- HCA Healthcare (Nashville, TN)
- …**Introduction** Do you want to join an organization that invests in you as a Medical Necessity Compliance Coordinator ? At Parallon, you come first. ... and you have the opportunity to make a difference. We are looking for a dedicated Medical Necessity Compliance Coordinator like you to be a part of our… more
- Community Health Systems (Antioch, TN)
- …policy standards, including EMTALA and quality initiatives, while adapting processes to ensure compliance . + Utilizes medical necessity criteria to evaluate ... **Job Summary** The Transfer Coordinator - RN is responsible for coordinating patient...transfers. + Knowledge of healthcare regulations, including EMTALA and medical necessity guidelines. + Excellent communication skills… more
- Elevance Health (Nashville, TN)
- …medically appropriate, high quality, cost effective care through assessing the medical necessity of inpatient admissions, outpatient services, focused surgical ... out of network and appropriateness of treatment setting reviews to ensure compliance with applicable criteria, medical policy, and member eligibility, benefits,… more