- 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
- Covenant Health Inc. (Knoxville, TN)
- Overview Registered Nurse Care Coordinator , Quality Management Full Time, 80 Hours Per Pay Period, Day Shift Occasional travel as needed Covenant Medical Group ... Bachelors degree in Nursing or related field. Apply/Share Job Title RN CARE COORDINATOR II ID 4246987 Facility Covenant Medical Management Department Name… more
- Baptist Memorial (Memphis, TN)
- Overview Coordinator -Authorization Job Code: 22772 FLSA Status Job Family: CASE MGMT Job Description Title: Coordinator -Authorization Job Summary The ... information documentation and transmission vital to the effectiveness of utilization review and supporting Baptist's reimbursement strategy. Specifically the managed… more
- Catholic Health Initiatives (Hixson, TN)
- …emphasis will be on care coordination communication and collaboration with utilization management nursing physicians ancillary departments insurers and post ... **Responsibilities** The RN Care Coordinator is responsible for overseeing the progression of...multiple stakeholders + Professional communication skills. + Understand how utilization management and case management … 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
- Baptist Memorial (Memphis, TN)
- Overview Summary The Authorization Coordinator is responsible for facilitating information documentation and transmission vital to the effectiveness of ... utilization review and supporting Baptist?s reimbursement strategy. Specifically the...Baptist?s reimbursement strategy. Specifically the managed care techniques the Coordinator uses focuses on prior authorization for services using… 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
- Tennessee Valley Authority (Cumberland City, TN)
- …Prepare maintenance and operation procedures/instructions. + Train employees on the work management system. + Determine most effective resource utilization among ... Coordinator , Coal Operations Maintenance - 517450 Job ID:517450Location:CUMBERLAND...practices to efficiently support all maintenance and work week management related activities. Provides coordination and direction as required… more
- Elevance Health (TN)
- …the candidate should reside in Dickson or Montgomery Counties. The **LTSS Service Coordinator RN Clinician** is responsible for overall management of member's ... with individuals with chronic illnesses, co-morbidities, and/or disabilities in a Service Coordinator , Case Management , or similar role; or any combination of… more
- Elevance Health (Knoxville, 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
- Elevance Health (Nashville, TN)
- **Managed Care Coordinator Clinician Non-RN** **Location:** Within 50 miles of a Pulse Point location **Hours:** Monday - Friday, between the hours of 9 am - 6 pm ... CST. The **Managed Care Coordinator Clinician Non-RN (US)** is responsible for working under the direction/supervision of an RN, with overall responsibility for the… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Claims Management Training Coordinator , Revenue Integrity & Utilization Full Time , 80 Hours Per Pay Period, Day Shift Covenant Health Overview: ... educating staff; updates training resources as needed. + Demonstrates appropriate time- management in completion of varying tasks. + Demonstrates knowledge of State… 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
- Catholic Health Initiatives (Chattanooga, TN)
- **Responsibilities** The MRI Coordinator directs the operations of the diagnostic MRI departments on all campuses in the TN/GA market. The Coordinator assures ... and reimbursement methodologies 8. Demonstrates the ability to maximize effective utilization of internal and community resources 9. Recites knowledge of disease… 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
- Covenant Health Inc. (Knoxville, TN)
- …Advisor Operations Coordinator will perform activities to help facilitate utilization management functions related to the coordination of physician advisor ... Overview Physician Advisor Operations Coordinator , Revenue Integrity and Utilization PRN/OCC,...related activities. Prepares necessary documentation for insurance utilization management processes and coordinates communication between… 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
- Covenant Health Inc. (Knoxville, TN)
- …of the Leadership team on the nursing unit and reports directly to the Manager/ Coordinator of Quality and Care Management at the facility level. Recruiter: ... Continuum of Care Department is staffed by a Manager, Coordinator , RN Care Managers, and Masters Level Social Workers....with a minimum of 3 years of experience. Case Management certification is preferred, but not required. There is… more
- Covenant Health Inc. (Harriman, TN)
- …of the Leadership team on the nursing unit and reports directly to the Manager/ Coordinator of Quality and Care Management at the facility level. Recruiter:Sandra ... patient is meeting daily objectives. + Modifies the case management plan to meet the changing needs of the...to identify the necessary resources and ensures the appropriate utilization of same. + Communicates effectively with physician offices,… more