburg, Virginia

NEW!
Centura Health / CommonSpirit Health Logo
Social Worker LCSW PRN
Centura Health / CommonSpirit Health

Layton, Utah

NEW!
Vanderbilt Health Logo
Workers Compensation Specialist (Registration exp or Access Spec background preferred) - HYBRID
Vanderbilt Health

Nashville, Tennessee

NEW!
CHRISTUS Health Logo
RN, Registered Nurse - Neuro Step Down - 8NT - PART TIME
CHRISTUS Health

Corpus Christi, Texas

NEW!
MultiCare Health System Logo
Mental Health Therapist BA
MultiCare Health System

Puyallup, Washington

NEW!
Veterans Affairs, Veterans Health Administration Logo
Senior Social Worker (HUD/VASH)
Veterans Affairs, Veterans Health Administration

Merced, California, California

NEW!
Optum Logo
RN Call Assist, The Everett Clinic - Remote
Optum

Everett, Washington

NEW!
Mary Washington Healthcare Logo
Coordinator, Clinical Care (Hub)-Stafford Hospital-PRN Nights
Mary Washington Healthcare

Stafford, Virginia

NEW!
Mary Washington Healthcare Logo
New Grad RN Residency - MWH Medical Care Center
Mary Washington Healthcare

Fredericksburg, Virginia

NEW!
Mary Washington Healthcare Logo
LPN Home Health- FT
Mary Washington Healthcare

Fredericksburg, Virginia

NEW!
Optum Logo
Preservice, Prior Authorization Review Nurse - Remote
Optum

Charleston, West Virginia

NEW!
Akron Children's Hospital Logo
Outpatient Mental Health Therapist - Sleep - $5K Bonus
Akron Children's Hospital

Akron, Ohio

NEW!
MultiCare Health System Logo
RN-Case Manager PACE
MultiCare Health System

Tacoma, Washington

NEW!
CHRISTUS Health Logo
RN, Registered Nurse Care Manager - Case Management - Full Time
CHRISTUS Health

Longview, Texas

NEW!
Harris Health System Logo
Sr. Clinical Opns Analyst
Harris Health System

Houston, Texas

NEW!
MultiCare Health System Logo
Autism Nurse Navigator RN
MultiCare Health System

Tacoma, Washington

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Care Manager Clinical Denials
JOB SUMMARY: The Care Manager Clinical Denials (CM-CD) is responsible for the management of clinical audits and denials related to inpatient medical necessity and/or level of care, and coding. The CM-CD reviews patient medical records and all other pertinent patient information, and applies clinical and regulatory knowledge, screening criteria and judgment, as well as knowledge of payor requirements and denial reason codes/rationale, to determine why cases are denied and whether an appeal is required. For all inappropriate denials, relevant information is submitted, according to each payor's appeal timeframes, through denial management tracking software with bi-directional interface with physician advisor appeal coordinat


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