• UM Coordinator - RN

    Universal Health Services (Oakland Park, FL)
    …https://ftlauderdalebehavioral.com We are pleased to announce the following available position: Utilization Management Coordinator - RN Denials & Appeals ... (Experience a must) The main duties of the UM Coordinator - RN are: to coordinate and monitor appropriate...meet deadlines. + Intermediate computer skills. + Organizational, time management , problem solving, crisis management skills as… more
    Universal Health Services (03/29/24)
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  • Medical Coding and Denials Educator

    University of Utah (Salt Lake City, UT)
    …PRN37990B **Job Title** Coding Educator **Working Title** Medical Coding and Denials Educator **Job Grade** F **FLSA Code** Administrative **Patient Sensitive Job ... the direction of the Quality Assurance Manager, the Medical Coding and Denials Educator is responsible for providing quality assurance education, analysis, and… more
    University of Utah (03/16/24)
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  • Quality Risk Improvement Coordinator (RN)…

    Hartford HealthCare (Southington, CT)
    …of Connecticut's most comprehensive healthcare network as a Quality Improvement Coordinator . Hartford HealthCare at Home, the largest provider of homecare services ... be spent in the following activities: **Monitor Advanced Beneficiary Notices and denials as it relates to medical necessity requirements. **Identify and evaluate … more
    Hartford HealthCare (04/11/24)
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  • Dental Specialty Coordinator

    Complete Specialty Solutions (Houston, TX)
    …about treatments Qualifications: + 2+ years of experience in dental office management / coordinator roles + Cross-trained in both oral surgery and orthodontic ... autonomy, and continued growth. Job Description: CSS is seeking a Dental Specialty Coordinator who is cross-trained in both oral surgery and orthodontic admin duties… more
    Complete Specialty Solutions (03/28/24)
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  • Patient Care Coordinator

    Randstad US (Lexington, MA)
    patient care coordinator . + lexington , massachusetts + posted 8 days ago **job details** summary + $24 - $28 per hour + temporary + associate degree + category ... A Global Biotech Pharma Company located in Lexington, MA is seeking a Patient Care Coordinator (Hybrid) to join their team! The Care Coordinator is a dynamic and… more
    Randstad US (04/28/24)
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  • Inpatient Coding and Appeals Coordinator

    University of Michigan (Ann Arbor, MI)
    …independently. + Knowledge of healthcare regulations and compliance requirements + Experience in denials management and appeals is a plus **Work Schedule** This ... Inpatient Coding and Appeals Coordinator - Remote Apply Now **How to Apply**... plays a vital role in the revenue cycle management of Rev Cycle Mid-Service by maintaining the financial… more
    University of Michigan (05/04/24)
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  • Care Management Coordinator

    Dayton Children's Hospital (Dayton, OH)
    Facility:Dayton Children's - Main CampusDepartment:Integrated CareSchedule:Full timeHours:40Job Details:The Care Management Coordinator functions as a member of ... in acute care hospital or clinic preferred. + Experience assisting case management and/or denials prevention programs preferred. Skills + Exceptional oral… more
    Dayton Children's Hospital (04/23/24)
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  • Integrated Care Coordinator - SCRBH

    Spokane County (Spokane, WA)
    …Behavioral Health Administrative Services Organization Utilization Review Integrated Care Coordinator : + Performs utilization management , utilization review, or ... Integrated Care Coordinator - SCRBH Print (https://www.governmentjobs.com/careers/spokanecountywa/jobs/newprint/4316289) Apply  Integrated Care Coordinator -… more
    Spokane County (03/18/24)
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  • Customer Care Coordinator

    Randstad US (Lexington, MA)
    customer care coordinator . + lexington , massachusetts + posted 10 days ago **job details** summary + $25 - $30 per hour + temporary + bachelor degree + category ... business and financial operations occupations + referenceAB_4521843 job details The Customer Care Coordinator is a dynamic and essential member of our team, adept at… more
    Randstad US (04/26/24)
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  • Utilization Management Denial…

    UCLA Health (Los Angeles, CA)
    …you will be the primary point of contact for receiving and resolving member denials . You will review denials for accuracy, confirming the receipt of necessary ... documentation to support the denial and ensuring compliance with all contractual obligations and state and federal laws/regulations. You will extrapolate and summarize essential information for the UM Manager and Medical Director and regularly meet with them… more
    UCLA Health (03/27/24)
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  • LPN Palliative Care Coordinator - Advanced…

    Gentiva (Lufkin, TX)
    …lives every day. **Overview** **We are opening a new Palliative Care Advanced Illness Management branch in Lufkin!** We are looking for a **Care Coordinator ... other operational activities related to the administration of the advanced illness management (AIM) and palliative care department by performing the following duties… more
    Gentiva (04/02/24)
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  • Ambulatory Payment Classification…

    Houston Methodist (Katy, TX)
    …data, payor medical policies, etc.), determines the causes for coding related edits or denials and partners with management to ensure timely billing and denial ... is a plus** At Houston Methodist, the Ambulatory Payment Classification (APC) Coordinator position is responsible for reviewing and correcting all claims edits… more
    Houston Methodist (05/01/24)
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  • RN Care Coordinator

    Wood County Hospital (Bowling Green, OH)
    Wood County Hospital is accepting applications for an RN Care Coordinator . This position is r esponsible for conducting patient assessments and ensuring completion ... necessity, level of care, length of stay, and authorization denials for inpatients and observation patients. Collaborates with the...Experience: + 1-year previous experience in UR and Case Management . + 2 years of acute care nursing experience… more
    Wood County Hospital (04/18/24)
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  • Utilization Coordinator

    Universal Health Services (Conway, SC)
    …Health Hospital is hiring for a Part Time RN Utilization Review Coordinator . Utilization Review / Risk Management Lighthouse Behavioral Health Hospital ... of care. + Plans and organizes the functions of the facilities Case Management system to minimize denials of payment. + Performs prospective, concurrent,… more
    Universal Health Services (04/22/24)
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  • Customer Care Coordinator

    Randstad US (Lexington, MA)
    customer care coordinator . + lexington , massachusetts + posted 10 days ago **job details** summary + $24 - $28 per hour + temporary + high school + category office ... Randstad in partnership with Takeda has an exciting opportunity for a Custmoer Care Coordinator . The Care Coordinator is a dynamic and essential member of our… more
    Randstad US (04/26/24)
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  • Hospice Patient Care Coordinator / RN

    Intrepid USA (Springfield, MO)
    …process and team members Great work you'll do here : The Patient Care Coordinator provides clinical and management support to the Clinical Nursing Supervisor. ... position may also assist with staffing and scheduling as needed. The Patient Care Coordinator may also help with admissions or nursing visits in times of high census… more
    Intrepid USA (05/03/24)
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  • RN Care Coordinator - ECCM in Erie

    Highmark Health (Harrisburg, PA)
    …coordination of care in accordance with recognized standards of practice for Care Management . The incumbent utilizes expertise in care management to promote a ... contractual requirements. + Documents, monitors, intervenes/resolves and reports clinical denials /appeals and retrospective payer audit denials . Collaboratively… more
    Highmark Health (05/01/24)
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  • Admissions Coordinator

    Devereux Advanced Behavioral Health (Berwyn, PA)
    …at Devereux Advanced Behavioral Health!_ **Being an** **Admissions & Utilization Review Coordinator ** **at Devereux has its Advantages** We offer: - Great benefits! ... - Professional development and job advancement. As an admission and utilization coordinator you will ensure efficient admissions process to meet the requirements and… more
    Devereux Advanced Behavioral Health (04/24/24)
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  • IRU Pre Admissions Coordinator

    Trinity Health (Fort Lauderdale, FL)
    …team regarding any consults which are 1.Greater than 3 days 2. Potential denials for any reason except insurance denials 3.Potential admissions that do ... and require team input. * Actively and positively communicates with Case Management and consulting physician regarding any patient that was denied explaining reasons… more
    Trinity Health (03/15/24)
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  • Senior Revenue Integrity CDM Coordinator

    WellSpan Health (Lititz, PA)
    Senior Revenue Integrity CDM Coordinator Location: WellSpan Health, Lititz, PA Schedule: Full Time Sign-On Bonus Eligible Remote/Hybrid Regular Apply Now See More ... within WellSpan entities. The role assists in the planning, implementation and management of CDM process improvement initiatives and projects that support business… more
    WellSpan Health (04/05/24)
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