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: 2238 Jobs
Create Alert
Loading... Please wait.
University Medical Partners

San Jose, California

NEW! NEW!
Crouse Hospital

Syracuse, New York

University Medical Partners

Pleasanton, California

University Medical Partners - Stanford Medicine

Pleasanton, California

Illinois Health and Hospital Association

Chicago, Illinois

Crouse Health

Syracuse , New York

University Medical Partners

Pleasanton, California

University Medical Partners - Stanford Medicine

Pleasanton, California

University Medical Partners - Stanford Medicine

San Ramon, California

University Medical Partners

Pleasanton, California

Methodist Le Bonheur Healthcare

Memphis, Tennessee

St. Joseph’s Health

Paterson, New Jersey

WellStar Spalding Regional Medical Center

Griffin, Georgia

Hennepin Healthcare

Minneapolis, Minnesota

University of Maryland Medical System Logo
University of Maryland Medical System

Baltimore, Maryland

NEW! NEW!
WakeMed Health & Hospitals Logo
WakeMed Health & Hospitals

Raleigh, North Carolina

NEW! NEW!
AdventHealth Logo
AdventHealth

La Grange, Illinois

NEW! NEW!
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This job listing is no longer active.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.