Job Seekers, Welcome to ACA Career Central
Search Filters
Use this area to filter your search results. Each filter option allows for multiple selections.
NEW! NEW!
NEW! NEW!
NEW! NEW!
NEW! NEW!
NEW! NEW!
WakeMed Health & Hospitals
Raleigh, North Carolina
NEW! NEW!
NEW! NEW!
NEW! NEW!
Memorial Sloan Kettering Cancer Center
New York, New York
NEW! NEW!
WakeMed Health & Hospitals
Raleigh, North Carolina
NEW! NEW!
NEW! NEW!
NEW! NEW!
NEW! NEW!
NEW! NEW!
NEW! NEW!
NEW! NEW!
WakeMed Health & Hospitals
Raleigh, North Carolina
NEW! NEW!
WakeMed Health & Hospitals
Raleigh, North Carolina
NEW! NEW!
Northeast Georgia Health System
Gainesville, Georgia
NEW! NEW!
NEW! NEW!
NEW! NEW!
NEW! NEW!
NEW! NEW!
NEW! NEW!
NEW! NEW!
Loading... Please wait.
Care Manager Clinical Denials
JOB SUMMARY: The 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 coordinat
Loading. Please wait.