- 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
- Ford Motor Company (Nashville, TN)
- **Market Area Coordinator ** At Ford Motor Company, we believe freedom of movement drives human progress. We also believe in providing you with the freedom to define ... potential as you help us define tomorrow's transportation. The Central Market Area Coordinator (MAC) will work on projects to support the New Ford Tech programs,… more
- Manchester Center for Rehabilitation and Healing (Manchester, TN)
- MDS Coordinator Manchester Center for Rehabilitation and Healing is looking for talented and motivated MDS Coordinator to join our dynamic team. The position is ... therapeutic activities to assist residents improve in their experience. MDS Coordinator Essential Job Functions + Oversees accurate and thorough completion of… more
- Elevance Health (Brentwood, TN)
- …associates, and may be involved in process improvement initiatives. + Submits utilization /authorization requests to utilization management with documentation ... position will serve the Knox County, TN area.** The **LTSS Service Coordinator ** is responsible for conducting service coordination functions for a defined caseload… 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
- 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
- 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
- Manchester Center for Rehabilitation and Healing (Manchester, 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
- Veterans Affairs, Veterans Health Administration (Murfreesboro, TN)
- …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 ... responsibilities that demonstrate leadership, experience, and creative approaches to management of complex resident care. Collaborates in the development,… more