Utilization Management RN - Core

+This position is responsible for working with the Medical Director to reduce care variance and ensure timely discharges.+Assists with building and implementing care management review processes. · Educates internal and external stakeholders to improve processes. · ...

The Clinical Revenue Cycle Educator provides leadership, coordination, and delivery of training programs across clinical revenue cycle functions. · Associate degree in Health Information Management, Nursing, another clinical/healthcare field. · Certified Coding Specialist (CCS) t ...

The Clinical Revenue Cycle Educator provides leadership coordination and delivery of training programs across clinical revenue cycle functions including CDI coding denials and utilization review. · * Design and lead systemwide CDI coding UR and denial management training using da ...

Welcome We're excited you're considering an opportunity with us To apply to this position and be considered, click the Apply button located above this message and complete the application in full. Below, you'll find other important information about this position. · The Care Tran ...

The Care Manager will be an integral member of the health plan's medical management team. · This position is responsible for identifying and connecting high risk members to appropriate resources and programs to achieve optimal quality and financial outcomes. ...

The Population Health Care Transition Coordinator is responsible for coordinating and facilitating patient discharge planning during hospitalization. · ...

This insurance specialist III is responsible for obtaining authorizations for elective infusions and injections to financially clear patients and ensure reimbursement for the organization. · ...

We're excited you're considering an opportunity with us. · Responsible for leading a project team (or teams) on organizational wide mid-to-low risk projects affecting multiple people within a limited number of areas/departments May also be responsible for overall project manageme ...

The Disease Management Coordinator collaborates with patients and primary care providers to ensure patients receive quality, efficient, and cost-effective healthcare services. Coordinates, monitors, and evaluates all options and services to optimize a patient's health status. · ...

Welcome We're excited you're considering an opportunity with us To apply to this position and be considered, click the Apply button located above this message and complete the application in full. Below, you'll find other important information about this position. · The Disease M ...

This position is responsible for managing accounts receivable related to denied claims to ensure the financial viability of the WVU Medicine hospitals. · High School diploma or equivalent. · ...

The position of Supervisor Technology involves overseeing day-to-day operations of Information Technology staff. · ...

Welcome We're excited you're considering an opportunity with us To apply to this position and be considered, click the Apply button located above this message and complete the application in full. Below, you'll find other important information about this position. · The primary f ...

The primary focus of this position is to provide financial and statistical analyses to support organizational leaders across the WVU Medicine System in decision making. · ...

This position is responsible for assisting with the coordination of the 340B Drug Pricing Program for all qualified entities throughout the WVU Medicine Health System. · ...

Welcome We're excited you're considering an opportunity with us To apply to this position and be considered, click the Apply button located above this message and complete the application in full. Below, you'll find other important information about this position. · The primary f ...

Welcome We're excited you're considering an opportunity with us To apply to this position and be considered, click the Apply button located above this message and complete the application in full. Below, you'll find other important information about this position. · Responsible f ...

Responsible for managing patient account balances including accurate claim submission compliance with federal/state and third party billing regulations timely follow-up and assistance with denial management to ensure the financial viability of the WVU Medicine hospitals. · ...

Welcome We're excited you're considering an opportunity with us To apply to this position and be considered, click the Apply button located above this message and complete the application in full. Below, you'll find other important information about this position. · Responsible f ...

Welcome to this healthcare coordination role where you will review incoming referrals for appropriateness based on established criteria. · ...