- GALEN MEDICAL GROUP PC (Chattanooga, TN)
- …requisition for laboratory processing and charge billing. Recognizes abnormal results upon review of lab and test results. Interacts with provider regarding patient ... level of understanding. Performs all duties in compliance with Galen clinical policies and OSHA standards. Other Duties/Responsibilities: Ensures that adequate… more
- BlueCross BlueShield of Tennessee (Chattanooga, TN)
- **Join our team as a Clinical Review Manager \!** We are seeking a quick learner who is self\-motivated and capable of working independently\. The ideal ... candidate will be able to efficiently navigate and disseminate clinical information in a timely manner\. Proficiency in Microsoft products \(Word, Excel, Outlook,… more
- HCA Healthcare (Nashville, TN)
- …knowledge and expertise! **Job Summary** We are seeking a diligent and experienced Senior Manager , Clinical Review , Quality Control to ensure the quality and ... compliance team, and enhancing the overall quality of our clinical processes. The Senior Manager will analyze...encourage you to apply for our Quality Control Senior Manager opening. We promptly review all applications.… more
- Somatus (Nashville, TN)
- …physical and mental well-being + Community engagement opportunities + And more! The Clinical Operations Manager - VBC is responsible for managing an ... patients with kidney disease and congestive heart failure. The Clinical Operations Manager - VBC also supports...progress to goals for engagement, quality, SLAs, etc. . Review , manage, and coordinate case assignments with care teams… more
- Fresenius Medical Center (Knoxville, TN)
- **About this role:** As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical ... functions, leading your business, and advanced leadership. As a Clinical Manager , you may advance your career...+ Accountable for completion of the Annual Standing Order Review and Internal Classification of Disease (ICD) coding. +… more
- Fresenius Medical Center (Memphis, TN)
- …or federal surveys. + Participates in the completion of the FMS Administrative Clinical Review . **PHYSICAL DEMANDS AND WORKING CONDITIONS:** + The physical ... + Accountable for completion of the Annual Standing Order Review and ICD coding. + Checks correspondence whether electronic,...maximum quality care to all patients. + Must complete Clinical Manager training modules and ongoing developmental… more
- Cardinal Health (Morristown, TN)
- …pharma-economic initiatives to improve cost containment. In accordance with regulations, the Manager Clinical , collaborates with other members of the health care ... team on prescribed medications, supplies and related processes. **_Job Summary_** The Clinical Pharmacy Manager creates continuing education programs for the… more
- HCA Healthcare (Nashville, TN)
- …**Introduction** Do you want to join an organization that invests in you as a(an) Clinical Manager of Surgical Services? At HCA Healthcare, you come first. HCA ... make a difference. We are looking for a dedicated Clinical Manager of Surgical Services like you...and effective care delivery and provide efficient through put. * Review and trend data to identify and resolve potential… more
- Elevance Health (Nashville, TN)
- …of life through home-care and community based services. **CareBridge - Associate Manager Clinical Support** Location: **Virtual** - This role enables associates ... 5:00 pm either during CST or EST** The **Associate Manager Clinical Support** under general guidance and...phone inquiries. + Oversees out of network and chart review administrative processes. + Works to streamline processes to… more
- Community Health Systems (Franklin, TN)
- **Job Summary** The Clinical Utilization Review Specialist is responsible for evaluating the necessity, appropriateness, and efficiency of hospital services to ... with healthcare providers to facilitate efficient patient care. The Clinical Utilization Review Specialist monitors adherence to...Compact State Licensure required + CCM - Certified Case Manager preferred or + Accredited Case Manager … more
- Veterans Affairs, Veterans Health Administration (Johnson City, TN)
- …such as capturing images, collecting data and transmitting them electronically for clinical review in accordance with VHA national guidelines. The incumbent ... refer to Required Documents below. The Health Technician (Telehealth Clinical ) serves in a generalist role to support and...encounter. The incumbent serves as an imager and data manager for store and forward telehealth (SFT) clinical… more
- Maxim Healthcare (Memphis, TN)
- …for all day-to-day operations of the office. Those duties include ensuring that a clinical manager and operations manager is available during all operating ... Maxim Healthcare is looking for a RN Clinical Operations Specialist to join our team in...+ Facilitates and monitors quality improvement activities (including documentation review ) and action plans, including data integrity, progress to… more
- Elevance Health (Nashville, TN)
- **Diagnosis Related Group Clinical Validation Auditor-RN (CDI, MS-DRG, AP-DRG and APR-DRG)** **Virtual:** This role enables associates to work virtually full-time, ... Monday - Friday 8AM -5PM (local time) The **Diagnosis Related Group Clinical Validation Auditor-RN (CDI, MS-DRG, AP-DRG and APR-DRG)** is responsible for auditing… more
- HCA Healthcare (Nashville, TN)
- …do. We want you to apply! **Job Summary and Qualifications** Reporting to the Manager , Expanse Clinical Documentation Team this individual will: + Design, test, ... compelling, we encourage you to apply for our Senior Clinical Analyst opening. We promptly review all...our Senior Clinical Analyst opening. We promptly review all applications. Highly qualified candidates will be directly… more
- HCA Healthcare (Nashville, TN)
- …with vendor ongoing support and maintenance to ensure seamless operations. The Senior Clinical Analyst regularly communicates to the manager regarding the status ... + Assists in project tasks as assigned by the manager , including contributing to project timelines, deliverables and resource...growth, we encourage you to apply for our Sr Clinical Analyst HOC WFH opening. We promptly review… more
- Diversicare Healthcare Services & Diversicare Ther (Oak Ridge, TN)
- **Overview** **Join Diversicare as an RN Clinical Educator and Elevate Patient Care!** The Director of Clinical Education/RN Clinical Educator position will ... include Infection Control and On-Call Rotation with the Clinical Leadership Team At Diversicare, we're more than just a company - we're a passionate community… more
- Elevance Health (Nashville, TN)
- ** Clinical Fraud Investigator II - Registered Nurse and CPC - Calrelon Payment Integrity SIU** **Location:** This role requires associates to be in-office 1 - 2 days ... to recover, eliminate and prevent unnecessary medical-expense spending. The ** Clinical Fraud Investigator II** is responsible for identifying issues and/or… more
- STG International (Savannah, TN)
- THIS IS FOR A FUTURE OPENING Licensed Clinical Social Worker (LCSW) STGi is currently seeking a Licensed Clinical Social Worker to provide services for a ... normal business hours. The general duty of the Medical Social Worker (MSW)/Licensed Clinical Social Worker (LCSW) is to provide social work services under the… more
- Fresenius Medical Center (Hendersonville, TN)
- …in the facility or will be assigned to another patient. **SUPERVISION:** The Clinical Manager assigns and closely monitors all Dietetic Intern assignments with ... may under direct guidance of the Renal Dietitian: + Review of Renal Nutrition Basics and other applicable components...the Orientation and Training requirements of staff dietitians + Review the typical workflow for the Renal Dietitian, and/or… more
- Community Health Systems (Franklin, TN)
- …all aspects of system integration including design, needs analysis, design review , testing, implementation, and validation. **Essential Functions** + (List in order ... Millennium FSI utilities and data architecture such as SI Manager , Open Engine and related tables + Proficient in...such as Health Level Seven International (HL7) V2.x, V3, Clinical Document Architecture (CDA), CCD, JSON and Fast Healthcare… more
