- Evolent (Nashville, TN)
- …and provides clinical rationale for standard and expedited appeals. + Utilizes medical /clinical review guidelines and parameters to assure consistency in the ... the culture. **What You'll Be Doing:** As a Field Medical Director, MSK Surgery you will be a key...and management staff, other Physicians, and staff whenever a physician `s input is needed or required. What You Will… more
- Humana (Nashville, TN)
- …will understand how to operationalize this knowledge in their daily work. The Medical Director's work includes computer-based review of moderately complex to ... The Medical Director may speak with contracted external physicians, physician groups, facilities, or community groups to support regional market priorities,… more
- Elevance Health (Nashville, TN)
- …clinical case reviews for their board certified specialty. + Makes physician to physician calls to gather medical appropriate information in order to make ... medical necessity decisions. + Brings to their supervisors attention, any case review decisions that require Medical Director review or policy… more
- Veterans Affairs, Veterans Health Administration (Sevierville, TN)
- …range of medical clinicians across multiple disciplines (eg medical doctors, nurse practitioners, physician assistants, psychologists, psychiatrists, social ... Summary The Advanced Level Medical Support Assistant (MSA) position serves as a...specialty care. Coordinates with the patient care team to review the clinic utilization by using various reports (eg,… 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 ... culture. **What You'll Be Doing:** As a Cardiology, Field Medical Director you will be a key member of...and management staff, other Physicians, and staff whenever a physician `s input is needed or required. As well as,… more
- Evolent (Nashville, TN)
- …+ Provides clinical rationale for standard and expedited appeals. + Utilizes medical /clinical review guidelines and parameters to assure consistency in the ... **What You'll Be Doing:** As a Vascular Surgery, Field Medical Director you will be a key member of...and management staff, other Physicians, and staff whenever a physician `s input is needed or required. **What You Will… more
- Covenant Health Inc. (Knoxville, TN)
- …(3) years of experience in healthcare revenue cycle required (ie, medical billing, insurance /precert verification, registration, Health Information Management ... no more than one year of experience. Knowledge of medical terminology and insurance payer rules, state...D Job Relationship: Interactions with patients and/or the public, insurance companies, physician office staff, operational staff,… more
- Covenant Health Inc. (Knoxville, TN)
- …(2) years of experience in healthcare revenue cycle required (ie, medical billing, insurance /percert verification, registration, Health Information Management ... a substitute for no more than one year of experience. Familiar with medical terminology, insurance payer rules and state/federal regulations. Experience in… more
- Veterans Affairs, Veterans Health Administration (Murfreesboro, TN)
- … Physician must attend staff meetings and participate on committees assigned. Physician will be responsible for timely medical records, including computer ... Summary The Physician is primarily responsible for providing Ophthalmology care...VHA Education Loan Repayment Services program office after complete review of the EDRP application. Learn more. EDRP Authorized:… more
- Fresenius Medical Center (Bristol, TN)
- …staff scheduling and payroll. PHYSICIANS: + Facilitates the application process for physician privileges and compliance with Fresenius Medical Care Medical ... **About this role:** As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care...+ Accountable for completion of the Annual Standing Order Review and Internal Classification of Disease (ICD) coding. +… more