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Care Manager RN CMS Appeals at AdventHealth - ApplyBlast

Care Manager RN CMS Appeals

AdventHealth

3 months ago

3.8 on Glassdoor

Onsite

Full Time

Senior

0 applicants

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About this role

This role involves analyzing audit and appeal data to develop action plans and report on Medicare-related processes. The position requires reviewing electronic medical records, collaborating with various teams to strategize denial prevention, and serving as a subject matter expert for clinical audits. Responsibilities include preparing reports for meetings, tracking account trends, and educating staff on CMS regulations and appeal procedures.

Responsibilities

Analyze audit and appeal data to determine action plans
Review electronic medical records for appeal responses
Collaborate with teams to strategize denial prevention
Prepare reports and presentations for Medicare meetings
Serve as subject matter expert for clinical audits

Skills

Qualifications

Registered Nurse (RN)Associate's of NursingBachelor's of NursingMaster's of Nursing

About AdventHealth

adventhealth.com

Headquarters

Altamonte Springs, Florida, United States

Company Size

10001+ employees

Founded

1973

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The AdventHealth network of health care extends beyond your nearest hospital. From primary care to specialty medical services, we're here to help you feel whole.