Career Center

Job Seekers, Welcome to CMSA Career Center
Search Filters
Use this area to filter your search results. Each filter option allows for multiple selections.
Search Results: 371 Jobs
Create Alert
Loading... Please wait.
Banner Health

Tucson, Arizona

Kaiser Permanente

Redwood City, California

South Texas Health System Logo
South Texas Health System

EDINBURG, Texas

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

Raleigh, North Carolina

NEW! NEW!
AdventHealth Logo
AdventHealth

Shawnee Mission, Kansas

NEW! NEW!
Veterans Affairs, Veterans Health Administration Logo
Veterans Affairs, Veterans Health Administration

Redding, California, California

NEW! NEW!
St. Francis-Emory Healthcare Logo
St. Francis-Emory Healthcare

Columbus, Georgia

NEW! NEW!
NEW! NEW!
Duke University Health System Logo
Duke University Health System

Durham, North Carolina

NEW! NEW!
CHRISTUS Health Logo
CHRISTUS Health

Corpus Christi, Texas

NEW! NEW!
Kindred Hospitals Logo
Kindred Hospitals

Louisville, Kentucky

NEW! NEW!
AdventHealth Logo
AdventHealth

Winter Park, Florida

NEW! NEW!
NEW! NEW!
Baylor Scott & White Health Logo
Baylor Scott & White Health

Dallas, Texas

NEW! NEW!
Centura Health / CommonSpirit Health Logo
Centura Health / CommonSpirit Health

Longmont, Colorado

NEW! NEW!
Kindred Hospitals Logo
Kindred Hospitals

San Diego, California

NEW! NEW!
Harris Health System Logo
Harris Health System

Houston, Texas

NEW! NEW!
University of Maryland Medical System Logo
University of Maryland Medical System

Bel Air, Maryland

NEW! NEW!
University of Maryland Medical System Logo
University of Maryland Medical System

Baltimore, Maryland

NEW! NEW!
AdventHealth Logo
AdventHealth

Deland, Florida

ChristianaCare Health System Logo
ChristianaCare Health System

Newark, Delaware

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.
Powered By Naylor Association Solutions