- Sedgwick (Nashville, TN)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Utilization Review Coordinator **PRIMARY PURPOSE** : To assign ... utilization review requests; to verify and enter data in appropriate...and RESPONSIBILITIES** + Accesses, triages and assigns cases for utilization review (UR). + Responds to telephone… more
- Humana (Nashville, TN)
- …new systems (proficient to advanced) **Preferred Qualifications** + Experience with Utilization Review and/or Prior Authorization, preferably within a managed ... and help us put health first** The UM Administration Coordinator contributes to administration of utilization management....the nursing team + Builds and pends authorizations for review + Responsible for inbound and outbound calls to… 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
- Vanderbilt University Medical Center (Nashville, TN)
- …preeminent programs in patient care, education, and research. **Organization:** Utilization Management **Job Summary:** Coordinate, monitor, and evaluate the ... operation of Utilization Management Section of the Utilization Management...performance with department scope of service parameters. + Annually review current policies. Create, update and/or maintain section, department… more
- Humana (Nashville, TN)
- …utilizing electronic medical record and documentation programs + Experience with Utilization Review and/or Prior Authorization, preferably within a managed ... + Knowledge of Medical Terminology and/or ICD-10 codes + Experience with Utilization Review and/or Prior Authorization, preferably within a managed care… 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 ... organization that invests in you as a Physician Advisor Coordinator ? At Parallon, you come first. HCA Healthcare has...difference. We are looking for a dedicated Physician Advisor Coordinator like you to be a part of our… more
- HCA Healthcare (Nashville, TN)
- …you want to join an organization that invests in you as a **Corporate Coordinator , Transition to Practice** ? At HCA Healthcare, you come first. HCA Healthcare has ... a difference. We are looking for a dedicated Corporate Coordinator - Transition to Practice like you to be...and efficiency of the competency management program through the review of evidence for best practices in competency management.… 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
- R1 RCM (Nashville, TN)
- …responsible for managing the Patient Access Supervisor, Patient Access Administrative Coordinator and Patient Access Associates. Every day, you will coordinate with ... the management team to ensure efficient patient processing, bed utilization , and adherence to federal and local laws and...+ Provide support for Human Resource guidance + Complete, review , manage and monitor department budget + Directs and… 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