Clinical Financial Case Manager - RN

VirtualVocations
Bronx, New York, United States
Full-time

A company is looking for a Clinical Financial Case Manager-RN.Key ResponsibilitiesConduct denial case reviews and validate in-patient accountsSupport Utilization Management and manage clinical appeals and denialsInterpret medical necessity guidelines and collaborate with multidisciplinary teamsRequired QualificationsBachelor's degree in nursing with a current licenseMinimum of 3 years of clinical care experienceExperience collaborating with physicians and their designeesExtensive knowledge of clinical operations and patient flowProficiency in Microsoft Office products and various technology applications

5 days ago
Related jobs
Promoted
VirtualVocations
Queens, New York

A company is looking for a Clinical Case Manager BH (Remote VA). ...

Promoted
Montgomery Nursing & Rehabilitation Center
New York, New York

RN Supervisor organizes/oversees/supervises assigned unit activities & staff assignments. Demonstrates clinical expertise which is consistent with the established standards of Nursing Practice. RN Supervisor will identify & respond, appropriately & timely, to patient needs. RN Supervisor will admini...

Promoted
CorVel Healthcare Corporation
White Plains, New York

Experience as a RN, Medical Case Manager is ideal, or a clinical background in orthopedics, neurology, or rehabilitation is preferred. CorVel Corporation is hiring a caring, self-motivated, energetic and independent registered nurse to fill a Medical Case Manager position in Northern NY/NJ. In addit...

Promoted
Northwell Health
New York, New York

Our client is seeking an experienced and motivated Clinical Assessment RN Manager to lead our clinical assessment team and ensure the efficient and timely completion of all tasks associated with the clinical assessment process. Conduct in-home or virtual clinical assessments using UAS-NY for prospec...

HCR Home Care
St. Lawrence County NY, Canton, NY, US

The RN Case Manager will administer skilled nursing care to patients requiring professional nursing service. Responsible for the overall plan of care and the outcome of that care, including care delivered by other nursing staff (LPN, HHA) who must be directed and supervised by the RN Case Manager. T...

Murray Resources
New York, New York
Remote

Health, Dental, Vision, PTO, Internet Stipend. Must have reliable high-speed internet. Please note there are no evening, overnight or weekend hours available. ...

MJHS
The Bronx, New York

As the Hospice Field Case Manager. Online RN to BSN and MSN degree programs Tuition Reimbursement for all full and part-time staff Dependent Tuition Reimbursement for clinical staff Generous paid time off Affordable medical, dental and vision coverage for employee and family members. ...

Genie Healthcare
White Plains, New York

Genie Healthcare is Looking for a RN to work in Case Manager for a 8-WEEKS travel assignment located in White Plains, NY, for the Shift(07:00:00 to 17:00:00) and 40 hours per week. ...

NewYork-Presbyterian Hospital
New York, New York

Clinical Nurse Manager - RN - Emergency Department (ED) - Nights. As the Clinical Nurse Manager, you will manage patient care delivery on three units, serving as a clinical resource and administrator in the absence of unit leaders or when care-related issues arise. Be the face of effectiveness, nurs...

Jewish Board of Family and Children's Services
Brooklyn, New York

The RN Case Manager is a direct link between medical services and the ICF residents and staff as well as with clinical professionals outside the program. The RN Case Manager is responsible for the complete nursing care and performance of all routine medical procedures within the scope of the nursing...