- Community Health Systems (Franklin, TN)
- **Job Summary** The Utilization Review Coordinator ensures efficient and effective management of utilization review processes, including denials and ... timely authorizations for hospital admissions and extended stays. The Utilization Review Coordinator monitors and documents all authorization activities,… more
- Humana (Nashville, TN)
- … or discharge planner in an acute care setting + Previous experience in utilization management/ utilization review for a health plan or acute care ... part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination,… more
- HCA Healthcare (Nashville, TN)
- …opportunity compelling, we encourage you to apply for our Equipment Inventory Coordinator opening. We promptly review all applications. Highly qualified ... vary by location._** We are seeking a(an) Equipment Inventory Coordinator for our team to ensure that we continue...of equipment in the facilities and reporting of facility utilization /need. **In this role you will be responsible for:**… more
- HCA Healthcare (Nashville, TN)
- …process flows between multiple enterprise teams such as Case Management, Corporate Utilization Review Services (URS) team, Pre-bill Denial Units (PDU), and ... join an organization that invests in you as a Physician Advisor Coordinator ? At Centralized Review , you come first. HCA Healthcare has committed up to $300… more
- Green Hills Center for Rehabilitation and Healing (Nashville, TN)
- …trends on a monthly basis + Responsible for timely and accurate completion of Utilization Review and Triple Check + Serves on, participates in, and attends ... MDS Coordinator The Green Hills Center for Rehabilitation and...Healing is looking for a talented and hard-working MDS Coordinator to join our ever-growing team. We are seeking… more
- CVS Health (Nashville, TN)
- …with transferring patients to lower levels of care. + 1+ years' experience in Utilization Review . + CCM and/or other URAC recognized accreditation preferred. + ... AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical management services that support… more
- Trevecca Center for Rehabilitation and Healing (Nashville, TN)
- …meaningful contributions to the rehab team conferences, patient care conferences, utilization review meetings, family conferences, and caregiver training ... the administrator in development of the annual budget. Appropriate and effective utilization of staff. Managing key operations and financial levers to achieve budget… more
- Veterans Affairs, Veterans Health Administration (Murfreesboro, TN)
- …program or service level The CLC RN collaborates with the Minimum Data Set (MOS) coordinator to ensure accuracy of the Resource Utilization Group (RUG) score. VA ... determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply.… more
- SHI (Nashville, TN)
- …position will schedule resources, manage escalations, track hours and budget, review deliverables, and maintain clear communication with stakeholders on project ... closure which includes project acceptance,andfinal invoicing, andconduct a thorough review toidentifylessons learned and best practices for future projects +… 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 ... the facility with the director of nursing, nurse managers, and admissions coordinator to assist in development of the respiratory therapy program. . Establishing… more