- Baptist Memorial (Memphis, TN)
- Overview Job Summary The Utilization Review Nurse is responsible for evaluating the medical necessity and appropriateness of healthcare services and ... treatment as prescribed by utilization review standards. The UR ...clinical experience RN with Case Management or Utilization Review experience in a hospital or… more
- Select Medical (Memphis, TN)
- …of Case Management** Position Will Begin In August 2025 **_Clinical license as a registered nurse or respiratory therapist or master's in social work and minimum ... and professional growth of the department, including, but not limited to: Utilization Review (UR) and resource management, discharge planning, treatment plan… more
- Fresenius Medical Center (Southaven, MS)
- …auditing activities. + Accountable for completion of the Annual Standing Order Review and Internal Classification of Disease (ICD) coding. + Manages clinic ... financials including efficient utilization of supplies or equipment and regular profits and...of supplies or equipment and regular profits and loss review . + Responsible for all required network reporting and… more
- Baptist Memorial (Memphis, TN)
- …and/or life situation. Performs other duties as assigned. Responsibilities + Utilization Review + Discharge planning + Readmission Reduction Participation ... of patients throughout the continuum of care for appropriate utilization of resources, service delivery and compliance with federal...Hospital Department: WH Case Management Admin BMH Women's Category: Nurse RN Type: Clinical Work Type: Full… more
- Baptist Memorial (Collierville, TN)
- …Preferred/Desired Licensure Minimum Required + License/Certification/Registries (valid for the State of MS): Registered Nurse ( RN ) by the State Board of ... Required. Preferred/Desired + Healthcare/Medical-Case Manager Preferred, or Healthcare/Medical - Utilization Review Preferred. Education Minimum Required +… more
- Baptist Memorial (Memphis, TN)
- …Masters in Nursing or related field Minimum: BSN Experience Preferred: Exp with utilization review processes Minimum: Two years of nursing experience in acute ... RN Facility: BMH - Tipton BCC Department: TC BCC Humphreys BCCH Category: Nurse RN Type: Clinical Nurse Work Type: Full Time Work Schedule: Days Location:… more
- Baptist Memorial (Memphis, TN)
- Overview Specialist-Denial Mitigation II RN Job Code: 21432 FLSA Status Job Family: FINANCE Job Summary The Denial Mitigation-Appeal Specialist II RN serves in a ... resolution in order to defend our revenue. The Denial Mitigation-Appeal Specialist II RN reviews the denial received from the payer, completes a thorough analysis of… more
- Baptist Memorial (Memphis, TN)
- Overview Specialist-Denial Mitigation II RN Job Code: 21432 FLSA Status Job Family: FINANCE Job Summary The Denial Mitigation-Appeal Specialist II RN serves in a ... resolution in order to defend our revenue. The Denial Mitigation-Appeal Specialist II RN reviews the denial received from the payer, completes a thorough analysis of… more
- Baptist Memorial (Memphis, TN)
- …the safe movement of patients through the continuum of care, ensures optimal utilization of resources, service delivery and compliance with external review ... to identify the patient's health goals and coordinate services with the RN Case Manager for an effective transition plan. Meets directly with patient/family… more