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Care Manager - Denials & Appeals; Hybrid​/Telecommute

Remote / Online - Candidates ideally in
Houston, Harris County, Texas, 77246, USA
Listing for: Case Management Society of America (CMSA) ®
Full Time, Remote/Work from Home position
Listed on 2026-07-10
Job specializations:
  • Healthcare
    Healthcare Management, Healthcare Administration
Salary/Wage Range or Industry Benchmark: 86985 - 109304 USD Yearly USD 86985.00 109304.00 YEAR
Job Description & How to Apply Below
Position: Care Manager - Denials & Appeals (Hybrid/Telecommute)

Harris Health is seeking a Care Manager Clinical Denials to oversee audits and denials related to inpatient medical necessity and level of care. You will review records, apply clinical and payor knowledge, and determine when an appeal is required.

The CM-CD coordinates denial management with physician advisors and serves as a liaison between Case Management and providers, ensuring regulatory compliance across TDHSC/Medicare/Medicaid.

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