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ScionHealth is committed to a culture of service excellence as demonstrated by our employees’ adherence to the service excellence principles of Pride, Teamwork, Compassion, Integrity, Respect, Fun, Professionalism, and Responsibility.
Job Summary: The Clinical Appropriate Management (CAM) Specialist combines strong relationship building skills and clinical knowledge to manage the Authorization and Appeals Management processes. Responsible for investigating and processing authorizations. Primary duties include; review of prospective, retrospective or concurrent medical records of denied services for medical necessity, as well as processing authorizations. Serves as a liaison with marketing, Managed Care and administration of the facilities. Coordinates the managed care determinations and distributes information to the marketing and admissions support staff across multiple markets. Identifies information needed from the referring hospital to finalize the authorization.
Essential Functions:
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Per Diem
Wholesale
$68k-80k (estimate)
04/18/2024
04/30/2024
digital-resources.net
Denver, CO
<25
Wholesale