A company is looking for a Certified Clinical Denial Management Supervisor to oversee denial management operations.Key ResponsibilitiesOversee the denial and appeal process, ensuring high-value accounts are prioritizedIdentify denial trends and implement process improvements for better appeal outcomesCollaborate with various departments and payers to provide education on denial trendsRequired QualificationsGraduate of an accredited school of nursingLicensed Registered Nurse (RN) in the State of OhioFive years of utilization management experience and acute med / surg experienceBachelor of Science in Nursing (BSN) or other bachelor's degree preferredCertification in case management (CCM) and InterQual certification preferred
Clinical Denial Management Supervisor - RN
A company is looking for a Certified Clinical Denial Management Supervisor to oversee denial management operations. ...
(RN) Registered Nurse Supervisor
Join The COMPLETE CARE Team as an RN Nurse Supervisor!. Now Hiring: RN Supervisor - ALL SHIFTS!. Now Hiring: RN Supervisor - ALL SHIFTS!. Valid RN license in New Jersey. ...
DRG Appeals Clinician, Denials Management Independent Contractor (Certified Coding RN or MD)
RN or MD degree with strong clinical knowledge - Active unrestricted clinical license in at least one state within the United States. Performs retrospective medical necessity reviews to determine appeal eligibility of clinical validation DRG Downgrade denials. Constructs and documents a succinct and...
(RN) Registered Nurse Supervisor
Join The COMPLETE CARE Team as an RN Nurse Supervisor!. Now Hiring: RN Supervisor - ALL SHIFTS!. Now Hiring: RN Supervisor - ALL SHIFTS!. Valid RN license in New Jersey. ...
Registered Nurse - RN - LTAC
CAREERSTAFF BENEFITS FOR THE RN REGISTERED NURSE:. MORE ABOUT THE RN REGISTERED NURSE POSITION:. JOB REQUIREMENTS FOR THE RN REGISTERED NURSE:. ...
Travel Nurse - Registered Nurse - MS - Medical Surgical - $2306 / Week
Coast Medical Service is seeking an experienced Medical Surgical Registered Nurse for an exciting Travel Nursing job in Trenton, NJ. At Coast, we pride ourselves on our unrelenting commitment to customer service, allowing nurses and hospitals to focus on what they do best: providing world class heal...
Registered Nurse - Neuro ICU - FT - Day
Other Credentials: AHA BLS - Healthcare Provider, Registered Nurse – NJ or Registered Nurse – NLC multi-state. Experience: Registered Nurse Experience Required. Capital Health is the region's leader in providing progressive, quality patient care with significant investments in our ex...
LPN Wellness Nurse - Per Diem 11pm-7am
Licensed Practical Nurse (LPN). Teaching and wellness counseling. Licensed Practical Nurse currently licensed to practice in the State of CT. ...
Clinical Care Manager - Neurodevelopmental services
The Clinical Care Manager must utilize clinical knowledge of best practices and evidence-based treatments, including Applied Behavior Analysis, for individuals with Autism spectrum and other neurodevelopmental disorders, to ensure CBH members receive timely access to quality, medically necessary beh...
RN Case Manager | NJ, Newton
Maintains a caseload with productivity in compliance with agency standards. ...