Care Manager - Denials & Appeals (Hybrid/Telecommute)
Case Management Society of America (CMSA) ®
Harris Health is seeking a Care Manager Clinical Denials to oversee audits and denials related to inpatient medical necessity and level of care. You will review records, apply clinical and payor knowledge, and determine when an appeal is required. The CM-CD coordinates denial management with physician advisors and serves as a liaison between Case Management and providers, ensuring regulatory compliance across TDHSC/Medicare/Medicaid. #J-18808-Ljbffr Case Management Society of America (CMSA) ®
Vacancy posted 1 day ago
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