• Utilization Review Services…

    HCA Healthcare (Nashville, TN)
    …**Introduction** Do you want to join an organization that invests in you as a Utilization Review Services Coordinator ? At Parallonr, you come first. ... 3% to 9% of pay (based on years of service ) + Employee Stock Purchase Plan with 10% off...make a difference. We are looking for a dedicated Utilization Review Services Coordinator… more
    HCA Healthcare (07/24/25)
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  • PRN UR Coordinator

    Community Health Systems (Franklin, TN)
    **Job Summary** The Utilization Review Coordinator ensures efficient and effective management of utilization review processes, including denials and ... timely authorizations for hospital admissions and extended stays. The Utilization Review Coordinator monitors and...metrics aligned with Key Performance Indicators (KPIs) for the Utilization Review Service Line. +… more
    Community Health Systems (07/02/25)
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  • RN- Utilization Review

    Baptist Memorial (Memphis, TN)
    …and appropriateness of healthcare services and treatment as prescribed by utilization review standards. The UR Nurse works with providers, insurance ... Overview Purpose of Position and Scope of Responsibility Job Summary The Utilization Review Nurse is responsible for evaluating the medical necessity… more
    Baptist Memorial (06/14/25)
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  • Senior Resource Coordinator

    Cherry Bekaert (Nashville, TN)
    …ensuring staff experience is diverse. Serve as a trusted business advisor for service leads. + Generate scheduling, utilization and forecasting reports and ... , Cherry Bekaert delivers innovative advisory, assurance and tax services to our clients. We are proud to foster...development. Our team is looking for a Senior Resource Coordinator to support our Tax group. The Senior Resource… more
    Cherry Bekaert (07/16/25)
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  • RN Care Coordinator II

    Covenant Health Inc. (Knoxville, TN)
    …sources and documentation regarding the care management plan and activities and or services to enable the Care Coordinator to determine the plan's effectiveness. ... Overview Registered Nurse Care Coordinator , Quality Management Full Time, 80 Hours Per...that will meet identified needs. + Facilitates timely documentation review with the Clinical Documentation Improvement (CDI) specialist, as… more
    Covenant Health Inc. (07/23/25)
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  • Coordinator -Authorization

    Baptist Memorial (Memphis, TN)
    …information documentation and transmission vital to the effectiveness of utilization review and supporting Baptist's reimbursement strategy. Specifically ... the managed care techniques the Coordinator uses focuses on prior authorization for ...Communicates incorrect payer with patient access + Communicate with Utilization Review Nurse + Works assigned queues… more
    Baptist Memorial (07/09/25)
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  • Senior Conference Center Coordinator

    HCA Healthcare (Nashville, TN)
    …to join an organization that invests in you as a Senior Conference Center Coordinator ? At HCA Healthcare, you come first. HCA Healthcare has committed up to $300 ... include: + Comprehensive medical coverage that covers many common services at no cost or for a low copay....3% to 9% of pay (based on years of service ) + Employee Stock Purchase Plan with 10% off… more
    HCA Healthcare (07/24/25)
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  • MDS Coordinator

    Manchester Center for Rehabilitation and Healing (Manchester, TN)
    …trends on a monthly basis + Responsible for timely and accurate completion of Utilization Review and Triple Check + Serves on, participates in, and attends ... MDS Coordinator Manchester Center for Rehabilitation and Healing is...Captures the RUG score which reflects the care and services provided + Demonstrates an understanding of MDS requirements… more
    Manchester Center for Rehabilitation and Healing (07/18/25)
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  • Pharmacy Coordinator Senior

    Highmark Health (Nashville, TN)
    …guidance and ensures effective and efficient delivery of pharmacy call center services . The Pharmacy Coordinator is responsible for supporting Highmark ... address medication-related issues, promote adherence, and ensure appropriate medication utilization . **ESSENTIAL RESPONSIBILITIES** + Communicate effectively with physicians and… more
    Highmark Health (07/22/25)
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  • Coord Physician Adv Ops

    Covenant Health Inc. (Knoxville, TN)
    …patient liability is correctly managed. + Keeps abreast of current changes affecting Utilization Review as applicable. + Adjusts patient type changes and charges ... Overview Physician Advisor Operations Coordinator , Revenue Integrity and Utilization PRN/OCC, Variable Hours, Day Shift Covenant Health Overview: Covenant Health… more
    Covenant Health Inc. (05/02/25)
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