- Humana (Nashville, TN)
- …health first** The UM Administration Coordinator contributes to administration of utilization management . The UM Administration Coordinator 2 performs ... Description **Achieve your best at Humana. Join Us!** The UM Administration Coordinator provides non-clinical support for the policies and procedures ensuring best… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Registered Nurse Care Coordinator , Quality Management Full Time, 80 Hours Per Pay Period, Day Shift About Us Covenant Medical Group employs or ... degree in Nursing or related field. Apply/Share Job Title RN CARE COORDINATOR II ID 4375340 Facility Covenant Medical Management Department Name QUALITY … 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 ... caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing...procedures to provide the best and most appropriate treatment, care or services for members. Coordinates and communicates with… more
- Catholic Health Initiatives (Hixson, TN)
- …will be on care coordination, communication and collaboration with utilization management , nursing, physicians, ancillary departments, insurers and post ... **Job Summary and Responsibilities** The RN Care Coordinator is responsible for overseeing...multiple stakeholders + Professional communication skills. + Understand how utilization management and case management … more
- Elevance Health (Lafayette, TN)
- …with Medical Directors, Physician Advisors and/or Inter-Disciplinary Teams on the development of care management treatment plans. + May also assist in problem ... is granted as required by law._ The **LTSS Service Coordinator -RN** is responsible for overall management of...services. + May assist with the implementation of member care plans by facilitating authorizations/referrals for utilization … more
- Humana (Nashville, TN)
- …first** The UM Administration Coordinator 2 contributes to administration of utilization management . The UM Administration Coordinator 2 performs varied ... Performs computations. Typically works on semi-routine assignments. The UM Administration Coordinator 2 provides non-clinical support for the policies and procedures… more
- Manchester Center for Rehabilitation and Healing (Manchester, TN)
- …reports and ensures that appropriate follow-up action is taken + Facilitates the Care Management Process engaging the resident, IDT and family in timely ... MDS Coordinator Manchester Center for Rehabilitation and Healing is...and thorough completion of the Minimum Data Set (MDS), Care Area Assessments (CAAs) and Care Plans,… more
- Humana (Nashville, TN)
- …first** The UM Administration Coordinator 2 contributes to administration of utilization management . The UM Administration Coordinator 2 performs varied ... our caring community and help us put health first** The UM Administration Coordinator 2 provides non-clinical support for the policies and procedures ensuring best… more
- Elevance Health (Cleveland, TN)
- …associates, and may be involved in process improvement initiatives. + Submits utilization /authorization requests to utilization management with documentation ... healthcare management and interdisciplinary team in order to provide care coordination support. + Manages non-clinical needs of members with chronic illnesses,… more
- Elevance Health (Greeneville, TN)
- …member and the health care team, to ensure cost effective and efficient utilization of health benefits. + Decision making skills will be based upon the current ... **LTSS Service Coordinator - Clinician** **Location:** The location for this...law and contract, the Clinician contributes to the LTSS care coordination process by performing activities within the scope… more