- Heywood Hospital (Gardner, MA)
- …stay, seeking necessary care authorizations and utilizing the InterQual Program; appealing denials as indicated within a timely fashion. Reviews all new admissions ... of reports/statistics as it pertains to staff specific workflow. Denials /Appeal Process: Completes assessment of denial within 1 week...social worker. In the event of an emergency, Care Coordinator may complete the form in full and process… more
- Forrest General Hospital (Hattiesburg, MS)
- The Denials Management Coordinator performs comprehensive review and management of insurance claims denials . Review, manage, and resolve denied claims ... provides proactive measures and strategies to avoid and decrease denials in the future. Perform other case ...decrease denials in the future. Perform other case management-related duties as designated by the director or… more
- Care New England (Providence, RI)
- …delegates work and implements process changes to prevent errors and denials from occurring. Ensures compliance with regulatory policies and procedures. Conducts ... staff productivity, and operational efficiencies. When applicable, works with practice coordinator (s) to ensures daily activities are carried out timely including… more
- Houston Methodist (The Woodlands, TX)
- At Houston Methodist, the Case Management (CM) Coordinator position is a proficient CM representative that provides technical, clerical and data management ... support to the case management and social work department staff to facilitate...other community resources and transportation. In addition, the CM Coordinator position anticipates independent actions necessary to provide competent… more
- Community Health Systems (Franklin, TN)
- **Job Summary** The Utilization Review Coordinator ensures efficient and effective management of utilization review processes, including denials and appeals ... for hospital admissions and extended stays. The Utilization Review Coordinator monitors and documents all authorization activities, assists with process… more
- Trinity Health (Hartford, CT)
- …**Shift:** Day Shift **Description:** **Position Purpose** The Clinical Pre-Service Nurse Coordinator is directly responsible for reviewing pre/post service initial ... denials , securing escalated insurance authorizations, handling escalated medical necessity...the Pre-Service Insurance Verification team with collaboration opportunities with Case Management. **What you will do** + Communicate pertinent… more
- University of Washington (Seattle, WA)
- …has an outstanding opportunity to hire a part-time per-diem **TRANSPLANT FINANCIAL COORDINATOR ** **WORK SCHEDULE** + 0% FTE, Day Shift **POSITION HIGHLIGHTS** + The ... Transplant Financial Coordinator plays an integral role in assisting patients with...Request a Benefit Level Exception (BLE) or a Single Case Agreement (SCA) as appropriate from the UW Medicine… more
- Corewell Health (Watervliet, MI)
- …for obtaining necessary prior authorizations, submitting documentation to appeal denials , and educating clinicians regarding proper documentation for all Inpatient ... clinical outcomes, and maximize reimbursement. Collaborate with coding, billing, denials and other departments as needed.Monitor CMS/insurance updates, regulations… more
- Adecco US, Inc. (Austin, TX)
- Adecco Healthcare & Life Sciences is looking for a **Clinical** **Administrative Coordinator ** for our client in Texas! This role is telecommute/remote and must ... be in Texas **Pay:** $21-22.35/hour **Responsibilities of the Clinical Administrative Coordinator :** . Correspondence UM Coordinator is responsible for handling… more
- Fairview Health Services (Minneapolis, MN)
- **Job Overview** We are seeking a Casual Rehab Liaision/Intake Coordinator to join M Health Fairview Rehabiliation Services! The coordinator will perform ... Maintains a thorough knowledge of facilities, services available **Serves as liaison case manager with internal and external case management teams** Assists… more
- Kenosha Human Development Services (Kenosha, WI)
- …7-9-2025 (http://www.khds.org/wp-content/uploads/Postings/393.pdf) POSITION SUMMARY Provide general social work/ case management services to children who are ... Community Resource Center Location: Main Office Job Title: CLTS Waiver Service Coordinator Reports To: CLTS Waiver Program Manager Type of Position: Full-time FLSA… more
- Brockton Hospital (Brockton, MA)
- PURPOSE OF POSITION: The Director of Case Management is responsible for planning, directing, and managing of the activities of the Case Management Program for ... of staff (RNs, LPN's,SWs and non-clinical support), evaluation and maintenance of case management skills and outcomes, management of all policies and procedures, and… more
- Adecco US, Inc. (Minneapolis, MN)
- …**Pay:** $20.30 to $22.30 an hour **Responsibilities of the Clinical Administrative Coordinator :** . Provides data entry, filing, tracking time frames and status of ... case files and mailing letters to patients and providers . Reviews denials and determines whether the decisions are retro/claims DOS or prospective DOS, and… more
- Adecco US, Inc. (Minneapolis, MN)
- Adecco Healthcare & Life Sciences is looking for a **Clinical** **Administrative Coordinator ** for our client! This role is telecommute/remote. **Type:** 3- month ... / work-from-home **Pay:** $21-22.35/hour **Responsibilities of the Clinical Administrative Coordinator :** . Provides data entry, filing, tracking time frames and… more
- Saint Francis Health System (Tulsa, OK)
- …Saturday and Sunday; 6-8 hours during 1st shift. Shift differentials may apply. Case Management or Rehab experience, preferred. Job Summary: The Post-Acute Clinical ... Coordinator coordinates the point of entry to the post-acute...necessity. This position interacts with and educates patients, families, case managers, payers, and physicians. Responsible for receiving and… more
- Fallon Health (Worcester, MA)
- …PACE- in the region. **Brief summary of purpose** The Transitions of Care Coordinator uses a multidisciplinary approach to ensure that SE participant transitions of ... in family meetings as needed * Participates in contracted facility case management meetings to address potential barriers/facilitate successful discharge planning. *… more
- Sharp HealthCare (San Diego, CA)
- …To provide, support, and help facilitate care coordination services provided by the Case Manager. This position is responsible for the care and services delivered to ... 30 days of previous discharge. Reports patient's enrolled in a Sharp Case Management program to HCM.Confirms patients reported in Emergency Room. Informs HCM's… more
- CommonSpirit Health (Rancho Cordova, CA)
- …Services, including but not limited to medical necessity reviews and denials management. Oversees Clinical Care Coordination functions within the facilities in ... aimed at improving patient Length of Stay (LOS), decreasing concurrent denials , streamlining patient authorizations, and enhancing care coordination quality of care.… more
- Trinity Health (Livonia, MI)
- …billing, reimbursement and compliance management as it relates to CDI. Assists with denials management, complex case resolution and may perform CDI reviews as ... education for clinicians. Works closely with Clinicians, Coding, Quality and Denials teams to facilitate documentation within the medical record and supports… more
- Rush University Medical Center (Chicago, IL)
- …for the position. Offers may vary depending on the circumstances of each case . **Summary:** The position is responsible for obtaining complete and accurate patient ... authorization and patient's financial responsibility. 5. Submits appeals for authorization denials . 6. Serves as resource to navigators regarding insurance coverage… more
