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Job Details: CASE MANAGER - REVENUE MGMT

 

Company: Centura Health – As the largest health care family in Colorado and the state's fourth largest private employer, Centura Health provides care and comfort to more than 500,000 people each year. The Centura family includes 12 hospitals, eight senior living communities, medical clinics and home care and hospice services.

Description: Centura Health is Colorado's largest family of hospitals and health care services and one of the state's largest private employers.
Conducts retro authorizations based on medical records and and communication with physicians and other care providers. Bachelor's degree in Nursing required.

Performs retrospective review of hospitalizations telephonically and/or on-site as appropriate. Maintains rapport with a variiety of health care professionals including hospital UR department staff, primary and attending physicians and various specialty providers as required. Utilizing your clinical skills in revieiwing clinical records to apply and interpret clinical criteria, guidelines, policies and procedures in the process of assessing clinical appeals to ensure appropriate administration of benefits. Critical thinking skills, decisive judgment and the ability to work with minimal supervision meeting firm deadlines.

As the largest health care provider in Colorado and the state's fourth largest private employer, Centura Health provides care and comfort to more than 500,000 people each year. The Centura family includes 12 hospitals, 8 senior living communities, medical clinics and home care and hospice services.

As a nonprofit, faith-based organization, Centura Health invests every dollar it earns into furthering it's mission.

Catholic Health Initiatives and Adventist Health System have combined their unique histories to forge an organization unlike any other. Centura Health. It is the combination of a forward thinking hospital system made up of a broad range of facilities in a location that many consider the perfect blend of outdoor adventure and metropolitan sophistication.

Just hours from many of our hospitals is world class skiing, quaint mountain villages and unmatched hiking and camping opportunities. Colorado enjoys four distinct seasons-and averages 250-300 days of sunshine per year-plus exquisite dining, wonderful spas and cultural entertainment.
Alexis Kaufman
AlexisKaufman@Centura.org
Posting Date: Sep 17 08

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Company

Centura Health

As the largest health care family in Colorado and the state's fourth largest private employer, Centura Health provides care and comfort to more than 500,000 people each year. The Centura family includes 12 hospitals, eight senior living communities, medical clinics and home care and hospice services.

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