- Community Health Systems (Franklin, TN)
- …appropriateness, and efficiency of medical services and procedures in the hospital setting. Utilization review is the assessment for medical necessity, both for ... appropriate additional documentation from the physician(s). + Escalates cases to the Utilization Review Manager and/or Physician Advisor if physicians are unable… more
- HCA Healthcare (Nashville, TN)
- …encourage you to apply for our Clinical Pharmacist Specialist BMT Oncology PRN opening. We review all applications. Qualified candidates will be contacted ... **Description** **Introduction** Do you have the PRN career opportunities as a(an) Clinical ...multidisciplinary and bedside rounds + You will complete drug utilization reviews to promote rational drug therapy and implement… more
- Community Health Systems (Franklin, TN)
- …necessity, both for admission to the hospital as well as continued stay. The Utilization Review Clinical Specialist supports and coordinates the various ... and extended hospital stays with portals, faxes and phone calls. The Utilization Review Clinical Specialist will monitor adherence to the hospital's … more
- Intermountain Health (Nashville, TN)
- …financially secure patients encounter(s) + Explains and answers patient, caregiver, provider, or clinical team questions when able + Denial review , appeal, and ... **Job Description:** The Pre-Access Prior Authorization RN provides timely review of authorization requests and/or review of...Nurse + Minimum of 2 years' experience in acute clinical nursing setting + Knowledge of utilization … more
- Vanderbilt University Medical Center (Nashville, TN)
- …members * Comfortable changing assignment/roles every day or so * Comfortable with the clinical review of testing results and visit plans to determine if ... or actions might be indicated * Experience/proficiency in the review and the utilization of EPIC and/or...fundamental proficiency to successfully search for evidence to answer clinical questions. Generally works under the direction of others… more
- HCA Healthcare (Nashville, TN)
- …patient throughput while supporting a balance of optimal care and appropriate resource utilization . What you will do in this role: + Provides case management ... appropriate and available to the patient/family. + Reassesses the patient's clinical condition as indicated. Considers patient's readmission status or risk of… more