- Evolent (Nashville, TN)
- …Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** The ** Coordinator , Intake Utilization Management ** at Evolent will serve as a ... regulatory requirements, and client contractual agreements. **Collaboration Opportunities** : The Coordinator , Intake Utilization Management reports directly… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Registered Nurse Care Coordinator , Quality Management Full Time, 80 Hours Per Pay Period, Day Shift Occasional travel as needed Covenant Medical Group ... Bachelors degree in Nursing or related field. Apply/Share Job Title RN CARE COORDINATOR II ID 4246987 Facility Covenant Medical Management Department Name… more
- Community Health Systems (Franklin, TN)
- **Job Summary** The Utilization Review Coordinator ensures efficient and effective management of utilization review processes, including denials and ... preferred **Knowledge, Skills and Abilities** + Strong knowledge of utilization management principles, payer requirements, and healthcare regulations.… more
- Baptist Memorial (Memphis, TN)
- Overview Coordinator -Authorization Job Code: 22772 FLSA Status Job Family: CASE MGMT Job Description Title: Coordinator -Authorization Job Summary The ... information documentation and transmission vital to the effectiveness of utilization review and supporting Baptist's reimbursement strategy. Specifically the managed… more
- Catholic Health Initiatives (Hixson, TN)
- …emphasis will be on care coordination communication and collaboration with utilization management nursing physicians ancillary departments insurers and post ... **Responsibilities** The RN Care Coordinator is responsible for overseeing the progression of...multiple stakeholders + Professional communication skills. + Understand how utilization management and case management … more
- Baptist Memorial (Memphis, TN)
- Overview Summary The Authorization Coordinator is responsible for facilitating information documentation and transmission vital to the effectiveness of ... utilization review and supporting Baptist?s reimbursement strategy. Specifically the...Baptist?s reimbursement strategy. Specifically the managed care techniques the Coordinator uses focuses on prior authorization for services using… more
- Manchester Center for Rehabilitation and Healing (Manchester, TN)
- MDS Coordinator Manchester Center for Rehabilitation and Healing is looking for talented and motivated MDS Coordinator to join our dynamic team. The position is ... therapeutic activities to assist residents improve in their experience. MDS Coordinator Essential Job Functions + Oversees accurate and thorough completion of… more
- Highmark Health (Nashville, TN)
- …timeframes and notification requirements are met + Communicate effectively with Utilization Management Staff, providers, other internal and external customers ... and management + Route Cases Based on Established Guidelines + Provide accurate and timely routing of service requests to the nurse reviewer to assure that the… more
- Catholic Health Initiatives (Chattanooga, TN)
- **Responsibilities** The MRI Coordinator directs the operations of the diagnostic MRI departments on all campuses in the TN/GA market. The Coordinator assures ... and reimbursement methodologies 8. Demonstrates the ability to maximize effective utilization of internal and community resources 9. Recites knowledge of disease… more
- Berry Global (Jackson, TN)
- …or X. (https://twitter.com/BerryGlobalInc) **Responsibilities** The Scrap Coordinator is responsible for providing supervision and ... attitude while handling multiple tasks and priorities. + Responsible utilization of available regrind, reprocessed materials in a manner...performance of you and your team's work. + Notify management in a timely manner of any problems with… more