- 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
- 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 (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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- Prime Healthcare (Ontario, CA)
- …in managing the process and coordinating with Corporate Utilization Review and Clinical appeals team, thereby managing daily operations within the department. ... to the additional special projects. Working with the UR Manager/ Supervisor (s), a Senior manager functions as a subject matter...Provides supervision and direction for UR/ Clinical Appeals process along with analysis, resolution,… more
- 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
- 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
- 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
- State of Colorado (CO)
- …Number CAA SWC II MH 06/2025 Department Department of Corrections Division Clinical and Correctional Services Opening Date 06/05/2025 Closing Date 10/31/2025 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 (Colorado Springs, CO)
- …Description of Job Summary of Work Unit: This work unit exists to provide clinical mental health services to committed treatment level youth and their families, in a ... programs. This position takes a lead role on the clinical team in the unit, assists in conducting in...caseload upon entering the facility and discusses this with supervisor and presents to Department chairs for collaboration and… more
- State of Colorado (Pueblo, CO)
- …Description of Job Registered Dietitians fulfill a didactic role in providing clinical dietetic services and managing the food service subsystems/resources in the ... for patients at nutrition risk. Job Duties: Medical Nutrition Therapy: Provide clinical nutrition services to patients in a mental health hospital setting. Assess… more
- 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 (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
- City and County of San Francisco (San Francisco, CA)
- …** Under the direction of a licensed physician, registered nurse, or clinical supervisor , the Psychiatric Technician performs responsible nursing and therapeutic ... observes patients' condition and behavior; reports significant changes to supervisor or physician and documents care and/or treatments in...to change after adoption (eg, as a result of appeals ), as directed by the Human Resources Director or… more