• Manager of Utilization Review

    Children's Mercy Kansas City (Kansas City, MO)
    …new hire orientation, competency assessments and professional development. + Partners with Revenue Cycle , Payor Relations, HIM and Risk Management in support ... throughout the department. + Collaborates closely with other leaders within Revenue Cycle to impact overall performance improvement. Department management… more
    Children's Mercy Kansas City (03/07/24)
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  • RN Case Manager I - Case Management - Sharp…

    Sharp HealthCare (San Diego, CA)
    …cases for medical secondary review and share findings with providers.Provide advice to Revenue Cycle /HIM regarding RAC decision to appeal, denials, input into ... Time** Master's Degree; Bachelor's Degree in Nursing; Certified Case Manager (CCM) - Commission for Case Manager ...Case Manager (CCM) - Commission for Case Manager Certification; Accredited Case Manager (ACM) -… more
    Sharp HealthCare (04/21/24)
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  • Case Manager - Transition Planning - Sharp…

    Sharp HealthCare (San Diego, CA)
    …cases for medical secondary review and share findings with providers.Provide advice to Revenue Cycle /HIM regarding RAC decision to appeal, denials, input into ... 0 **Shift Start Time** **Shift End Time** Certified Case Manager (CCM) - Commission for Case Manager ...Case Manager (CCM) - Commission for Case Manager Certification; California Registered Nurse (RN) - CA Board… more
    Sharp HealthCare (04/11/24)
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  • RN Case Manager

    Bon Secours Mercy Health (Mason, OH)
    …the facility level if warranted to resolve barriers. + Works in collaboration with revenue cycle partners to help remove barriers to ensure patients are ... and operational excellence. **Primary Function/General Purpose of Position** The Care Manager is responsible for providing coordination of care for patients to… more
    Bon Secours Mercy Health (04/18/24)
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  • RN Case Manager

    Bon Secours Mercy Health (Springfield, OH)
    …the facility level if warranted to resolve barriers. + Works in collaboration with revenue cycle partners to help remove barriers to ensure patients are ... and operational excellence. **Primary Function/General Purpose of Position** The Care Manager is responsible for providing coordination of care for patients to… more
    Bon Secours Mercy Health (04/18/24)
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  • RN Case Manager

    Carle (Urbana, IL)
    …education related to medication adherence* Facilitates patient self-management education. + Revenue Cycle * Demonstrates a working knowledge of financial ... RN Case Manager + Department: IP Clinical Case Mgmt -...Save Save Apply Now Position Summary: The RN Case Manager integrates and coordinates the clinical care of individuals.… more
    Carle (03/20/24)
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  • Director Case Management - Perm

    CTTX Health (Detroit, MI)
    …regulations. + Will ensure effective utilization of resources, timely and accurate revenue cycle processes, denial prevention, and safe and timely patient ... A minimum of 5 years of experience in hospital revenue cycle function. Five (5) years in...approved by VP of Case Management required. Accredited Case Manager (ACM) preferred. Benefits Amazing benefits starting from day… more
    CTTX Health (04/18/24)
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  • Group Director Case Management Days FT

    Tenet Healthcare (Detroit, MI)
    …federal regulations. Will ensure effective utilization of resources, timely and accurate revenue cycle processes, denial prevention, and safe and timely patient ... A minimum of 5 years of experience in hospital revenue cycle function. Five (5) years in...approved by VP of Case Management required. Accredited Case Manager (ACM) preferred. Job : Nursing Primary Location :… more
    Tenet Healthcare (04/17/24)
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  • Utilization Review RN

    Catholic Health Initiatives (Omaha, NE)
    …notifications and education in alignment with status changes. 8. Engages with Denials RN/ Revenue cycle vendor to discuss opportunities for denials prevention. 9. ... reliability test for Utilization Review product(s) used. **Preferred** Certified Case Manager (CCM), Accredited Case Manager (ACM-RN), or UM Certification… more
    Catholic Health Initiatives (04/12/24)
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  • Denials Management RN

    Catholic Health Initiatives (Omaha, NE)
    …denials for assigned facilities. The RN has an integral role within the revenue cycle by providing clinical expertise in the denials management process. ... findings to management. Recommends and provides education in collaboration with their manager . The Denials RN follows a standardized approach to managing denials in… more
    Catholic Health Initiatives (02/23/24)
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  • RN Utilization Review FT Days

    Tenet Healthcare (Detroit, MI)
    …and external requirements. Provide denial information for UR Committee, Denial and Revenue Cycle Collaborate with Patient Access, Case Management, Managed Care ... experience preferred. Active and valid RN license required. Accredited Case Manager (ACM) preferred. Skills Required Analytical ability, critical thinking, problem… more
    Tenet Healthcare (04/17/24)
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