- Evolent (Nashville, TN)
- …Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** The ** Coordinator , Intake Utilization Management ** at Evolent will serve as a ... regulatory requirements, and client contractual agreements. **Collaboration Opportunities** : The Coordinator , Intake Utilization Management reports directly… more
- Community Health Systems (Franklin, TN)
- **Job Summary** The Utilization Review Coordinator ensures efficient and effective management of utilization review processes, including denials and ... preferred **Knowledge, Skills and Abilities** + Strong knowledge of utilization management principles, payer requirements, and healthcare regulations.… more
- Elevance Health (Nashville, TN)
- **Managed Care Coordinator Clinician Non-RN** **Location:** Within 50 miles of a Pulse Point location **Hours:** Monday - Friday, between the hours of 9 am - 6 pm ... CST. The **Managed Care Coordinator Clinician Non-RN (US)** is responsible for working under the direction/supervision of an RN, with overall responsibility for the… more
- Highmark Health (Nashville, TN)
- …timeframes and notification requirements are met + Communicate effectively with Utilization Management Staff, providers, other internal and external customers ... and management + Route Cases Based on Established Guidelines + Provide accurate and timely routing of service requests to the nurse reviewer to assure that the… more
- Vanderbilt University Medical Center (Nashville, TN)
- …the accurate assembly of instrument trays and/or equipment independently. Utilization of the instrument tracking system and maintaining adequate sterilization ... duties may be assigned. Provide support and coordination regarding instrument management functions to include purchasing, inventory, repair, maintenance and tracking… more
- Fifth Third Bank, NA (Nashville, TN)
- …Third Bank. GENERAL FUNCTION: Serves as the trusted advisor and team coordinator to simplify complexity for Private Bank clients by challenging and collaborating ... credentialed specialists to provide wealth planning, investments, private banking, risk management , and trust services. Ensures delivery and execution of Private… more
- CVS Health (Nashville, TN)
- …Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers flexible medical management ... is 8:30am - 5pm within time zone of residence.** **American Health Holding, Inc (AHH) is a medical management company that is a division within Aetna/CVS Health.… more
- HCA Healthcare (Nashville, TN)
- …secure additional funding. Recognized as an expert within the organization, the coordinator supports process improvements related to change management and ... and aligned with corporate branding standards. + Lead communication rollouts with the utilization of operational tools for content management . + Plan and… more
- Trevecca Center for Rehabilitation and Healing (Nashville, TN)
- …and maximize therapist efficiency. . Managing Medicare Medical Review and Denials Management process in conjunction with the Regional CareRite denials support and ... development of the annual budget. . Appropriate and effective utilization of staff. . Managing key operations and financial...facility's Employee Handbook and as communicated by the facility's management . . Contributing to a positive work team by… more
- Gallatin Center for Rehabilitation and Healing (Gallatin, TN)
- …meaningful contributions to the rehab team conferences, patient care conferences, utilization review meetings, family conferences, and caregiver training sessions. + ... facility's Employee Handbook and as communicated by the facility's management . . Contributing to a positive work team by...with the director of nursing, nurse managers, and admissions coordinator to assist in development of the respiratory therapy… more