- 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 documents all authorization activities,… more
- Humana (Nashville, TN)
- … or discharge planner in an acute care setting + Previous experience in utilization management/ utilization review for a health plan or acute care ... part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination,… more
- Green Hills Center for Rehabilitation and Healing (Nashville, 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 Green Hills Center for Rehabilitation and...Healing is looking for a talented and hard-working MDS Coordinator to join our ever-growing team. We are seeking… more
- HCA Healthcare (Nashville, TN)
- …and continue to learn! **Job Summary and Qualifications** The Trauma Program Coordinator , under the direction of the Trauma Program Director, shares 24-hour ... of the Trauma program with the Trauma Medical Director. The Trauma Program Coordinator , in collaboration with the Medical Director, is responsible for assuring all… more
- Trevecca Center for Rehabilitation and Healing (Nashville, TN)
- …meaningful contributions to the rehab team conferences, patient care conferences, utilization review meetings, family conferences, and caregiver training ... the administrator in development of the annual budget. Appropriate and effective utilization of staff. Managing key operations and financial levers to achieve budget… more
- CVS Health (Nashville, TN)
- …with transferring patients to lower levels of care. + 1+ years' experience in Utilization Review . + CCM and/or other URAC recognized accreditation preferred. + ... AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical management services that support… more
- Metro Nashville Government (Nashville, TN)
- …of three critical program areas: The Family Well-Being Division, the Foster Care Review Board, and the Truancy Reduction Team. This position leads with vision and ... and connections to employment, education, and housing supports. + Foster Care Review Board (FCRB): A community-based board that reviews cases of children in… more
- SHI (Nashville, TN)
- …position will schedule resources, manage escalations, track hours and budget, review deliverables, and maintain clear communication with stakeholders on project ... closure which includes project acceptance,andfinal invoicing, andconduct a thorough review toidentifylessons learned and best practices for future projects +… more