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.
B.E. Smith in partner with MercyOne Des Moines Medical Center
Des Moines, Iowa
NEW! NEW!
NEW! NEW!
NEW! NEW!
NEW! NEW!
Penn State Health
Hershey, Pennsylvania
NEW! NEW!
NEW! NEW!
NEW! NEW!
NEW! NEW!
NEW! NEW!
NEW! NEW!
NEW! NEW!
NEW! NEW!
NEW! NEW!
NEW! NEW!
NEW! NEW!
Veterans Affairs, Veterans Health Administration
Rapid City, South Dakota
NEW! NEW!
Veterans Affairs, Veterans Health Administration
Butler, Pennsylvania
NEW! NEW!
NEW! NEW!
NEW! NEW!
NEW! NEW!
Veterans Affairs, Veterans Health Administration
Miami, Florida
NEW! NEW!
Loading... Please wait.
Care Manager Clinical Denials
Job SummaryThe 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 coordin
Loading. Please wait.
Powered By
