• UR Clinical Specialist

    Community Health Systems (Franklin, TN)
    …for medical necessity, discharge, and payer requirements. These discussions aim to help the UR Clinical Specialist understand the reason for admission and ... admission to the hospital as well as continued stay. The Utilization Review Clinical Specialist supports and coordinates the various aspects of the hospital's… more
    Community Health Systems (01/10/25)
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  • PRN Utilization Review Clinical

    Community Health Systems (Franklin, TN)
    …discharge needs, or fulfill other payer requirements. These discussions are to help the UR Clinical Specialist understand the reason for admission, and ... and/or corporate policies/procedures. + In the event of concurrent denials, the UR Clinical Specialist reviews the denial and works with the physicians… more
    Community Health Systems (01/08/25)
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