- Evolent (Nashville, TN)
- …Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** The ** Coordinator , Intake Utilization Management ** at Evolent will serve as a ... regulatory requirements, and client contractual agreements. **Collaboration Opportunities** : The Coordinator , Intake Utilization Management reports directly… more
- Elevance Health (Nashville, TN)
- …**LTSS Service Coordinator - RN Clinician** is responsible for overall management of member's case within the scope of licensure; provides supervision and ... with individuals with chronic illnesses, co-morbidities, and/or disabilities in a Service Coordinator , Case Management , or similar role; or any combination of… more
- Elevance Health (Nashville, TN)
- **LTSS Service Coordinator - Clinician** **Location:** **Dickson, Cheatham, Davidson** **Counties** **This is a field position 4-5 days per week** **$2500 Sign On ... Bonus** **LTSS Service Coordinator - Clinician** this role will be working under...or face-to-face assessments for the identification, evaluation, coordination and management of member's needs, including physical health, behavioral health,… more
- Elevance Health (Nashville, TN)
- **Pharmacy Services Coordinator ** _Location: This position will work a hybrid model (1-2 days/week). The ideal candidate will live within 50 miles of one of our ... Elevance Health PulsePoint locations._ The **Pharmacy Services Coordinator ** is responsible for being the primary contact and liaison for and between the company's… more
- Sunrun (Nashville, TN)
- …+ Own and develop partner or branch relationships including weekly/monthly reviews, utilization and workload management , process updates and identification and ... commitment to diversity, inclusion and belonging. **Overview** The Field Service Coordinator is responsible for coordinating effective execution of field service… more
- Vanderbilt University Medical Center (Nashville, TN)
- …maintenance of a uniform pricing structure, specific billing functions, and data management ; perform administrative duties. . The VUMC Oral Surgery Department is in ... need of a **Orthodontic Billing and Treatment Coordinator ** to join the team! **Shift:** Monday - Friday,...and administrative support to special projects + Conduct space utilization and space inventory studies per designated procedures +… more
- Highmark Health (Nashville, TN)
- …:** **JOB SUMMARY** This job captures all inbound phone inquires for utilization management review from providers and pharmacies. The incumbent assesses ... verifying benefit coverage, creation of a prior authorization case in Highmark's Utilization Management system for Prior Authorization clinical review, status… more
- Merck (Nashville, TN)
- …expense reports, time‐off requests and provide proper oversight of CTC's productivity/ utilization . + Provide input for capacity planning, including reporting of ... issues to CRM and CRD/TA-Head. + People and Resource Management : - Manages CTC - career development, performance reviews,...the line manager. + Ability to proactively develop risk management and mitigation plans in the country and resolve… more
- Sunrun (Nashville, TN)
- …and dispatch customer appointments in conjunction with Tech routes, schedules and utilization + Initiate and create tasks to complete further work required for ... within or across projects or cross functional teams with minimal direction from management + Meets all identified team and client performance metrics, goals and… more
- HCA Healthcare (Nashville, TN)
- …clinical education and staff development, operational optimization of drug products, management of appropriate drug utilization through clinical pathway ... + Develops Key Performance Indicators and Dashboards related to Specialty Drug Utilization + Support business development and sales team as the knowledge expert… more
- Nashville Center for Rehabilitation and Healing (Nashville, TN)
- …and Healthcare Center is looking for a talented and hard-working RN MDS Coordinator to join our ever-growing team. MDS Director Essential Job Functions + Oversees ... appropriate follow-up action is taken + Facilitates the Care Management Process engaging the resident, IDT and family in...the RAI process. Provides an overview of the MDS Coordinator and Assessor role to new employees that are… more
- The Cigna Group (Nashville, TN)
- The RN Coordinator serves as the key contact point for the patient to coordinate and streamline all services offered within Evernorth Health Services. The patient ... education including possible side effects, plan of care, and individualized care goals management in a culturally sensitive and acceptable manner for the patient or… more
- Western Kentucky University (Bowling Green, KY)
- …Capitalizing on the recent successes and growth in the Meteorology and Emergency Management Disaster Science programs, WKU is committing to develop a new pillar of ... academic excellence in Disaster Science and Management . Coinciding with the recent launch of the WKU...preparedness, + Geospatial assessment of socioeconomic impacts, + The utilization of contemporary methodological approaches such as AI/ML. EEAS… more
- Lebanon Center for Rehabilitation and Healing (Lebanon, TN)
- …outlined in the facility's Employee Handbook and as communicated by the facility's management . + Contributing to a positive work team by sharing information, using ... the facility with the director of nursing, nurse managers, and admissions coordinator to assist in development of the respiratory therapy program. + Establishing… more
- Lebanon Center for Rehabilitation and Healing (Lebanon, TN)
- …meaningful contributions to the rehab team conferences, patient care conferences, utilization review meetings, family conferences, and caregiver training sessions. + ... facility's Employee Handbook and as communicated by the facility's management . . Contributing to a positive work team by...with the director of nursing, nurse managers, and admissions coordinator to assist in development of the respiratory therapy… more