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Manager 2, Clinical Finance Case Manager- The James
Position Summary Responsible for daily operational management of Revenue Cycle Clinical Support Staff primarily involving the oversite of Clinical Pre-Certification Peer to Peer Clinical Appeals Denial Analysis and Prevention for The Ohio State University Health System. Implements and supports the philosophy mission values standards policies and procedures of The Ohio State University Wexner Medical Center. Functions within multidisciplinary teams leading staff to secure complex pre-authorizations and prevent/appeal clinical denials. The job duties require the utilization of clinical knowledge to interpret and apply medical necessity guidelines to determine appropriateness for services provided. Makes determinations on the appropriate level of care (Inpatient


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