- Datavant (Nashville, TN)
- …realize our bold vision for healthcare. The purpose of the Denial Prevention Specialist is to effectively defend utilization of available health services, review of ... recognized medical necessity criteria and standards of care, along with clinical knowledge and expertise successfully. Ideal candidate should be a Licensed… more
- Bausch + Lomb (Nashville, TN)
- …regulatory strategies for development programs and marketed products across CMC and clinical /non- clinical , labeling, adpromo areas. Serve as a strategic advisor ... + Formulate, lead, and drive integrated regulatory strategies across CMC and clinical /non- clinical , labeling, adpromo domains. + Provide technical expertise and… more
- Datavant (Nashville, TN)
- …to realize our bold vision for healthcare. As an **Inpatient Auditing Specialist ** you will be instrumental in addressing consulting and educational needs related ... to coding quality , compliance assessments, external payer reviews, coding education, interim...Develop and implement education for physicians, nursing, and other clinical staff to enhance documentation. + Communicate effectively with… more
- Sharecare (Nashville, TN)
- …maintaining full compliance with all regulatory requirements. + Analyze baseline quality data, identify performance gaps, and recommend improvement strategies ... for ensuring accurate, timely, and compliant reporting across multiple quality payment programs, including the Merit-based Incentive Payment System (MIPS)… more
- Dialysis Clinic, Inc. (Nashville, TN)
- …to build relationships and gain fulfillment serving individuals in our comfortable clinical setting with a lower caregiver-to-patient ratio than other providers. The ... **Accounts Receivable Collection Specialist ** ensures timely and accurate processing of incoming payments...trends in payment delays or disputes. **Compliance & Process Improvement ** * Ensure compliance with company policies, GAAP, and… more
- Vanderbilt University Medical Center (Nashville, TN)
- …in formal and informal dialogue about quality ; directly addresses quality issues promptly.- Ensures Continuous Improvement : Applies various learning ... needs of staff. Takes a lead role in educational initiatives to ensure quality patient care and customer satisfaction. Serves as a leader in the development,… more
- Bristol Myers Squibb (Chattanooga, TN)
- …+ Creates demand for BMS medicines by articulating in a balanced manner the clinical and scientific rationale for use of products in appropriate patients . + Engages ... on experience using these tools to leadership to enable continuous improvement . + **Fair & Balanced Scientific Dialogue** + Demonstrates scientific expertise… more
- Vanderbilt University Medical Center (Nashville, TN)
- …work quality before delivery and asks relevant questions to meet quality standards. Ensures Continuous Improvement : Shows eagerness to learn new knowledge, ... by each patient. Assists in maintaining the therapeutic environment of the clinical program with occasional guidance. . **Key Responsibilities:** * Performs … more
- YesCare Corp (Brentwood, TN)
- …a pioneer in correctional healthcare services, YesCare is committed to innovation, clinical expertise, and compassionate care. By choosing a career with YesCare, you ... intervention and retrospective review. + Track, trend and evaluate appropriateness and quality of care issues with the implementation of education to internal and… more
- Intermountain Health (Nashville, TN)
- … Clinical Excellence, Clinical Services and Programs for quality improvement and identification of improved outcomes. ** Different professional ... work of performance improvement through the enterprise by performing high- quality data abstraction, compilation, validation, for clinical registries. The… more