- HCA Healthcare (Nashville, TN)
- …environment where diversity and inclusion thrive? Submit your application for our CDI Concurrent Review and Query Specialist opening with HCA Healthcare today ... may vary by location._** We are seeking a(an) CDI Concurrent Review and Query Specialist for our...to physicians for conflicting, imprecise, incomplete, illegible, or inconsistent clinical documentation. This individual need to function in a… more
- Community Health Systems (Franklin, TN)
- …as required based on hospital and/or corporate policies/procedures. + In the event of concurrent denials, the UR Clinical Specialist reviews the denial and works ... with the physicians on the medical staff hospital's to perform an internal secondary review . The UR Clinical Specialist may assist coordinating a Peer to Peer… more
- Community Health Systems (Franklin, TN)
- …as required based on hospital and/or corporate policies/procedures. + In the event of concurrent denials, the UR Clinical Specialist reviews the denial and works ... years previous nursing experiencePreferred Experience: 3 plus years Utilization review experience + Required License/Registration/Certification: Licensed Practical Nurse… more
- Community Health Systems (Franklin, TN)
- …both for admission to the hospital as well as continued stay. The Utilization Review Clinical Specialist supports and coordinates the various aspects of the ... and extended hospital stays with portals, faxes and phone calls. The Utilization Review Clinical Specialist will monitor adherence to the hospital's utilization … more
- 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
- 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 (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
- 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