- 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
- 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
- Metro Nashville Government (Nashville, TN)
- Bed Management Coordinator (Opioid System of Care) Print (https://www.governmentjobs.com/careers/nashville/jobs/newprint/4770053) Apply Bed Management ... PM Central + Description + Benefits + Questions Position Description The Bed Management Coordinator is responsible for overseeing and coordinating access to… more
- Elevance Health (Nashville, TN)
- …**LTSS Service Coordinator - RN Clinician** is responsible for overall management of member's case within the scope of licensure; provides supervision and ... with individuals with chronic illnesses, co-morbidities, and/or disabilities in a Service Coordinator , Case Management , or similar role; or any combination of… more
- Elevance Health (Nashville, TN)
- **LTSS Service Coordinator - Clinician** **Location:** **Dickson, Cheatham, Davidson** **Counties** **This is a field position 4-5 days per week** **$2500 Sign On ... Bonus** **LTSS Service Coordinator - Clinician** this role will be working under...or face-to-face assessments for the identification, evaluation, coordination and management of member's needs, including physical health, behavioral health,… more
- Sunrun (Nashville, TN)
- …+ Own and develop partner or branch relationships including weekly/monthly reviews, utilization and workload management , process updates and identification and ... commitment to diversity, inclusion and belonging. **Overview** The Field Service Coordinator is responsible for coordinating effective execution of field service… more
- Vanderbilt University Medical Center (Nashville, TN)
- …maintenance of a uniform pricing structure, specific billing functions, and data management ; perform administrative duties. . The VUMC Oral Surgery Department is in ... need of a **Orthodontic Billing and Treatment Coordinator ** to join the team! **Shift:** Monday - Friday,...and administrative support to special projects + Conduct space utilization and space inventory studies per designated procedures +… more
- Highmark Health (Nashville, TN)
- …:** **JOB SUMMARY** This job captures all inbound phone inquires for utilization management review from providers and pharmacies. The incumbent assesses ... verifying benefit coverage, creation of a prior authorization case in Highmark's Utilization Management system for Prior Authorization clinical review, status… more
- Fifth Third Bank, NA (Nashville, TN)
- …Third Bank. GENERAL FUNCTION: Serves as the trusted advisor and team coordinator to simplify complexity for Private Bank clients by challenging and collaborating ... credentialed specialists to provide wealth planning, investments, private banking, risk management , and trust services. Ensures delivery and execution of Private… more
- HCA Healthcare (Nashville, TN)
- …clinical education and staff development, operational optimization of drug products, management of appropriate drug utilization through clinical pathway ... + Develops Key Performance Indicators and Dashboards related to Specialty Drug Utilization + Support business development and sales team as the knowledge expert… more
- Amergis (Nashville, TN)
- …+ Ability to work collaboratively with medical staff + Experience in Case Management , Utilization Management or DischargePlanning preferred + Ability to ... Amergis Healthcare Staffing is seeking a Clinical Admissions Coordinator responsible for the coordinationand planning for pre-admission activities. The Clinical… more
- Nashville Center for Rehabilitation and Healing (Nashville, TN)
- …and Healthcare Center is looking for a talented and hard-working RN MDS Coordinator to join our ever-growing team. MDS Director Essential Job Functions + Oversees ... appropriate follow-up action is taken + Facilitates the Care Management Process engaging the resident, IDT and family in...the RAI process. Provides an overview of the MDS Coordinator and Assessor role to new employees that are… more
- The Cigna Group (Nashville, TN)
- The RN Coordinator serves as the key contact point for the patient to coordinate and streamline all services offered within Evernorth Health Services. The patient ... education including possible side effects, plan of care, and individualized care goals management in a culturally sensitive and acceptable manner for the patient or… more