- Community Health Systems (Franklin, TN)
- …clinics, imaging centers, cancer centers and ambulatory surgery centers. **Summary:** Utilization management is the analysis of the necessity, appropriateness, ... medical services and procedures in a Behavioral Health setting. Utilization review is the assessment for medical necessity, both...+ Documents all actions and activities in the case management software system used by the BHU. This documentation… more
- Community Health Systems (Franklin, TN)
- …clinics, imaging centers, cancer centers and ambulatory surgery centers. **Summary:** Utilization management is the analysis of the necessity, appropriateness, ... of medical services and procedures in the hospital setting. Utilization review is the assessment for medical necessity, both...+ Documents all actions and activities in the case management software system used by the hospital. This documentation… more
- Verint Systems, Inc. (Nashville, TN)
- …. **ROLE PURPOSE AND METRICS** **Role Purpose** : The role of a Project Coordinator is to support the project management team within the BPO function ... : + Contribute to project planning by tracking tasks, deadlines, and resource utilization . + Assist in the development of project plans, ensuring they align with… 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
- Metro Nashville Government (Nashville, TN)
- …Action Commission ERSEA/PARENT ENGAGEMENT COORDINATOR Print (https://www.governmentjobs.com/careers/nashville/jobs/newprint/4385338) Apply Metro Action Commission ... ERSEA/PARENT ENGAGEMENT COORDINATOR Salary $56,992.00 - $112,110.40 Annually Location Nashville, TN...monitoring, the optimum degree of parent engagement and the utilization of volunteers. + Ensure Head Start parents are… 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
- Fifth Third Bank, NA (Nashville, TN)
- …Third Bank. GENERAL FUNCTION: Serves as the trusted advisor and team coordinator to simplify complexity for Private Bank clients by challenging and collaborating ... credentialed specialists to provide wealth planning, investments, private banking, risk management , and trust services. Ensures delivery and execution of Private… 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
- 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
- Trevecca Center for Rehabilitation and Healing (Nashville, TN)
- …and maximize therapist efficiency. . Managing Medicare Medical Review and Denials Management process in conjunction with the Regional CareRite denials support and ... development of the annual budget. . Appropriate and effective utilization of staff. . Managing key operations and financial...facility's Employee Handbook and as communicated by the facility's management . . Contributing to a positive work team by… 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