- Ochsner Health (New Orleans, LA)
- …- Experience in Appeal/Denial Management **Certifications** Required - Current State of Louisiana Registered Nurse ( RN ) License Preferred - Certification in ... relates to all medical necessity audits. **Education** Required - Registered Nurse Diploma Preferred - Associate's or...experience in the delivery of patient care as an RN . Experience in Case Management, Utilization Review and/or Discharge… more
- Select Medical (Los Angeles, CA)
- …Cedars, UCLA and Select Medical Century City / Los Angeles, CA Case Manager (CM) - Registered Nurse ( RN ) or Social Worker (LCSW) **Per Diem** **Pay Rate: ... us:** + Manageable case loads + Impact on patient's recovery process and quality of life + High success...Social Work required or Current state licensure as a Registered Nurse required. + Previous experience in… more
- UNC Health Care (Hendersonville, NC)
- …changes, etc. Other information: Qualifications Required * Must be licensed to practice as a Registered Nurse in the state of North Carolina or one of compact ... the health and well-being of the unique communities we serve. Summary: The Recovery Audit Contractor (RAC) Coordinator ( RN ) is responsible and accountable for… more
- LifePoint Health (Richlands, VA)
- …Coordinates Quality Wellness Preventative Health * Works closely with Clinical Nurse Manager with staffing, scheduling, and disciplinary actions for clinical staff. ... position will serve as the backup to the Clinical Nurse Manager. * Works closely with Clinical Nurse...breaches on the Corporate Portal * Acts as facility Recovery Audit Coordinator. Ensures completion within the regulated time… more
- State of Colorado (Denver, CO)
- …About the Position: This position works under the supervision and direction of a registered nurse and assists with psychiatric and medical nursing care of ... mission is to support those individuals in achieving their recovery goals and reaching their full potential. CMHHFL provides...Care: + Under the direction and supervision of a registered nurse , engage with patients to establish… more
- Excellus BlueCross BlueShield (Buffalo, NY)
- …peer-to-peer calls in timely manner and provides support for the Case Management (CM) and Registered Nurse ( RN ) reviewers and manages the denial process. + ... of this transition or can be expected to impact the overall health, recovery and wellbeing of children. + Ensures strong collaboration and coordination between BH… more
- Stanford Health Care (Palo Alto, CA)
- …Certifications** + LCSW - Licensed Medical Social Worker - State Licensure . or + Nursing\ RN - Registered Nurse - State Licensure And/Or Compact State ... Relief (Per-Diem) Schedule: 08-HR, Day Shift Strongly Preferred Qualifications: - LCSW OR an RN with a minimum of 3 years of experience in mental health -… more
- Stanford Health Care (Palo Alto, CA)
- …+ LCSW - Licensed Medical Social Worker - State Licensure or + Nursing / RN - Registered Nurse - State Licensure and/or Compact State Licensure ... Health Care Resource Management/ Clinical Cost Efficiency, Financial Assistance/Referrals, Appeals Management, Entitlement Program Coordination, Patient Benefits Coordination: CCS/GHPP/Medicare/Medi-Cal/SSI… more