Remote Clinical Appeals & CDI Manager - Drive Denials Back
University of Minnesota School of Nursing
- Remote job
Managed Resources, Inc. is seeking a Clinical Appeals & CDI Manager in Sacramento, California to oversee the Clinical Appeals Department. The role involves reviewing clinical appeal letters, assisting Clinical Appeal Nurses, and ensuring compliance with HIPAA regulations. Preferred qualifications include being a Registered Nurse with previous management experience, along with excellent communication skills and proficiency in Microsoft Office. The position offers work-from-home accommodations, career support, and employee perks. #J-18808-Ljbffr University of Minnesota School of Nursing
- Crains Cleveland is seeking a Clinical Appeals & CDI Manager to oversee the Clinical Appeals Department. This role includes reviewing appeal letters, assisting nurses, and ensuring compliance with standards. The ideal candidate will have a Registered Nurse background,...Remote jobWork from homeHome office
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- Supervisor Clinical & Coding Quality (928108)... ...Experience working in a remote environment... ...Year Job Duties Manages staffing and all employee... ...point for complex CDI, coding, DRG, and... ...Collaborate with Denials Team processes and... ...CDI, Denials, and Appeal guidelines and...Remote workFull time
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...locations: US - Remote (Any location)**Job... ...Account Receivables* Denials* Cash Acceleration... ...of revenue cycle management experience,... ...Proven success in driving operational process... ...Care Administration, Clinical Administration• Certifications... ...* Emergency Back-Up Childcare...Remote workTemporary workFlexible hours$89k - $148k
...Senior Consultant - Back-End Revenue Cycle... ...: US - Remote (Any location)time... ...responsibility for client management, solution implementation... ...Receivables* Denials* Cash Acceleration... ...* Track record of driving operational process... ...Administration or Clinical Administration* Previous...Remote workTemporary workFlexible hours$40k - $50k
...Position: Customer Success Manager Location: Remote/Travel Role (Travel... ...improving efficiency and reducing denials by equipping physicians with... ...their EHR systems, and drive adoption across healthcare... ...seamless integration within clinical workflows. Analyze performance...Remote workWork from homeFlexible hours- ...Appeals Nurse The Appeals Nurse works with attorneys and claims... ...when appropriate to overturn clinical denials from Medicare, Medicaid, and... ...payment of patient claims. Managing Inventory and Following up on... ...requirements. This position is remote and requires a dedicated,...Remote workTemporary workWork from home
- ...Clinical Appeals Nurse (RN) Status: Exempt Location: Remote Department: Clinical Appeals Reports To:... ...critical part in overturning denials, improving... ...Collaborate with coding, CDI, denial recovery, and operations... ...review, case management, CDI, or clinical appeals...Remote work
- ...and scale their own clinics by providing AI-... ...contracting, and full back-office... ...time. This role is remote-friendly, but we are... ...Identify patterns, drive corrective action,... ...reduces audit risk, denials, and clawbacks. Stay... ...Over time, hire and manage a team focused on QA...Remote workFull timeWork at officeFlexible hoursShift work
- ...Project Manager III – PHCO / Clinical System Migration Remote (within Florida, USA) Travel: Up to 25% (including some overnight... ...Management, Care Management, Appeals, Medical Management, and Pharmacy... ...work within the PHCO PMO team to drive operational alignment, lead cross...Remote workFull timeNight shift
- ...Brooklyn, Ohio office. Manages staff and end‑to‑end... ...for member and provider appeals and claim review. Ensures... ...performance metrics, drives accountability, and promotes... ...operations, appeals, clinical review, or related... ...Whether you are working remote or in the office, employees...Remote workWork at office
$105k - $120k
...assess cognition across clinical trials, healthcare... ...the world, helping to drive breakthroughs in neuroscience... ...cognitive science and backed by rigorous validation,... ...we’re seeking a Project Manager accountable for... .... What’s In It For You Remote Work Practices: Cogstate...Remote workFull timeTemporary workLocal areaFlexible hours$160k - $215k
...Service Delivery Director - Clinical Denials page is loaded## Revenue Cycle... ...14999Huron helps its clients drive growth, enhance performance and... ...teams delivering RCM Huron Managed Services (HMS) for our clients... ...and/or Clinical denials-appeal management experience* 2+ years...Permanent employmentLocal areaImmediate start- ...workflow automation, remote patient... ...lower costs, and drive better outcomes... ...billing vendors, clinical staff, and... ...billing vendors. Manage and monitor third... ...minimize claim denials at the source.... ...Monitor and guide back-end RCM... ...denial management, appeals, and collections...Remote workWork at office
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$90k - $110k
...Account Executive | PE-Backed Health-tech SaaS Account... ...who can help drive revenue to the next level... ...departments, and trauma centers Managing the full sales cycle... ...executives, administrators, and clinical staff Consultative... ...structure Fully remote work flexibility Be set...Remote workFull time- Ohio State University is hiring a Clinical Finance Case Management - RN Specialist 3 to work remotely within the Revenue Cycle Clinical Support team. This... ...complex pre-authorizations, preventing and appealing clinical denials, and collaborating with multidisciplinary teams...Remote job
- ...Worth, West Palm Beach, FL (Clinical - LTSS Service Care Manager Region 9 Lake Worth, West... ...Location: This role is remote but also requires field work... ...resolving complaints and appeals. Must haves : Technology... ...- Case Management, UR, & CDI Manager, MCS Clinical Services...Remote workContract workWork at officeRelocation packageShift work
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...Karius Karius is a venture-backed life science startup... ...vision of accelerating clinical trials, discovering new... .... The Clinical Sales Manager is responsible for the... ...Karius test/solutions and drive increased utilization... ...partner interactions, both remote and in‑person, and...Remote workLocal areaImmediate startWorldwide$130k - $150k
...Technologies company, builds clinical AI that is... ...scores, and appeal every denial. Become a Smartian... ...seeking an Operations Manager to help optimize... ...This role is fully remote within the US** What... ...SQL to complete back-end queries to effectively... ...improvement (CDI) software or...Remote workFlexible hours$22.22 - $31.71 per hour
...performing teams drive groundbreaking... ...The Billing Managed Care Coordinator... ...eligibility, and denial resolution.... ...Administrators and clinical teams. The... ...reprocessing or appeals Collections... ...practice Serve as back up to other... ...100%) Remote Type...Remote workHourly payShift work- ...Title: Clinical Trial Contract Manager Location: REMOTE Duration: 12 Months with possible extension Duties... ...negotiation prameters within FMV. Drives development and maintenance of... ...skills and long term growth. Backed by precision, transparency, and...Remote workContract workLocal area
- ...Library, Inc. is a venture-backed startup founded in 2022... ...and retention to clinical trials with an AI-platform... ...Associate Project Manager, you will work closely... ...Library Platform. This is a remote position.You will play... ...influence behaviors to help drive the desired...Remote work
- ...All Jobs Clinical Appeals Reviewer (Licensed Healthcare Professional... ...Professional) • Fully Remote • United States Full-... ...while also giving back to the Tanaq native... ...participates in workgroups at management's direction. Conducts... ...and satisfactory driving record. Ability to...Remote workFull timeContract workPart timeFor contractorsWork at officeLocal areaNight shift
- ...Managed Resources, Inc. is seeking a part-time DRG Appeals Review Nurse to analyze denied MS-DRG and APR-DRG claims. This remote role requires a Registered Nurse (RN) license... ...and expertise in clinical appeals and coding.... ...for reviewing denials and writing appeal letters...Remote workPart time
- ...Summary and Responsibilities Remote Position *Although remote,... ...The Market Director Clinical Informatics plays a pivotal leadership... ...and optimization requests to drive performance improvement... ...changes and model effective change management strategies. Serve as a role...Remote workWork from homeRelocation
- ...JOB DESCRIPTION Job Summary Leads and manages team responsible for claims activities including... .../resolution of member and provider appeals and grievances; ensures resolutions are... ...Experience with Medicaid and Medicare claims denials and appeals processing, and knowledge of...Remote workWork at office
- ...whiteboards, room signage, remote patient monitoring (RPM), and AI-powered clinical workflow automation.... ...million growth round, backed by leading health systems... ...Implementation Project Manager Join our mission-... ...platform but also be a driving force in transforming healthcare...Remote work
$55k - $60k
...healthcare technology and clinical services company with a... ...view to medication management, and develop and deliver... ...issues with access to care. Backed by leading healthcare... ...and pharmacists to drive excellent medication outcomes... ..., preferably within a remote setting. Excellent...Remote workLive in- ...is seeking experienced Project Leaders and Senior Project Leaders to drive success in global clinical trials across various therapeutics. Candidates should have a strong background in Project Management, with at least 2 years of experience leading clinical trials. This...Remote work
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