• Manager , Denials Mitigation

    R1 RCM (Boise, ID)
    …encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our Denials Mitigation Manager , you will serve as the ... and analytical skills. **Here's** **what you will experience working as a Denials Mitigation Manager :** + Gather the correct resources and delegate Charter… more
    R1 RCM (06/21/25)
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  • Specialist-Denial II RN

    Baptist Memorial (Memphis, TN)
    …successfully meet productivity requirements and training goals as determined by the Manager /Director of the Denial Mitigation Department. The Denial ... along to healthcare insurance providers in response to post-claim denials received by BMHCC. Physician Advisor communication may be...- Appeal Specialist II RN role reports to the manager of the Denial Mitigation Department and… more
    Baptist Memorial (04/12/25)
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  • Specialist-Denial II RN

    Baptist Memorial (Memphis, TN)
    …successfully meet productivity requirements and training goals as determined by the Manager /Director of the Denial Mitigation Department. The Denial ... along to healthcare insurance providers in response to post-claim denials received by BMHCC. Physician Advisor communication may be...- Appeal Specialist II RN role reports to the manager of the Denial Mitigation Department and… more
    Baptist Memorial (06/14/25)
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  • Social Work Care Manager

    AdventHealth (Bolingbrook, IL)
    …Blvd, Bolingbrook, IL **The role you'll contribute:** The Social Work Care Manager intervenes with patients who have complex psychosocial needs, require assistance ... members of the care team). The Social Work Care Manager , in collaboration with the patient/family, care manager...health into transitions of care planning and applies risk mitigation interventions to meet the individual needs of each… more
    AdventHealth (06/18/25)
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  • Registered Nurse RN Care Manager

    AdventHealth (Bolingbrook, IL)
    …Remington Blvd, Bolingbrook, IL **The role you'll contribute:** The RN Care Manager in collaboration with the patient/family, social workers, nurses, physicians and ... and progression through the continuum of care. The RN Care Manager ensures efficient and cost-effective care through appropriate resources monitoring, and… more
    AdventHealth (06/18/25)
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  • Inpatient Social Worker Case Manager

    AdventHealth (Shawnee, KS)
    Inpatient Social Worker Case Manager Relief Days - AdventHealth Shawnee Mission All the benefits and perks you need for you and your family: + Vision, Medical & ... Shawnee Mission, Kansas. The role you'll contribute: The Social Work Care Manager intervenes with patients who have complex psychosocial needs, require assistance… more
    AdventHealth (06/11/25)
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  • Registered Nurse RN Care Manager

    AdventHealth (Altamonte Springs, FL)
    …Altamonte Springs, FL 32701 **The role you'll contribute:** The RN Care Manager in collaboration with the patient/family, social workers, nurses, physicians and the ... and progression through the continuum of care. The RN Care Manager ensures efficient and cost-effective care through appropriate resources monitoring, and… more
    AdventHealth (06/11/25)
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  • RN Care Manager

    AdventHealth (La Grange, IL)
    …RD, La Grange, IL 60525 The role you'll contribute: The RN Care Manager in collaboration with the patient/family, social workers, nurses, physicians and the ... and progression through the continuum of care. The RN Care Manager ensures efficient and cost-effective care through appropriate resources monitoring, and… more
    AdventHealth (05/24/25)
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  • Case Manager Advanced

    Houston Methodist (Houston, TX)
    At Houston Methodist, the Case Manager (CM) Advanced position is a registered nurse (RN) responsible for promoting the achievement of optimal clinical and resource ... has achieved an expert level at all the objectives delineated in the Case Manager and Case Manager Certified job roles and is responsible for facilitating… more
    Houston Methodist (04/18/25)
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  • Market Executive of Clinical Quality

    CenterWell (Albany, NY)
    …for the following: clinical and survey metrics, clinical operations metrics, claims denials , AO/state survey results, risk mitigation , clinical compliance, QAPI ... Previous experience in branch leadership (Branch Director/Administrator or Clinical Manager ) required. + Multi-site home health branch management and operations… more
    CenterWell (04/25/25)
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