1 - 10 of 5,176

clinical appeals manager jobs

  • Temporary Clinical Services Coordinator

    NEW

    Psychiatric Centers of San Diego

    - San Diego, CA

    denials Provide reports on denials and appeals Track and log inpatient, IOP and PHP admissions Provide reports as requested by the UM Medical Director, regarding utilization...

    2 hours ago from Psychiatric Centers of San Diego
  • Appeals & Grievances Medical Director - Virtual

    UnitedHealth Group

    - Los Angeles, CA

    ongoing clinical review and adjudication of appeals and grievances cases for ... Excellent presentation skills for both clinical and non clinical audiences.

    23 days ago from UnitedHealth Group
  • Utilization Manager - RN (Sign-On Bonus)

    Centene

    - Jacksonville, FL

    and substance abuse problems according to clinical information given by providers and ... with Medical Director or designee to discuss clinical authorization questions and concerns...

    12 days ago from Centene Corporation
  • Case Manager

    Memorial Sloan-kettering Cancer Center

    - New York City, NY

    and MSKCC billing departments to initiate appeals and obtain authorizations for ... and BSN required; 3-5 years of clinical experience, oncology experience...

    30+ days ago from Memorial Sloan-Kettering Cancer Center
  • Appeals Specialist

    Tenet Healthcare

    - Boca Raton, FL

    Solutions is currently hiring for an Appeals Writer Specialist. JOB ... the Clinical Resource Center (CRC) for clinical consultations or account referrals when...

    18 days ago from Tenet Healthcare
  • Care Manager - Behavioral Health

    NEW

    New York Presbyterian Hospitals

    - White Plains, NY

    Care Manager - Behavioral Health Location: NewYork-Presbyterian/NewYork-Presbyterian/West ... help make it possible: Care Manager – Behavioral Health We’re seeking an astute...

    1 day ago from New York Presbyterian Hospitals
  • Case Management Admissions and Denials Coordinator

    Yuma Medical Center

    - Yuma, AZ

    department and payers. The role combines clinical, business, and regulatory knowledge and skills to reduce significant financial risk and exposure caused by concurrent and...

    12 days ago from Yuma Medical Center
  • Case Management Assistant

    NEW

    Md Anderson

    - Houston, TX

    Documents information to facilitate appeals for denied services, verification of ... medical records and provides pertinent clinical information to insurance payors. *...

    2 days ago from MD Anderson
  • Denials & Appeals Specialist

    Tenet Healthcare

    - Anaheim, CA

    Solutions is currently hiring for an Appeals Writer Specialist. JOB ... the Clinical Resource Center (CRC) for clinical consultations or account referrals when...

    18 days ago from Tenet Healthcare
  • Manager, Pharmacy Operations

    Abrazo Health Care

    - Phoenix, AZ

    clinical quality initiatives and financial savings programs. Oversees and ... and appeals, member letters, OHI/COB, IREs and redeterminations. Works with...

    10 days ago from Abrazo Health Care
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