- Alameda Health System (San Leandro, CA)
- SLH Case Manager RN + San Leandro, CA + San Leandro Hospital + SLH Social Services + Part Time - Day + Care Management + $58.74 - $97.91 per hour + Req ... + FTE:0.7 + Posted:October 28, 2025 **Summary** **JOB SUMMARY** The SLH Case Manager RN is responsible for providing comprehensive case management services to… more
- Stony Brook University (Stony Brook, NY)
- RN Case Manager **Position Summary** At...required. **Qualifications** **Required** : A Bachelor's degree or a nurse working on their degree with an RN ... Stony Brook Medicine, a ** RN Case Manager ** is a valuable member of our team, who...Active participation with the physician and payer to prevent denials . Reviews cases for potential change in level of… more
- Alameda Health System (San Leandro, CA)
- …at a medical group or health plan. Required Licenses/Certifications: Active licensure as a Registered Nurse in the State of California, Active BLS - Basic Life ... Nurse , Care Management + San Leandro, CA +...based on identified criteria and ensures the patient is registered at the appropriate level of care. Utilizes McKesson… more
- Banner Health (AL)
- …make Banner Health the best place to work and receive care. As an Associate Manager of RN Denials Management, you will be an integral part of leadership ... 31 Banner facilities. A typical day would include overseeing RN denials mgt specialists and Audit team,...education as normally demonstrated by a Bachelor's degree. Requires Registered Nurse ( RN ) licensure in… more
- Community Health Systems (Franklin, TN)
- …Knowledge of HIPAA regulations and patient confidentiality standards. **Licenses and Certifications** + RN - Registered Nurse - State Licensure and/or ... policies. This role conducts admission and continued stay reviews, supports denials and appeals activities, and collaborates with healthcare providers to facilitate… more
- UNC Health Care (Rocky Mount, NC)
- …in accordance with utilization review guidelines. Tactfully and effectively informs Manager of physicians' impact days and constructively offers more cost-effective ... 3. Determines frequency of patient reassessments according to identified needs and input from RN and MD. Serves as a resource person for nursing staff related to… more
- Nuvance Health (Poughkeepsie, NY)
- …- Discharge Planning primarily Under the general supervision of the Director, The Nurse Case Manager role provide clinically-based case management to support the ... are a priority and at a minimum the case manager reviews observation cases daily. 3. Utilizes physician advisor...possible. 5. Supports the effective prevention and management of denials , including providing information as part of the appeal… more
- Beth Israel Lahey Health (Charlestown, MA)
- …difference in people's lives.** This is a remote based role. Reporting to the Manager , Patient Financial Services, the Clinical Analyst plays an important role in a ... appeal requests as appropriate. * Responsible for appealing and defending claims denials , adverse audit results, and sanctions. * Analysis, tracking, and trend of… more
- Ascension Health (Austin, TX)
- …and gynecology) + **Practice Detail:** Ambulatory Clinic Support: Medical Assistant, Registered Nurse , Social Worker, Dietician, Psychology + **EMR System:** ... consisting of: Nurse Practitioner specializing in eating disorders, Psychologists, Nurse Manager , RNs, Medical Assistants, Social Workers, and collaboration… more
- UnityPoint Health (Des Moines, IA)
- …clinical needs, barriers to quality care, effective utilization of resources and pursues denials of payment and referrals in a timely, legible manner. + Tighter ... report. + Ensure verbal communication with the ambulatory / cross continuum care manager regarding patients who have moderate or red vulnerability at transition. +… more
