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

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Nurse Manager – Case Management (NON-UNION)

Maimonides Medical Center

Brooklyn, New York

Medical Case Manager - Independent Contractor

Superior Case Management - Daudlin Search

Bingham Farms, Michigan

Case Manager - Behavioral Health

Denver Health

Denver, Colorado

NEW!

Social Worker (Suicide Prevention Case Manager)

Veterans Affairs, Veterans Health Administration

Fredericksburg, Virginia

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Case Manager I, RN - Patient Case Management

WakeMed Health & Hospitals

Cary, North Carolina

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Case Manager (4260)

Southern Illinois University - School of Medicine

Springfield, IL

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RN Case Manager

University of California San Francisco

San Francisco, California

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Staff Nurse (Case Manager)

Rutgers University

New Brunswick, New Jersey

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Case Manager I, RN - Behavioral Health Services

WakeMed Health & Hospitals

Raleigh, North Carolina

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Care Management Associate - Case Management - Days - FT - Irvine

University of California Irvine Health

Orange, California

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RN - Registered Nurse - Hospital Case Manager

Geisinger

Danville, Pennsylvania

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Case Manager I, MSW - Patient Case Management

WakeMed Health & Hospitals

Cary, North Carolina

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Clinical Finance Case Management Specialist

The Ohio State University

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Case Manager- Term Limited

University of Michigan - Ann Arbor

Ann Arbor, Michigan

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Inpatient Social Worker Case Manager (Full Time)

Benefis Health System

Great Falls, Montana

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Social Worker (HUD-VASH Case Manager)

Veterans Affairs, Veterans Health Administration

Bronx, New York

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Case Manager HC Supervisor 2 - Case Management - Day - FT - Orange

University of California Irvine Health

Orange, California

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Social Worker - (MSW/LMSW/LCSW) - Case Manager - FT - Days

Northeast Georgia Health System

Gainesville, Georgia

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Social Worker (Suicide Prevention Case Manager)

Veterans Affairs, Veterans Health Administration

Memphis, Tennessee

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Case Management Extender

The Ohio State University

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RN / REGISTERED NURSE - HOME CARE CASE MANAGER

Beebe Healthcare

Millsboro, Delaware

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Community Care Case Manager/Social Worker (Full Time)

Benefis Health System

Great Falls, Montana

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Ambulatory Social Work Case Manager

Harvard University

Cambridge, Massachusetts

Registered Nurse - Cardiology Case Management and Procedural

Veterans Affairs, Veterans Health Administration

Iowa City, Iowa

RN Case Manager

University of California San Francisco

San Francisco, California

Clinical Financial Case Management Specialist 2

Scope of PositionUse of clinical knowledge for the management of complex Oncology and non-oncology 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

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