Clinical Financial Case Management Specialist 2 in , for The Ohio State University

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Behavioral Health Case Manager

Duke University Health System

Durham, North Carolina

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Care Manager II - Case Management

CHRISTUS Health

Corpus Christi, Texas

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Registered Nurse - Case Management Nephrology/GI

Veterans Affairs, Veterans Health Administration

Syracuse, New York

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Registered Nurse RN Case Manager Hospice

AdventHealth

Greenwood Village, Colorado

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Registered Nurse Case Manager

AdventHealth

Orlando, Florida

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Senior Coordinator, Individualized Care (Case Manager)

Cardinal Health

United States - Nationwide

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Case Manager II

University of Maryland Medical System

Baltimore, Maryland

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CRNA Only Practice in Nebraska - Pain Management Cases available! JOB-3045460

CompHealth

Alliance, Nebraska

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RN Supervisor Case Management

AdventHealth

Hendersonville, North Carolina

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Case Manager- Patient Access

Cardinal Health

United States - Nationwide

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Registered Nurse - Home Telehealth Case Manager

Veterans Affairs, Veterans Health Administration

McClellan, California

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Case Manager III

Denver Health

Denver, Colorado

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Case Manager - Social Work - PD

PIH Health

Los Angeles, California

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Registered Nurse Case Manager

AdventHealth

Orlando, Florida

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Case Manager (RN) Hospice Home Care

Duke University Health System

Durham, North Carolina

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Clinical Case Manager - Virtual Health

Penn State Health

Hershey, Pennsylvania

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Student Support Case Manager

University of Michigan - Ann Arbor

Ann Arbor, Michigan

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Pain Management Cases Only for CRNA's minutes to Fort Worth, TX - W2 or 1099 JOB-3021615

CompHealth

Fort Worth, Texas

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Clinical Case Manager

Brown University

United States - Nationwide

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Social Worker - HUD-VASH Case Manager

Veterans Affairs, Veterans Health Administration

Bronx, New York

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Registered Nurse-Coordinated Transitional Care (CTraC) Nurse Case Manager- Outpatient Staff

Veterans Affairs, Veterans Health Administration

Cape Coral, Florida

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Registered Nurse - ED Case Manager - PER_DIEM 12 Hour Flex Shift

Cedars Sinai

California

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Program Manager Care Management, Case Management - Full time

CHRISTUS Health

Beaumont, Texas

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Utilization Management Nurse II - Case Management - Full Time

CHRISTUS Health

Longview, Texas

Case Manager/Social Worker, MSW - Patient Case Management

WakeMed Health & Hospitals

Raleigh, North Carolina

Clinical Financial Case Management Specialist 2

Job Description Scope of Position Use of clinical knowledge for the management of complex James Cancer Center ambulatory medical necessity denials through the appeals process. Providing scientific evidence to support cutting edge therapies, and diagnostic services. Providing clinical education to payers regarding current standard of care treatment and other frequently denied services as applicable. Identifying trends, and areas for needed clinical education, to decrease denials where applicable. Submission of pre-determination requests proactively supporting clinicians in efforts to identify areas where loss of revenue is at risk to mitigate that risk. Provide support to the CBO Medicare billing area in the form of correcting billing errors before the bill is sent to the payer. Provide cli

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