Job Seekers, Welcome to IFDHE Career Center
Search Filters
Use this area to filter your search results. Each filter option allows for multiple selections.
Search Results: 6385 Jobs
Save Agent
Loading... Please wait.
Legacy Health

Portland, Oregon

Legacy Health

Gresham, Oregon

Legacy Health

Portland, Oregon

Legacy Health

Portland, Oregon

Kansas State University

Manhattan, Kansas

Sturdy Memorial Hospital

Attleboro, Massachusetts

Legacy Health

Portland, Oregon

Moffitt Cancer Center Logo
Moffitt Cancer Center

Tampa, Florida

Midland Health

Midland, Texas

JPS Health Network

Fort Worth, Texas

Hudson Valley Hospice Logo
Hudson Valley Hospice

Poughkeepsie, New York

DentaQuest Logo
DentaQuest

Boston, Massachusetts

Loading... Please wait.
Care Manager Clinical Denials
JOB SUMMARY: The Care Manager Clinical Denials (CM-CD) is responsible for the management of clinical audits and denials related to inpatient medical necessity and/or level of care, and coding. The CM-CD reviews patient medical records and all other pertinent patient information, and applies clinical and regulatory knowledge, screening criteria and judgment, as well as knowledge of payor requirements and denial reason codes/rationale, to determine why cases are denied and whether an appeal is required. For all inappropriate denials, relevant information is submitted, according to each payor's appeal timeframes, through denial management tracking software with bi-directional interface with physician advisor appeal coordinat


This job listing is no longer active.

Check the left side of the screen for similar opportunities.
Loading. Please wait.