• Clinical Utilization Review…

    Community Health Systems (Franklin, TN)
    …Knowledge of HIPAA regulations and patient confidentiality standards. **Licenses and Certifications** + RN - Registered Nurse - State Licensure and/or ... **Job Summary** The Clinical Utilization Review Specialist is responsible...admission and continued stay reviews using evidence-based criteria, clinical expertise, and regulatory guidelines to ensure appropriate utilization… more
    Community Health Systems (11/15/25)
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  • CDI Specialist III

    Covenant Health Inc. (Knoxville, TN)
    Overview Clinical Documentation Integrity Specialist , Clinical Full Time, 80 Hours Per Pay Period, Day Shift Covenant Health Overview: Covenant Health is the ... accuracy of documentation, and the appropriate assignment of a final DRG. The CDI Specialist functions as a resource for clinical staff and other groups involved… more
    Covenant Health Inc. (10/13/25)
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  • DRG Denials Auditor

    Community Health Systems (Franklin, TN)
    …patient records for accuracy in ICD-10-CM/PCS coding, DRG assignments, and supporting clinical documentation. This includes evaluating present on admission (POA) ... , MD, PA, or DO preferred + CCS-Certified Coding Specialist required or + RHIT - Registered ...Documentation Improvement Professional required or + CCDS - Certified Clinical Documentation Specialist required Equal Employment Opportunity… more
    Community Health Systems (09/09/25)
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  • Denials Prevention Specialist , Clinician…

    Datavant (Nashville, TN)
    clinical knowledge and expertise successfully. Ideal candidate should be a Licensed Practical Nurse or Registered Nurse well versed in DRG downgrade ... denials and appeal writing for inpatient admission . Experience with clinical criteria resources and...by management Ideal candidate should be a Licensed Practical Nurse or Registered Nurse well… more
    Datavant (11/12/25)
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  • Assessment Specialist PRN

    HCA Healthcare (Nashville, TN)
    …apart from any other healthcare provider. We are seeking a(an) Assessment Specialist PRN to join our healthcare family. **Benefits** TriStar Skyline Medical Center, ... nurses play a vital part. We know that every nurse 's path and purpose is unique. Do you want...passion for patient care. Apply today for our Assessment Specialist PRN opportunity. **Job Summary and Qualifications** **Position Responsibilities:**… more
    HCA Healthcare (11/10/25)
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  • RN -Psych Svcs

    Covenant Health Inc. (Louisville, TN)
    Overview Registered Nurse , Unit E - Woman's Thought Full Time, 72 Hours Per Pay Period, Day shift Peninsula Overview: Peninsula, a division of Parkwest Medical ... Activities Coordinators, Behavioral Health Counselors, Advance Practice Providers, Outreach Specialist , Psychiatric Technicians, Registered Nurses and Licensed… more
    Covenant Health Inc. (11/20/25)
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