- Lincoln Financial (Nashville, TN)
- …75214 **The Role at a Glance** We are excited to bring on a highly motivated Nurse Disability Consultant to our clinical organization. This position will be ... reviewing, analyzing, and interpreting medical information available for disability claims . In this role you will act as a...for** Education * 4 Year/Bachelor's Degree in Nursing * Registered Nurse License - Current, unrestricted license… more
- HCA Healthcare (Nashville, TN)
- …and external reviews and monitor for potential compliance risks. + Perform reviews of claims data and clinical records to ensure compliance. + Identify and ... monitor for potential compliance risks. - Perform reviews of claims data and/or clinical records to ensure... Health Information Technician/Administrator, Certified Coding Specialist (CCS), HCCA, clinical ( RN , LPN, PT, or other … more
- HCA Healthcare (Nashville, TN)
- …and experience in multiple markets/divisions is a plus + Legal Nurse Consultant Certified (LNCC) preferred + Registered Nurse - Currently licensed ... in the pursuit of payment on unpaid and underpaid claims . Additionally, the Nurse Subject Matter Advisor...of similar claim issues. **Major Responsibilities:** + Conducts comprehensive clinical record reviews and detailed claims analyses.… more
- Covenant Health Inc. (Lenoir City, TN)
- …management activities, which include, but may not be limited to, managing claims against the facility, interfacing with defense legal counsel, administering the risk ... FMEA (Failure Mode and Effects Analysis). + Acts as resource, internal consultant , and educator for patient safety/risk management issues. + Responds to… more
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