• Clinical Appeals Supervisor

    R1 RCM (Detroit, MI)
    …encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our ** Clinical Appeals Supervisor ** , you will help support ... excelling in this remote position. **Here's what you will experience working as a Clinical Appeals Supervisor :** + Track and monitor the workflow of the … more
    R1 RCM (04/18/25)
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  • Clinical Safety Security Supervisor

    State of Colorado (Denver, CO)
    Clinical Safety Security Supervisor III- Fort Logan Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4960013) Apply  Clinical Safety ... safe environment for patients, personnel, and visitors, providing assistance to the clinical staff in the various types of patient treatment programs, assisting with… more
    State of Colorado (06/03/25)
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  • CDOC Social Worker/Counselor IV-Mental Health…

    State of Colorado (Pueblo, CO)
    CDOC Social Worker/Counselor IV-Mental Health Supervisor - (PUEBLO) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4971450) Apply  CDOC Social ... Worker/Counselor IV-Mental Health Supervisor - (PUEBLO) Salary $7,087.00 - $9,922.00 Monthly Location...leadership, supervision, oversight and vision for the mental health clinical program. This position is responsible for, but not… more
    State of Colorado (06/11/25)
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  • Nursing Supervisor - Nurse III - Colorado…

    State of Colorado (Denver, CO)
    Nursing Supervisor - Nurse III - Colorado Mental Health Hospital in Fort Logan (S. Denver) Print ... (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4961360) Apply  Nursing Supervisor - Nurse III - Colorado Mental Health Hospital in Fort Logan (S.… more
    State of Colorado (06/05/25)
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  • Certified Coding Supervisor - Health…

    Ventura County (Ventura, CA)
    Certified Coding Supervisor - Health Information Management Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4892159) Apply  Certified Coding ... Supervisor - Health Information Management Salary $94,952.15 - $132,946.07...Information Management (HIM) department related to coding and CDI ( clinical documentation improvement). The ideal candidate will have a… more
    Ventura County (06/12/25)
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  • Clinical Liaison - NeuroTransitional Center…

    Select Medical (Dallas, TX)
    …A joint venture 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 and guide patients toward the next level of care, while building… more
    Select Medical (06/10/25)
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  • Supervisor - Coding | 40 hours per week…

    Great River Health (West Burlington, IA)
    …Job Details: Scheduled Hours: Day Shift Job Description: A Brief OverviewThe Supervisor Coding is responsible for ensuring coding processes and workflow between ... also assist with reports, annual planning, and budgeting. The supervisor will participate in ongoing policy and procedure review,...in clinic POC meetings + Coordinates denial review and appeals for HIM + Perform direct supervision of staff,… more
    Great River Health (05/29/25)
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  • Lead Health Technician (Telehealth Clinical

    Veterans Affairs, Veterans Health Administration (Louisville, KY)
    …informal complaints of employees and referring others, such as formal grievances and appeals , to the supervisor or an appropriate management official. Work ... Summary The Lead Health Technician (Telehealth Clinical ) provides direct leadership to a team of...direction relating to the telehealth program. Working with the supervisor to develop assignments for team members in order… more
    Veterans Affairs, Veterans Health Administration (06/06/25)
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  • Clinical Safety Specialist I - Cmhhip

    State of Colorado (Pueblo, CO)
    Clinical Safety Specialist I - CMHHIP Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4957279) Apply  Clinical Safety Specialist I - CMHHIP ... in patient-care areas, works with the treatment teams, and assists nursing and clinical staff to ensure a safe and therapeutic environment. This position will assist… more
    State of Colorado (05/31/25)
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  • Member Appeal & Grievance Coordinator-ACO-CC

    Fallon Health (Worcester, MA)
    …the nation's top health plans for member experience, service, and clinical quality. We believe our individual differences, life experiences, knowledge, ... LinkedIn. **Brief summary of purpose:** The Fallon Health (FH) Appeals and Grievance process is an essential function to...rotational in-office calendar or at the direction of a supervisor or manager. Answers telephone calls via ACD queue,… more
    Fallon Health (05/29/25)
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  • Physician Advisor

    WMCHealth (Valhalla, NY)
    …of aggregate denials/ appeals with the Medical Director, peer, or the Clinical Review Supervisor . + Provides continuous education to physicians as needed ... within the regulatory timeframe of the request. + Provides clinical rational for standard and expedited appeals ....Provides clinical rational for standard and expedited appeals . + Participate in peer-to-peer review with payors and/or… more
    WMCHealth (05/22/25)
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  • Administrative Physician (Paratransit Support)

    MTA (Brooklyn, NY)
    …SALARY : $ 190,000 - $ 195,000 DEPT/DIV: HQ/ Occupational Health Services (OHS) SUPERVISOR : Assistant Medical Director HOURS OF WORK: 7.5 hours per day LOCATION: 300 ... 3 days per week serving on the Paratransit Eligibility Appeals Board. The physician will provide medical expertise and...cases. + Work with Assistant Medical Director and other clinical staff members as needed on for medical policy… more
    MTA (04/28/25)
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  • Insurance Coordinator - Corporate Patient AR Mgmt…

    Guthrie (Sayre, PA)
    …well as identifies, analyzes and takes the necessary action to submit complex appeals to insurance payers. Reviews all medical chart and account documentation in ... to determine appropriate coding and initiate corrected claims and appeals . Interprets payer guidelines, regulatory guidelines, contractual obligations and works… more
    Guthrie (05/28/25)
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  • Physician Advisor

    WMCHealth (Suffern, NY)
    …of aggregate denials/ appeals with the Medical Director, peer, or the Clinical Review Supervisor . + Provides continuous education to physicians as needed ... within the regulatory timeframe of the request + Provides clinical rational for standard and expedited appeals . + Participate in peer to peer review with payors… more
    WMCHealth (06/10/25)
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  • Client Care Aide I (Flex Pool) - Colorado Mental…

    State of Colorado (Pueblo, CO)
    …in lower-security community reintegration settings. Duties in this position include: Clinical Skills: + Responsible for administering nursing care, both psychiatric ... communicates by actively listening and sharing relevant information with co-workers, supervisor (s), and customers to anticipate problems and ensure the effectiveness… more
    State of Colorado (05/30/25)
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  • Account Representative - (Museum District)

    Houston Methodist (Houston, TX)
    …providing verbal and written communication. + Identifies denial trends and notifies supervisor and/or manager to prevent future denials and further delay in ... support to other team members as advised by the manager and/or supervisor . **SERVICE ESSENTIAL FUNCTIONS** + Completes special projects to improve team performance,… more
    Houston Methodist (05/23/25)
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  • CDOC Mental Health Counselor Social…

    State of Colorado (Chaffee County, CO)
    …Number BV SWC II 2105 06/2025 Department Department of Corrections Division Clinical and Correctional Services Opening Date 06/11/2025 Closing Date 6/24/2025 4:00 PM ... include formal and informal mental health evaluations, diagnostic assessments, and clinical interventions; + Assures accurate Information System mental health needs… more
    State of Colorado (06/11/25)
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  • Registered Nurse I-Colorado Mental Health Hospital…

    State of Colorado (Denver, CO)
    …and need for evaluations and orders + Reports patient care concerns to supervisor and physicians, as indicated + Directs, coordinates and implements medical and ... psychiatric crisis intervention in clinical emergencies assuring compliance with nursing standards and policies/procedures...of the department's action. For more information about the appeals process, the official appeal form, and how to… more
    State of Colorado (06/10/25)
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  • Charge Nurse RN II - CO Mental Health Hospital…

    State of Colorado (Denver, CO)
    …and need for evaluations and orders. + Reports patient care concerns to supervisor and physicians, as indicated. + Directs, coordinates and implements medical and ... psychiatric crisis intervention in clinical emergencies assuring compliance with nursing standards and policies/procedures....of the department's action. For more information about the appeals process, the official appeal form, and how to… more
    State of Colorado (06/06/25)
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  • School Social Worker (State Teacher II) - Grand…

    State of Colorado (Grand Junction, CO)
    …Health Partners, Assessment Specialists, Client Managers + Behavioral health staff and clinical director to consult with facility (including clinical & behavior ... as Assigned + Maintain direct and ongoing communication with supervisor to bolster ongoing mental health support, services, and...of the department's action. For more information about the appeals process, the official appeal form, and how to… more
    State of Colorado (05/11/25)
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