- System One (Chattanooga, TN)
- …eligible full-time employees health and welfare benefits coverage options including medical , dental, vision, spending accounts, life insurance , voluntary plans, ... Title: Clinical Research Physician / Principal Investigator - PT hours (Psychology...Build positive relationships and networks with internal and external medical professional and local opinion leaders + Work closely… more
- CenterWell (La Vergne, TN)
- …a part of our caring community and help us put health first** The Primary Care Physician (PCP) works as a lead in our team-based care environment. We are a value ... Doctors, Advanced Practice professionals, Pharm D, Care Coach Nurses, Medical Assistants, Behavioral Health, Specialists, Quality Based Coders, Referral Coordinators… more
- CenterWell (Clarksville, TN)
- …treats center patients in accordance with standards of care. + Follows level of medical care and quality for patients and monitors care using available data and ... limited to specialty referrals, hospital and SNF coordination, durable medical equipment and home health care. + Acts as...Leadership. + Meets with RMD about quality of care, review of outcome data, policy, procedure and records issues.… more
- Catholic Health Initiatives (Chattanooga, TN)
- …offer excellent benefits and robust compensation package including: + Health and Wellness - medical , dental and vision insurance + 401k w/ matching feature + ... greater Chattanooga, Tennessee area. Patient Care: + Diagnose and treat various medical conditions. + Develop and implement comprehensive treatment plans. + Conduct… more
- HCA Healthcare (Dickson, TN)
- …to join an organization that invests in you as a Pro Fee Coding Quality Review Educator? At Parallon, you come first. HCA Healthcare has committed up to $300 million ... and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low… more
- Baptist Memorial (Memphis, TN)
- Overview Purpose of Position and Scope of Responsibility Job Summary The Utilization Review Nurse is responsible for evaluating the medical necessity and ... by utilization review standards. The UR Nurse works with providers, insurance companies and patients to ensure cost-effective and appropriate care. Areas of work… more
- Travelers Insurance Company (Nashville, TN)
- …other medical resources as appropriate. Train and evaluate physician and non- physician medical review personnel and activities. + Stay apprised of ... influences which can impact claim outcomes. Organize and coordinate Travelers' medical review functions. This includes interpreting Federal and State… more
- Highmark Health (Nashville, TN)
- …URAC, CMS, DOH, and DOL regulations at all times. In addition to utilization review , the incumbent participates as the physician member of the multidisciplinary ... care of our members **ESSENTIAL RESPONSIBILITIES** + Conduct electronic review of escalated cases against medical policy...outpatient, or private practice) **Preferred** + 1 year in Medical Management in a Health Insurance Plan;… more
- HCA Healthcare (Chattanooga, TN)
- …provides satisfaction and personal growth, we encourage you to apply for our Medical Records Specialist Float opening. We promptly review all applications. ... purpose and integrity. We care like family! Jump-start your career as a Medical Records Specialist Float today with Parkridge Medical Center. **Benefits**… more
- Evolent (Nashville, TN)
- …when available, within the regulatory timeframe of the request. + Utilizes medical /clinical review guidelines and parameters to assure consistency in the ... for the culture. **What You'll Be Doing:** As a Physician Clinical Reviewer, Interventional Pain Management, you will be...reviewing cases that do not initially meet the applicable medical necessity guidelines, as well as other imaging requests… more