- Community Health Systems (Franklin, TN)
- **Job Summary** The Utilization Review Coordinator ensures efficient and effective management of utilization review processes, including denials and ... timely authorizations for hospital admissions and extended stays. The Utilization Review Coordinator monitors and documents all authorization activities,… more
- Evolent (Nashville, TN)
- …Evolent for the mission. Stay for the culture. **What You'll Be Doing:** The ** Coordinator , Intake Utilization Management** at Evolent will serve as a point of ... requirements, and client contractual agreements. **Collaboration Opportunities** : The Coordinator , Intake Utilization Management reports directly to the… 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
- HCA Healthcare (Nashville, TN)
- …opportunity compelling, we encourage you to apply for our Equipment Inventory Coordinator opening. We promptly review all applications. Highly qualified ... vary by location._** We are seeking a(an) Equipment Inventory Coordinator for our team to ensure that we continue...of equipment in the facilities and reporting of facility utilization /need. **In this role you will be responsible for:**… more
- Manchester Center for Rehabilitation and Healing (Manchester, TN)
- …trends on a monthly basis + Responsible for timely and accurate completion of Utilization Review and Triple Check + Serves on, participates in, and attends ... MDS Coordinator Manchester Center for Rehabilitation and Healing is...and Healing is looking for talented and motivated MDS Coordinator to join our dynamic team. The position is… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Certified MDS Coordinator , Registered Nurse, Transitional Care PRN/OCC, Variable Hours, Day Shift Fort Sanders Regional Overview: Fort Sanders Regional ... in a manner that accurately captures the RUG (Resource Utilization Group) category. + Will provide a schedule of...as needed based on timeliness of completion. The MDS Coordinator is expected to report any issues with timely… more
- Green Hills Center for Rehabilitation and Healing (Nashville, TN)
- …trends on a monthly basis + Responsible for timely and accurate completion of Utilization Review and Triple Check + Serves on, participates in, and attends ... MDS Coordinator The Green Hills Center for Rehabilitation and...Healing is looking for a talented and hard-working MDS Coordinator to join our ever-growing team. We are seeking… more
- Pilot Company (Knoxville, TN)
- …in-store programs and services) 6. Support and coach Category Managers with the utilization of the inventory management system and associated processes 7. Review ... and approve appearance level change requests related to placement or inventory levels made by field operations 8. Run database queries and distribute weekly and monthly inventory management system performance reports 9. Set up new store order entry access in… more
- HCA Healthcare (Nashville, TN)
- …and continue to learn! **Job Summary and Qualifications** The Trauma Program Coordinator , under the direction of the Trauma Program Director, shares 24-hour ... of the Trauma program with the Trauma Medical Director. The Trauma Program Coordinator , in collaboration with the Medical Director, is responsible for assuring all… more
- CVS Health (Nashville, TN)
- …with transferring patients to lower levels of care. + 1+ years' experience in Utilization Review . + CCM and/or other URAC recognized accreditation preferred. + ... AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical management services that support… 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
- Covenant Health Inc. (Knoxville, TN)
- …Continuum of Care: The Continuum of Care Department is staffed by a Manager, Coordinator , RN Care Managers, and Masters Level Social Workers. They are involved in ... the Leadership team on the nursing unit and reports directly to the Manager/ Coordinator of Quality and Care Management at the facility level Recruiter: Angelica… more
- SHI (Nashville, TN)
- …position will schedule resources, manage escalations, track hours and budget, review deliverables, and maintain clear communication with stakeholders on project ... closure which includes project acceptance,andfinal invoicing, andconduct a thorough review toidentifylessons learned and best practices for future projects +… 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 ... the facility with the director of nursing, nurse managers, and admissions coordinator to assist in development of the respiratory therapy program. . Establishing… more
- Covenant Health Inc. (Sevierville, TN)
- …the Leadership team on the nursing unit and reports directly to the Manager/ Coordinator of Quality and Care Management at the facility level. Recruiter: Jennifer ... the patient that will meet identified needs. + Facilitates timely documentation review with the Clinical Documentation Improvement (CDI) specialist, as necessary to… more
- Covenant Health Inc. (Harriman, TN)
- …Leadership team on the nursing unit and reports directly to the Manager/ Coordinator of Quality and Care Management at the facility level. Recruiter:Sandra Simmons ... the patient that will meet identified needs. + Facilitates timely documentation review with the Clinical Documentation Improvement (CDI) specialist, as necessary to… more
- Covenant Health Inc. (Harriman, TN)
- …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 Simmons ... the patient that will meet identified needs. + Facilitates timely documentation review with the Clinical Documentation Improvement (CDI) specialist + As necessary to… more
- Veterans Affairs, Veterans Health Administration (Memphis, TN)
- …by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. Responsibilities VA Careers - Licensed Clinical Social ... at all times in the VHA Emergency Departments that have higher utilization , higher risk patients, specialized intensive care units, and research, educational, and… more
- Veterans Affairs, Veterans Health Administration (Memphis, TN)
- …determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply. ... at all times in the VHA Emergency Departments that have higher utilization , higher risk patients, specialized intensive care units, and research, educational, and… more
- Covenant Health Inc. (Knoxville, TN)
- …and as employee turnover occurs. + Participates with clinical, financial and utilization review departments to address opportunities to improve overall ... Overview Outpatient Pre-Certification Coordinator , Centralized Referrals Full Time, 72 Hours Per Pay Period, Day Shift Covenant Medical Group is Covenant Health's… more