- Intermountain Health (Nashville, TN)
- …delivery in the medical record. + Communicates and collaborates with Care Managers, Utilization Review RNs, and Payers as needed to ensure coordinated processes. ... + Under the direction of Care Managers or Utilization Review RNs, makes timely referrals to post-acute care providers, agencies, and community resources and/or… more
- Quality Center for Rehabilitation and Healing (Lebanon, 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 The Quality Center for Rehabilitation and Healing...Healing is looking for a talented and hard-working MDS Coordinator to join our ever-growing team. We are seeking… more
- Sunrun (Nashville, TN)
- …commitment to diversity, inclusion and belonging. **Overview** The Field Service Coordinator is responsible for coordinating effective execution of field service ... and develop partner or branch relationships including weekly/monthly reviews, utilization and workload management, process updates and identification and resolution… more
- Highmark Health (Nashville, TN)
- …**Job Description :** **JOB SUMMARY** This job captures all inbound requests for utilization review from providers and pharmacies. The incumbent assesses the ... and then creates the case (data entry) in Highmark's utilization management system for clinical review . Ensures all accurate information is entered at the onset… more
- Gallatin Center for Rehabilitation and Healing (Gallatin, TN)
- …to optimize data quality and maximize therapist efficiency. Managing Medicare Medical Review and Denials Management process in conjunction with the Regional CareRite ... of Rehabilitation in development of the annual budget. Appropriate and effective utilization of staff. Managing key operations and financial levers to achieve budget… more