Clinical Denials Care Manager - Appeals & Audits
Harris Health System
Harris Health in Houston is seeking a Care Manager Clinical Denials to manage clinical audits and denial processes related to inpatient medical necessity. The ideal candidate will have a strong background in nursing, case management, and communication skills. Qualifications include a Bachelor of Science in Nursing or diploma, along with a Texas RN license and relevant certification. This role will involve collaborating with physicians to ensure compliance with healthcare regulations and performing departmental audits. #J-18808-Ljbffr Harris Health
Vacancy posted 2 days ago
Similar jobs that could be interesting for youBased on the Clinical Denials Care Manager - Appeals & Audits in Houston, TX vacancy
- Harris Health System in Houston, TX seeks a Care Manager Clinical Denials (CM-CD) to manage clinical audits and denials related to inpatient medical necessity and... ...records, applies regulatory knowledge, and coordinates appeals with payors and physician advisors. The role acts...SuggestedRemote job
- 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... ...clinical and payor knowledge, and determine when an appeal is required. The CM-CD coordinates denial management...SuggestedRemote work
$86.99k - $109.3k
Job Number: 179957, Job Title: Care Manager Clinical Denials - Mon. - Friday / Telecommute / Hybrid., Salary... ...for the management of clinical audits and denials related to inpatient medical... ...why cases are denied and whether an appeal is required. For all inappropriate denials...SuggestedWork experience placementWork at officeRemote workFlexible hours- ...compassionate, safe and efficient quality care and achieve desired treatment... ...of care; and communicates clinical information to payers to... ...with the external case manager to facilitate discharge planning... ...continued stay. Reviews level of care denials to identify trends and...Suggested
River Oaks Hospital & Clinics
Houston, TX10 hours ago - ...GENERAL STATEMENT OF DUTIES The Clinical Educator drives excellence in patient care, care partner education and staff development at Moody Neurorehabilitation... ...information from OT, PT, SLP, Counseling, Case Management, Director of Rehabilitation, and attending Physician...SuggestedTraineeshipNight shiftAfternoon shift
Moody Neurorehabilitation Institute
Houston, TX22 hours ago $100k - $130k
...Inspire Medical Systems, Inc. is seeking a Field Clinical Representative in Houston, Texas. This role involves providing technical and clinical expertise to support the safe adoption of Inspire therapy and products. Candidates should possess a bachelor's degree and relevant...Flexible hoursInspire Medical Systems
Houston, TX4 days ago- ...Hospital Clinical Educator Career Opportunity Acknowledged for your expertise in Hospital Education Are you passionate about shaping... ...Coordinate staff completion of BLS and ACLS certifications. Manage the equipment and skills stations needed for BLS and ACLS training...Full timePart timeLocal areaFlexible hoursShift workNight shiftAfternoon shiftWeekday work
Encompass Health Rehabilitation Hospital of Katy
Houston, TX4 days ago - ...Clinical Educator (RN, LPC, or LCSW) Nexus Children's Hospital - Houston Make a Difference... ..., we specialize in providing inpatient care for children and adolescents with... ...readiness through education and competency management. Quality Improvement & Evidence-Based...
Nexus Health Systems
Houston, TX4 days ago - ...institution is seeking a qualified pharmacist to provide clinical pharmacy services, ensuring high-quality patient care and safety. The candidate must possess a Texas... ...in clinical settings. Responsibilities include managing drug therapy, collaborating with healthcare teams...
- Bethyl Laboratories, Inc is looking for a Donation Clinical Specialist in Houston, Texas. This role involves coordinating the organ and tissue... ...for evaluating potential donors and collaborating with family care specialists and donor hospital staff. A nursing license or...Night shift
$61.3k - $122.7k
Clinical Specialist I, CPT - Houston, TX Abbott is a global healthcare leader that helps people... ...do work that matters, grow, and learn, care for yourself and family, be your true... ...assistance, primarily in support of 1‑2 Territory Manager(s). Assist Territory Managers in after‑...For contractorsWork experience placement- Overview As a Senior Clinical Coding Specialist, this role supports accurate and compliant... ...a leading institution focused on cancer care, research, education, and prevention.... ...Communicate effectively with coding team members, management, business office, and external customers...Full timeApprenticeshipWork at officeLocal areaRemote workRelocation packageShift work
- Texas Children's Medical Center in Houston is seeking a Clinical Specialist for the Pavilion for Women in the Main Operating Room. This role requires expertise in nursing, focusing on quality patient care and improved outcomes through collaboration and education. The ideal...
- ...Specialist to support regional accounts under the guidance of the Region Sales Manager. You will work with Territory Managers to maintain market share while delivering exceptional service and clinical support. Responsibilities include conducting in‑services, training...
$95k - $120k
...Acute Care Technology At ZOLL, we're passionate about improving patient outcomes and... ...customer satisfaction and retention in the clinical education and implementation process;... ...Systems products are utilized. Reports to the Manager, US EMS Training and Clinical Deployment....Minimum wageOngoing contractLocal areaRemote workWorldwideNight shift$61.3k - $122.7k
...Clinical Specialist, Endovascular Abbott is a global healthcare leader that helps people live more fully at all stages of life. Our portfolio... .... At Abbott, you can do work that matters, grow, and learn, care for yourself and family, be your true self and live a full life....Work experience placementWork at office- ...ages 0 to adulthood. The schedule requires Thursday, Friday and Saturdays, with Wednesday or Monday negotiable; requires Texas PT licensure and a degree in Physical Therapy, with mentorship and leadership in outpatient clinics. #J-18808-Ljbffr Texas Children's Hospital
- Texas Children's Hospital in Houston is seeking a Clinical Specialist for the Pavilion for Women, main Operating Room. The ideal candidate... ...with a multidisciplinary team, and support quality patient care initiatives. This full-time position emphasizes collaboration, teaching...Full time
- UT MD Anderson in Houston seeks a Senior Clinical Coding Specialist to support accurate coding operations impacting revenue integrity and billing processes. This role requires expertise in coding guidelines, communication with clinical teams, and compliance support. The...Remote job
$110k - $125k
...are dedicated to pioneering new standards of care for mental health. With our lead medical device advancing into pivotal clinical development, we are seeking an experienced... ...with study execution, CRO oversight, site management, and clinical data quality, and partners closely...Work at office- ...Clinical Specialist Make a meaningful difference to patients around the world. Driven by... ...patients receive the highest quality of care. Patients with mitral and tricuspid heart... ...in collaboration with sales reps and managers in local geographies Serve as the designated...Work experience placementLocal areaNight shift
- Medtronic is seeking a Clinical Specialist for their Pelvic Health team in Houston, Texas. This field-based role involves providing surgical... ...therapies. The ideal candidate will have significant patient care experience, a valid driver’s license, and be passionate about improving...Remote job
$110k - $125k
Medical Technology Company in Houston, TX is seeking a Senior Clinical Affairs Specialist to lead day-to-day execution of clinical studies, oversee CROs, site management, and ensure quality data for regulatory and commercial objectives. The role reports to the CEO and requires...- Bethyl Laboratories, Inc is seeking a Donation Clinical Specialist for night shifts in Houston, Texas. In this role, you will coordinate... ...professional, such as a nurse or paramedic, with experience in critical care. LifeGift offers competitive benefits including medical, dental,...Night shift
- Abbott is seeking a Clinical Specialist I, CPT for the Houston area. In this role, you will provide essential technical and clinical support, assisting Territory Managers and ensuring effective communication with medical professionals about Abbott's Chronic Pain Therapies...
- LifeGift is currently looking for a Donation Clinical Specialist (Night Shift) who will be... ...for organ and tissue donation, medical management of organ donors, allocation of organs, and... ...with donor hospital staff and Family Care Specialists, to set the stage for donor...Full timeShift workNight shift
$61.3k - $122.7k
Abbott Laboratories is seeking a Clinical Specialist in Endovascular to support case planning and product promotion throughout Houston. The role emphasizes education and support in hospital settings, requiring strong communication skills and technical expertise. The successful...- ...Field Clinical Specialist Make a meaningful difference to patients around the world.... ...and clinical teams to transform patient care with devices supported by clinical evidence... ...in the areas of valve crimping, case management, pre-case planning, post-case management...Work experience placement
$61.3k - $122.7k
...do work that matters, grow, and learn, care for yourself and your family, be your true... ...**Houston, TX** in the Cardiac Rhythm Management division. As a global leader in Cardiac... ...) products.**Key Responsibilities:*** **Clinical Interface**: Acts as a clinical interface...Work at officeWorldwide- A healthcare organization in Houston is seeking a Donation Clinical Specialist for the Night Shift, responsible for coordinating organ and... ...or paramedic experience and at least two years in critical care. The role includes paperwork documentation and collaborative efforts...Night shift
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Clinical Denials Care Manager - Appeals & Audits. Be the first to apply!
Related searches
- public health project manager Houston, TX
- clinic supervisor Houston, TX
- clinical data manager remote Houston, TX
- medical device manager Houston, TX
- clinical research manager remote Houston, TX
- clinical account manager Houston, TX
- healthcare facilities manager Houston, TX
- director sr. director clinical operations Houston, TX
- assistant medical director Houston, TX
- health services manager Houston, TX