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Lifepoint Health
Overview
Facilitates clinical reviews for patient admissions and continued stays to determine the legitimacy of treatment and length of stay. Acts as a liaison between managed care organizations and the treatment team to secure insurance coverage and coordinate care.
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Compensation
Salary not listed
Posted
6 days ago
Acadia
Responsible for managing the patient admissions process, including conducting assessments and coordinating transfers between levels of care. The role also involves verifying insurance benefits and collaborating with medical teams to ensure appropriate treatment recommendations.
11 days ago
Cedars-Sinai
The pharmacist manages medication therapy for immunocompromised liver transplant patients, including pre- and post-transplant infusions and nephrology consults. Responsibilities include conducting chart reviews, participating in inpatient rounding, and coordinating discharge medication changes.
$68 - $108 / HOUR
17 days ago
Facilitates clinical reviews for patient admissions and continued stays to determine the appropriateness of treatment and length of stay. Coordinates with managed care organizations and interdisciplinary teams to secure insurance authorizations and manage appeals.
18 days ago
North Florida Surgeons, P.A.
Obtain and manage insurance authorizations for various orthopedic and pain management procedures across commercial, Medicare, and Medicaid payers. Coordinate with providers and billing staff to track authorization status and manage appeals for denials.
1 month ago
Health Care Service Corporation
This position oversees clinical reviews for Applied Behavior Analysis (ABA) services, acting as a subject matter expert on autism spectrum disorder cases and ABA services within the Behavioral Health clinical team. Responsibilities include conducting and documenting peer-to-peer reviews with external ABA providers, consulting on cases reviewed by appeals staff, developing team training, and presenting data to leadership.
$121,200 - $225,200 / YEAR
Northwestern Memorial Healthcare
The Coding Specialist II performs CPT and ICD10 coding through abstraction of medical records, focusing on complex encounters. They also train staff on documentation, billing, and coding while ensuring accurate coding and compliance with guidelines.
$26 - $36 / HOUR
2 months ago
Larkin Community Hospital
The Case Manager performs and documents patient assessments, manages concurrent reviews, and contacts HMOs daily to obtain insurance authorization for patient admissions and continued stays. Responsibilities also include developing comprehensive plans of care from admission to discharge, ensuring efficient service use, and managing discharge planning coordination with physicians.
3 months ago
