- HCA Healthcare (Hendersonville, TN)
- …optimum patient experience. **What you will do in this role:** + You will lead clinical performance expectations that support the goals of consistent clinical ... consultation on contracting, pricing, and analysis of managed care issues. Offers clinical support for appeals and denials process, discharge planning, case… more
- Humana (Nashville, TN)
- …resolution skills. Some roles include an overview of coding practices and clinical documentation, grievance and appeals processes, and outpatient services and ... and work is assisted by diverse resources, which may include national clinical guidelines, CMS policies and determinations, clinical reference materials,… more
- Humana (Nashville, TN)
- …and work is assisted by diverse resources, which may include national clinical guidelines, CMS policies and determinations, clinical reference materials, ... reviewing of all submitted medical records, synthesizing complex hospital-based clinical scenarios, and providing expert decisioning on the requested services.… more
- Humana (Nashville, TN)
- …create meaningful written and verbal communication and consultation in support of and lead team -based efforts to address business issues and achieve well-being ... leader in health and well-being. In partnership with the Well-Being and Benefits team , the incumbent will create written and digital content, talking points and… more