RN Case Manager

Job Summary: Assume primary responsibility of cases for documentation of appropriate medical necessity for the third-party payer's inpatient and/or observation status post discharge. Reviews audits/ denials and appeals on patient and facility behalf discharged population to include governmental, managed Medicare and commercial entities. Communications with...

Job Summary: Assume primary responsibility of cases for documentation of appropriate medical necessity for the third-party payer's inpatient and/or observation status post discharge. Reviews audits/ denials and appeals on patient and facility behalf discharged population to include governmental, managed Medicare and commercial entities. Communications with...

Job Summary: Assume primary responsibility of cases for documentation of appropriate medical necessity for the third-party payer's inpatient and/or observation status post discharge. Reviews audits/ denials and appeals on patient and facility behalf discharged population to include governmental, managed Medicare and commercial entities. Communications with...

Job Summary: Assume primary responsibility of cases for documentation of appropriate medical necessity for the third-party payer's inpatient and/or observation status post discharge. Reviews audits/ denials and appeals on patient and facility behalf discharged population to include governmental, managed Medicare and commercial entities. Communications with...

A-Line Staffing is now hiring Hybrid Bilingual Behavioral Case Manager in located in Miami Dade County area, FL . This would be full time / 40+ hours per week. If you are interested in this Hybrid Bilingual Behavioral Case Manager position, please contact Alexis at 1586-422-1748 or awordlaw-conley@alinestaffing.com Hybrid Bilingual Behavioral Case...

POSITION SUMARY Under the director of the CBO Director, the Lead RN Post-Claims Denial Analyst is responsible for Leading the post claim denial unit. Ensuring accurate clinical validation of medical necessity, optimizing reimbursement and reducing preventable denials. This role provides clinical expertise, oversees denial analysts, and collaborate with...

POSITION SUMARY Under the director of the CBO Director, the Lead RN Post-Claims Denial Analyst is responsible for Leading the post claim denial unit. Ensuring accurate clinical validation of medical necessity, optimizing reimbursement and reducing preventable denials. This role provides clinical expertise, oversees denial analysts, and collaborate with...

POSITION SUMARY Under the director of the CBO Director, the Lead RN Post-Claims Denial Analyst is responsible for Leading the post claim denial unit. Ensuring accurate clinical validation of medical necessity, optimizing reimbursement and reducing preventable denials. This role provides clinical expertise, oversees denial analysts, and collaborate with...

Company Description The Ward Law Group, recognized as one of the Best Places to Work for consecutive years, is where your work truly matters. We serve our community with compassion and excellence, empowering our employees to deliver real results for our clients. We foster a collaborative, innovative, and high-accountability environment where each team member...

Company Description The Ward Law Group, recognized as one of the Best Places to Work for consecutive years, is where your work truly matters. We serve our community with compassion and excellence, empowering our employees to deliver real results for our clients. We foster a collaborative, innovative, and high-accountability environment where each team member...