Clinical Appeals Manager Full time/Remote Salary: $88,000.00 - $110,000.00 per year Managed Resources is a leading... and would like to hear more about this opportunity with Managed Resources Inc.! Purpose The Clinical Appeals Manager will work...
Clinical Appeals and CDI Specialist Full time & Part time/Remote $32 - $45 per hour Coding AID, a division... The Clinical Appeals and CDI Specialist uses clinical/nursing knowledge and understanding of national coding guidelines...
SUMMARY: Coordinates and executes the appeal process for all AHS facilities clinical appeals and third party audits... or improvement. 2. Assures clinical interventions are appropriate for the admitting diagnosis and reflect the standard of care...
ASP and claims adjudication processes. Work closely with clinical staff to ensure accurate appeals documentation... leverages capabilities to drive commercial adoption, improve patient clinical outcomes and lower healthcare costs...
Anticipated End Date: 2025-02-14 Position Title: Grievance/Appeals Analyst I (California... Only) Job Description: Title: Grievance/Appeals Analyst I Location: This position will work a remote model. Ideal candidates will live within 50...
. Primary Responsibilities: The Appeals and Grievances Medical Director is responsible for ongoing clinical review... and adjudication of appeals and grievances cases for UnitedHealthcare associated companies. Performance accountabilities include...
. Primary Responsibilities: The Appeals and Grievances Medical Director is responsible for ongoing clinical review... and adjudication of appeals and grievances cases for UnitedHealthcare associated companies. Performance accountabilities include...
is responsible for ongoing clinical review and adjudication of appeals and grievances cases for UnitedHealthcare associated companies... together. In collaboration with and supervision by an Appeals and Grievances Medical Director, the Physician Assistant...
is responsible for ongoing clinical review and adjudication of appeals and grievances cases for UnitedHealthcare associated companies... together. In collaboration with and supervision by an Appeals and Grievances Medical Director, the Physician Assistant...
together. Work at home! The Appeals and Grievances Medical Director is responsible for ongoing clinical review... and adjudication of appeals and grievances cases for UnitedHealthcare associated companies. You’ll enjoy the flexibility to work...
together. Work at home! The Appeals and Grievances Medical Director is responsible for ongoing clinical review... and adjudication of appeals and grievances cases for UnitedHealthcare associated companies. You’ll enjoy the flexibility to work...
is responsible for ongoing clinical review and adjudication of appeals and grievances cases for UnitedHealthcare associated companies... together. In collaboration with and supervision by an Appeals and Grievances Medical Director, the Physician Assistant...
interactions, and clinical status for appeals requests Conduct Quality Assurance and verify the accuracy of all prescriptions...: Evaluate prescriptions and patient histories Interpret physicians' prescriptions and clinical documentation, accesses clinical...
for ongoing clinical review and adjudication of appeals and grievances cases for UnitedHealthcare associated companies. You’ll... together. The Appeals and Grievances Medical Director – Hospitalist or Internal Medicine - Remote - is responsible...
together. The Appeals and Grievances Medical Director is responsible for ongoing clinical review and adjudication of appeals... * from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Perform individual case review for appeals...
is responsible for ongoing clinical review and adjudication of appeals and grievances cases for UnitedHealthcare associated companies... together. In collaboration with and supervision by an Appeals and Grievances Medical Director, the Physician Assistant...
together. The Appeals and Grievances Medical Director is responsible for ongoing clinical review and adjudication of appeals... * from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Perform individual case review for appeals...
will report to the Manager of the Appeals and Grievances team. In this role you will perform accurate and timely clinical review..., and nationally recognized clinical criteria. The successful RN candidate will review both medical and pharmacy member appeals...
Title: Compliance & Appeals Coord. Location: Fountain Valley Department: Compliance Status: Full-time Shift... Compliance and Appeals Coordinator is primarily responsible for record keeping of government appeals and deadlines, coordinating...
and serves as a subject matter expert for appeals/grievances/quality of care issues and is a resource for clinical and non...Anticipated End Date: 2025-02-03 Position Title: Nurse Appeals (RN) CA Job Description: Nurse Appeals – Licensed...