Care Manager: Denials & Appeals Specialist (Flexible Schedule)

Harris Health System, Inc. seeks a Care Manager Clinical Denials (CM-CD) to oversee clinical audits and denials management for inpatient medical necessity and level of care. The role interfaces with physicians to coordinate appeals and ensures documentation aligns with payor and regulatory requirements. The CM-CD reviews records, conducts audits, and supports preventable readmission initiatives; strong analytical, communication, and organizational skills are essential. #J-18808-Ljbffr Harris Health System, Inc.