- Community Health Systems (Franklin, TN)
- …Documents all utilization review activities in the hospital's case management software, including clinical reviews, escalations, avoidable days, payer ... . + Serves as a key contact for facility staff and insurance representatives regarding utilization review...+ 2-4 years of clinical experience in utilization review, case management , or acute care… more
- Community Health Systems (Franklin, TN)
- …and reduce potential denials, utilizing input from the Utilization Review Clinical Specialist. + Monitors and updates case management software with ... preferred **Knowledge, Skills and Abilities** + Strong knowledge of utilization management principles, payer requirements, and healthcare regulations.… more
- HCA Healthcare (Nashville, TN)
- …and supply chain operations. ii) Value Analysis iii) Clinical Resource Management Program iv) Product standardization and utilization + Interacts and ... Do you want to join an organization that invests in you as a PRN Director Clinical Resource Management ? At HealthTrust, a division of HCA, you come first. HCA… more
- Covenant Health Inc. (Louisville, TN)
- …+ Responsible for hiring, training, completion of performance evaluations, and discipline of clinical staff . + Provide clinical leadership for all outpatient ... provision of clinical supervision to all outpatient clinical staff . + Participates in the development...as needed. + Coordinates as necessary to ensure that utilization management occurs and that clients are… more
- HCA Healthcare (Nashville, TN)
- … and supply chain operations. 2. Value Analysis and Clinical Resource Management Program 3. Product standardization and utilization 4. Produce and provide ... reviewing and optimizing the current GPO contract portfolio, developing comprehensive clinical and utilization protocols, and developing and executing product… more
- Danaher Corporation (Nashville, TN)
- …includes some of the following: infection detection/control, sepsis care, decision support, utilization management , case management , ED patient workflow, ... - innovating at the speed of life. As a global leader in clinical diagnostics, Beckman Coulter Diagnostics has challenged convention to elevate the diagnostic… more
- Fresenius Medical Center (New Market, TN)
- …as a resource to facility staff . + Provides counseling for all clinical staff members at regular intervals offering support and encouraging professional ... to the disease management company. Maintains current knowledge of disease management software and systems as pertinent. ** STAFF :** + Responsible for… more
- Deloitte (Nashville, TN)
- …plans for both formal and informal education of physicians, CDI team, health information management and other clinical staff + Develop in-service education ... clinical registered nurse, physician, physician assistant, case manager, clinical documentation specialist, utilization review, informatics RN, Quality, DRG… more
- Fresenius Medical Center (Lebanon, TN)
- …courses and that licensures/certifications are current. + Provides support for all clinical staff members at regular intervals and encourages professional ... eligibility for treatment. + Reports changes in patient status regarding any clinical , insurance, or travel and transportation issues. STAFF : + Participates… more
- Humana (Nashville, TN)
- …corporate communications to be shared with senior leadership. + Supports trend management by conducting analysis of drug spend, utilization , and/or approval ... communicating with staff in different positions and all levels of management positions + Manages the Humana Michigan FIDE-SNP health plan relationship with our… more