• Clinical Review Nurse

    Centene Corporation (Nashville, TN)
    …needed to discuss member care being delivered + Collects, documents, and maintains concurrent review findings, discharge plans, and actions taken on member ... approve medical determinations or provide recommendations based on requested services and concurrent review findings + Assists with providing education to… more
    Centene Corporation (12/21/24)
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  • Concurrent Review Care Coordinator…

    The Cigna Group (Nashville, TN)
    The Registered Nurse will perform clinical and operational processes related to transition/coordination of care and utilization/case management of Post-Acute ... rehab facilities, home health care, care management, and utilization review . The Registered Nurse is responsible for...license preferred **Minimum Experience Required:** + 2+ years of clinical experience + 2 + years experience in utilization… more
    The Cigna Group (12/24/24)
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  • Revenue Integrity Clinical Coding Analyst…

    HCA Healthcare (Nashville, TN)
    …you want to join an organization that invests in you as a Revenue Integrity Clinical Coding Analyst RN? At Parallon, you come first. HCA Healthcare has committed up ... the opportunity to make a difference. We are looking for a dedicated Revenue Integrity Clinical Coding Analyst RN like you to be a part of our team. **Job Summary… more
    HCA Healthcare (10/20/24)
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  • Senior Clinical Documentation Specialist…

    Vanderbilt University Medical Center (Nashville, TN)
    …Documents the patient's clinical status and care provided. Performs concurrent review of patient records for documentation to support assignment ... of clinical codes. . KEY RESPONSIBILITIES * Performs assessment of patient records to evaluate documentation for accuracy, legibility and completeness. * Works with… more
    Vanderbilt University Medical Center (11/20/24)
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  • Billing Integrity Analyst RN

    HCA Healthcare (Brentwood, TN)
    clinical documentation issues and revenue opportunities. Provides charge review results and develops and coordinates educational in-services for facility staff ... our team. **Job Summary and Qualifications** The Billing Integrity Analyst Register Nurse (RN) is responsible for determining the appropriateness of patient charges,… more
    HCA Healthcare (12/21/24)
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  • Transfer Center RN Coordinator

    HCA Healthcare (Madison, TN)
    …As a member of our team: + You will be responsible for collecting clinical information relative to a transfer request, and then facilitates the transfer by matching ... the patient's clinical needs to the facility with bed capacity and...plan of care. + You will ensure accurate and concurrent data collection and maintenance in both Meditech and… more
    HCA Healthcare (12/18/24)
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  • Transfer Center RN Coordinator

    HCA Healthcare (Madison, TN)
    …As a member of our team: + You will be responsible for collecting clinical information relative to a transfer request, and then facilitates the transfer by matching ... the patient's clinical needs to the facility with bed capacity and...plan of care. + You will ensure accurate and concurrent data collection and maintenance in both Meditech and… more
    HCA Healthcare (10/08/24)
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  • Market Director of Utilization Management

    Ascension Health (Nashville, TN)
    …continuing education initiatives. + Develop systems and processes for prospective, concurrent and retrospective utilization review for allself-funded and fully ... Management to join our team! In this pivotal role, you'll lead clinical discussions during Payer JOC meetings, oversee denial management activities, and perform… more
    Ascension Health (10/25/24)
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