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Care Manager – Denials & Compliance (Flexible Schedule
Job in
Houston, Harris County, Texas, 77246, USA
Listed on 2026-08-22
Listing for:
Harris Health
Part Time
position Listed on 2026-08-22
Job specializations:
-
Management
Healthcare Management
Job Description & How to Apply Below
Harris Health seeks a Care Manager Clinical Denials (CM-CD) to oversee audits and denials related to inpatient medical necessity and level of care. The role reviews records, applies clinical and payer rules, and coordinates appeals with physician advisors.
As a liaison between Case Management and physicians/providers, you will ensure regulatory compliance, perform audits, and support prevention of readmissions through diligent denial management.
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