Utilization Review Jobs in Tennessee
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Search Results - Utilization Review Jobs in Tennessee
Medical Solutions-Chattanooga
Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Chattanooga, Tennessee.
Job Description & Requirements
Specialty:
Utilization Review
Discipline:
RN
Duration:
13 weeks
36 hours per week...
Louisville (TN)
Overview:
Utilization Review Coordinator, Quality Management
Full Time, 80 Hours Per Pay Period, Day Shift
Peninsula Overview:
Peninsula, a division of Parkwest Medical Center, has set a new standard for effective, innovative and caring mental...
icims.com -
CenterWell Home Health-Murfreesboro
needed. Ensures adherence to internal policies and standards.
• Assesses staff education needs based on own the review of clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion...
Creekside Center for Rehabilitation and Healing-Nashville
and recommendations.
Integrating input from patient and family in treatment assessment and recommendations.
Preparing for and providing meaningful contributions to the rehab team conferences, patient care conferences, utilization review meetings, family conferences...
Aveanna Healthcare-Fairview (TN)
effective manner, as dictated by the plan of care and patient needs.
• Participates in quality improvement, utilization review, and infection control activities as requested.
• Attends appropriate in services, and participates in continuing education...
Knoxville
breakdowns in process relating to denials.
• Maintains a monthly data report on each physician’s activities impacting Utilization Management activities.
• Manages physician advisor reports and assists with facilitating UM Committee reviews when applicable...
icims.com -
Ascension-Nashville
and retrospective utilization review for all
self-funded and fully insured clients to implement and manage comprehensive outpatient and inpatient
utilization management programs.
• Oversee implementation and maintenance of prior authorization codes for all clients...
Germantown (TN)
Overview:
PURPOSE STATEMENT:
Crestwyn is looking for a clinical professional responsible for facilitating admissions, clinical intake assessments and utilization review processes to assure continuity for the most appropriate level of care...
icims.com -
Franklin (TN)
statistical reports to monitor trends, determine operational deficiencies and implement
corrective action plans as necessary.
• Work closely with Utilization Review and Admissions staff to ensure proper authorization of patient
insurance coverage.
• May...
icims.com -
Knoxville
necessity reviews to promote a utilization management program that operates 24 hours a day 7 days a week. Exhibits extraordinary leadership and professionalism in role. Prepares and reviews necessary documentation for insurance utilization management...
icims.com -
Franklin (TN)
all statistical reports to monitor trends and determine operational deficiencies and implement corrective action plans as necessary.
• Work closely with Utilization Review and Admissions staff to ensure proper authorization of patient insurance...
icims.com -
Knoxville
or utilization review experience preferred. Must be computer literate with basic knowledge of Microsoft Office programs. Ability to build rapport and engage patients in effective dialogue related to their treatment plan. Ability to quickly identify and prioritize...
icims.com -
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