- Community Health Systems (Franklin, TN)
- **Job Summary** The Clinical Utilization Review Specialist is responsible for evaluating the necessity, appropriateness, and efficiency of hospital services ... and collaborates with healthcare providers to facilitate efficient patient care. The Clinical Utilization Review Specialist monitors adherence to hospital … more
- Cognizant (Nashville, TN)
- …background - Registered Nurse (RN) . 2-3 years combined clinical and/or utilization management experience with managed health care plan . 3 years' experience in ... Time **Location:** Remote **About the role** As a Registered Nurse you will make an impact by performing advanced...as well as timely filing deadlines and processes. . Review clinical denials including but not limited to referral,… more
- HCA Healthcare (Nashville, TN)
- …treatment is reimbursed by contacting managed care organizations and completing initial utilization review . Documents in Midas as required. Involves mobile ... any other healthcare provider. We are seeking a(an) Assessment Specialist PRN to join our healthcare family. **Benefits** TriStar...patients in regard to managed care organizations + Conducts utilization review for managed care cases in… more
- Houston Methodist (TN)
- …caring for adults in an acute care hospital setting is required; coding and utilization review experience preferred + For Medical School graduate - One year ... At Houston Methodist, the Clinical Documentation Specialist is responsible for improving the overall quality...**LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure and/or Compact State Licensure… more
- HCA Healthcare (Nashville, TN)
- …join an organization that invests in you as an Expanse Professional Development Specialist ? At HealthTrust, you come first. HCA Healthcare has committed up to $300 ... to make a difference. We are looking for a dedicated Expanse Professional Development Specialist like you to be a part of our team. **Job Summary and… more
- Covenant Health Inc. (Lenoir City, TN)
- …the patient that will meet identified needs. + Facilitates timely documentation review with the Clinical Documentation Improvement (CDI) specialist , as necessary ... Overview Registered Nurse Care Manager, Quality Management PRN/OCC,Hours and Shifts...to identify the necessary resources and ensures the appropriate utilization of same. + Communicates effectively with physician offices,… more
- Covenant Health Inc. (Knoxville, TN)
- …the patient that will meet identified needs. + Facilitates timely documentation review with the Clinical Documentation Improvement (CDI) specialist as necessary ... Overview Registered Nurse Care Manager, Continuum of Care Full Time,...to identify the necessary resources and ensures the appropriate utilization of same. + Communicates effectively with physician offices,… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Registered Nurse Clinical Supervisor, HomeCare Nursing Administration $1,500 Sign-on Bonus for Candidates with Relevant HomeCare Homebase Experience Full ... and employees. Recruiter: Madeline Fornadel || ###@covhlth.com Responsibilities + Complete review of evaluation packets, OASIS/HIS and 485/Plan of Cares (POC).… more
- Covenant Health Inc. (Knoxville, TN)
- …the patient that will meet identified needs. + Facilitates timely documentation review with the Clinical Documentation Improvement (CDI) specialist , as necessary ... Overview Registered Nurse Care Coordinator, Quality Management PRN/OCC, Variable Hours,...to identify the necessary resources and ensures the appropriate utilization of same. + Communicates effectively with provider offices,… more
- Covenant Health Inc. (Harriman, TN)
- …the patient that will meet identified needs. + Facilitates timely documentation review with the Clinical Documentation Improvement (CDI) specialist , as necessary ... and ensures appropriate disciplines are available + Collaborates directly with the Nurse Manager to ensure the staff adheres to sound clinical practices assisting… more