Clinical Appeals and Denials Manager

R1 RCM is seeking a highly skilled Clinical Appeals Nurse to join our team. As a Clinical Appeals Nurse, you will play a critical role in ensuring that our hospital clients receive fair and timely reimbursement for their services.Key Responsibilities:Conduct thorough reviews of patient medical records and payer denial information to assess the entire...

R1 RCM is a leading provider of technology-driven solutions that transform the patient experience and financial performance of hospitals, health systems, and medical groups.We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing...

R1 RCM is a leading provider of technology-driven solutions transforming patient experience and financial performance.OverviewWe are seeking a highly skilled Clinical Appeals Specialist to join our team. As a key member of our revenue cycle team, you will play a critical role in reviewing medical records to draft appeals of denied and underpaid claims.Job...

Job Summary:The Idaho Division of Human Resources is seeking a skilled COPP Appeals/Hearings Technician to join our team. As a key member of our staff, you will be responsible for taking hearing minutes, recording decisions, and preparing cases for Parole Commissioner Reviews.Key Responsibilities:Perform administrative duties to enable the Commissioners and...

Job Summary:The Idaho Division of Human Resources is seeking a skilled and detail-oriented COPP Appeals/Hearings Specialist to join our team. As a key member of our team, you will be responsible for taking hearing minutes for parole and revocation hearings, entering and verifying decisions, and database entries.Responsibilities:Perform a variety of...

Job Title: eCW Technical ExpertJob Summary:MedMan is seeking a skilled eCW Technical Expert to enhance systems and processes in medical clinics. This role will focus on evaluating current processes, recommending enhancements, and training team members on these improvements.Key Responsibilities:* Lead project-based work focused on EMR cleanup and...

Job Summary:St. Luke's Health System is seeking a skilled Registered Nurse to fill a leadership role in our Clinic. As a Nurse Manager, you will be responsible for evaluating medical necessity for patient hospitalization and acting as an internal resource for patient care. This is a challenging and rewarding opportunity to make a difference in the lives of...

About the RoleWe are seeking a highly skilled Senior Construction Manager to oversee the planning, coordination, and management of large-scale, complex construction projects or multiple concurrent projects. This role requires expertise in budgeting, scheduling, and resolving complex construction challenges.Key ResponsibilitiesPlan, schedule, and coordinate...

Lead with PurposeAs the Oncology Infusion Pharmacy Manager at St. Luke's Health System, you will provide visionary leadership, guidance, and mentorship to your oncology infusion pharmacy team. Your expertise will help shape the future of patient care by ensuring your team thrives and stays at the cutting edge of clinical pharmacy practice.Clinical Mentor &...

About UsWinCo Foods is a growing family of over 140 supermarkets in 10 states with over 22,000 employee owners. Our purpose is to make the lives of our customers and employee owners better by offering the lowest possible prices to feed their families. As the second largest Employee-Owned company in the United States, we offer top-tier medical plans and...

Job DescriptionMaraca Learning is seeking a highly experienced Clinical Director to oversee the day-to-day clinical operations of our Autism Centers. The ideal candidate will have a strong background in Applied Behavior Analysis (ABA) and experience in managing teams and processes.Key Responsibilities:Build and maintain a positive organizational culture and...

Job SummaryWe are seeking a skilled Revenue Cycle Specialist to join our team at St. Luke's Health System. This role is responsible for providing support in the functional areas of Revenue Cycle, including Billing, Reimbursement, and Insurance Recovery.Key ResponsibilitiesCollect, post, and manage patient account dataSubmit claims to various insurance...

About the Role:We are seeking a skilled Coding Quality Specialist to join our team at St. Luke's Health System. As a key member of our Revenue Cycle and Health Information Management team, you will be responsible for ensuring the accuracy and quality of medical record documentation and coding.Key Responsibilities:Review and analyze medical record...

Pharmacy Clinical ConsultantThis role is a pivotal position responsible for designing, implementing, assessing, and maintaining clinical programs and strategies that drive cost containment and clinical quality enhancements related to pharmacy services.The Pharmacy Clinical Consultant will work closely with internal stakeholders to ensure seamless alignment...

Pharmacy Clinical Consultant Role OverviewCambia Health is seeking a highly skilled Pharmacy Clinical Consultant to join our team. As a Pharmacy Clinical Consultant, you will play a pivotal role in designing, implementing, assessing, and maintaining clinical programs and strategies that drive cost containment and clinical quality enhancements related to...

About UsAt WinCo Foods, we're more than just a grocery retailer - we're a growing family of over 140 supermarkets in 10 states with over 22,000 employee owners. Our purpose is to make the lives of our customers and employee owners better by offering the lowest possible prices to feed their families. Currently, WinCo is the second-largest Employee-Owned...

About the Role:Cambia Health is seeking a highly skilled Pharmacy Clinical Consultant to join our team. As a key member of our Health Service Organization, you will be responsible for designing, implementing, and maintaining clinical programs and strategies that drive cost containment and clinical quality enhancements related to pharmacy services.Key...

OverviewAt St. Luke's Health System, we strive to foster an environment that values diversity, equity, and inclusion. Our Clinical Education team in Boise is seeking a skilled Clinical Educator to support the management program and system programs.Key ResponsibilitiesDesign and implement education programs following sound curriculum design principles for all...

Job Title: Clinical Nurse SpecialistWe are seeking a highly skilled Clinical Nurse Specialist to join our Patient Blood Management (PBM) program at St. Luke's Health System.About the Role:This is a full-time, exempt position that requires a strong clinical background and a passion for quality improvement. The successful candidate will work closely with our...

Job Title: Clinical ResourceCascadia Healthcare is seeking a dedicated and experienced Clinical Resource to join our team. This role will support seven facilities located in Moscow, Lewiston, Orofino, and Grangeville.Key Responsibilities:Provide clinical support and guidance to healthcare staff across seven facilities.Ensure compliance with healthcare...