- YesCare Corp (Brentwood, TN)
- …+ Assist in completion of special projects on an as needed basis. **Key Qualifications:** + Registered Nurse ( RN ) active license + No less than 5 years' ... lives through care and expertise. **Key Responsibilities:** + The nurse will focus on what's best for the patients...experience in utilization management, case management, quality management. + Experience with InterQual and/or… more
- 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 Part-Time Clinical Utilization Review Specialist is responsible for evaluating the necessity, appropriateness, and efficiency of hospital… more
- Datavant (Nashville, TN)
- …with clinical knowledge and expertise successfully. Ideal candidate should be a Licensed Practical Nurse or Registered Nurse well versed in DRG downgrade ... to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity...by management Ideal candidate should be a Licensed Practical Nurse or Registered Nurse well… more
- Datavant (Nashville, TN)
- …experience + 3+ years of clinical experience in an academic medical center + Registered Nurse license, Bachelor's degree in Nursing + CCDS or CDIP certification ... rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional,… more
- Vanderbilt University Medical Center (Nashville, TN)
- …**Certifications:** LIC-Medical Doctor - Licensure-Others, LIC-Pharmacist License - Tennessee, LIC- Registered Nurse - Tennessee **Work Experience:** Relevant ... on calls, codes all information accurately and writes appropriate case notes. Reports to the director and managing director.... **Position Highlights** + Must be a licensed Pharmacist, RN , or MD with a minimum of 2 years… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Clinical Documentation Integrity Specialist Full Time, 80 Hours Per Pay Period, Day Shift Covenant Health Overview: Covenant Health is the region's ... Forbes "Best Employer" seven times. Position Summary: The CDI Specialist serves as a liaison between the physicians and...DRG assignment and the validity and reliability of the case -mix index, CDI is accountable for concurrent review of… more
- Sedgwick (Nashville, TN)
- …Work(R) Fortune Best Workplaces in Financial Services & Insurance ADA Accommodation Specialist **PRIMARY PURPOSE** : To enhance the ADA process for claimants ... requesting accommodations under the ADAAA; to review complex medical information for temporary and permanent accommodation requests; and to approve and/or negotiate… more
- Abbott (Nashville, TN)
- …and relationships, and establishes strong rapport with customers. + Proficient in complex programming, case support. + Works seamlessly with Territory Manager(s) ... medicines. Our 114,000 colleagues serve people in more than 160 countries. **Clinical Specialist I, CPT -** **Nashville, TN** **Working at Abbott** At Abbott, you… more
- Sedgwick (Nashville, TN)
- …Fortune Best Workplaces in Financial Services & Insurance Disability Clinical Specialist **PRIMARY PURPOSE** : Performs standard clinical evaluations on claims that ... requirement, and/or complexity. Consults with providers and employees by providing case direction and ensures medical information substantiates the need for employee… more
- Sedgwick (Knoxville, TN)
- …Fortune Best Workplaces in Financial Services & Insurance Disability Clinical Specialist **PRIMARY PURPOSE** : To perform clinical evaluations, consult providers and ... employees; to provide case direction; and to ensure medical information substantiates the...**QUALIFICATIONS** **Education & Licensing** Bachelor's degree or equivalent preferred. RN , LCSW, LPC, LMHC or CRC required. Current license,… more