Utilization Review Jobs in Tennessee
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Search Results - Utilization Review Jobs in Tennessee
Medical Solutions-Memphis
Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Memphis, Tennessee.
Job Description & Requirements
• Specialty: Utilization Review
• Discipline: RN
• Duration: 13 weeks
• 40 hours per...
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 -
Manchester Center for Rehabilitation and Healing-Manchester (TN)
Services to identify trends on a monthly basis
Responsible for timely and accurate completion of Utilization Review and Triple Check
Serves on, participates in, and attends various other committees of the Facility/Community (e.g., Quality Assessment...
3 similar jobs: Boca Raton, Niles, Chicago
Wealth Recruitment, LLC-Taft (TN)
and Utilization Review Department, providing essential guidance in program development and staff supervision. The Clinical Director ensures accurate documentation, effective clinical operations, and fosters a positive, safe, and professional environment for both...
resume-library.com -
NCH Healthcare System-Nashville
Actively collaborates with utilization review team to facilitate and meet organizational and department goals. · Recognizes situations that require referral to quality or risk management and makes a timely referral. EDUCATION, EXPERIENCE AND QUALIFICATIONS...
CenterWell Home Health-Murfreesboro
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 of the assessment, creates and conducts regular staff education as needed...
Louisville (TN)
reporting and analysis
• Budgeting (operating and capital)
• Case loads at capacity
• Grant management
• Utilization Review and Benefits verification
• Collaborates with Director of Clinical Services in developing and maintaining systems, which support...
icims.com -
Ascension-Nashville
initiatives.
• Develop systems and processes for prospective, concurrent and retrospective utilization review for all
self-funded and fully insured clients to implement and manage comprehensive outpatient and inpatient
utilization management programs...
Chattanooga
number, and utilization review company contact person and telephone number
• Maintains patient and associate privacy and confidentiality.
• Performs other duties as assigned.
• Performs collection functions and financial assistance for payment methods...
icims.com -
TriStar Southern Hills Medical Center-Nashville
preferred
• Three years nursing experience in acute care setting, Case Management experience preferred
• Certification in Case Management, Nursing, or Utilization Review, preferred
• Ability to establish and maintain collaborative and effective working...
3 similar jobs: Lebanon, Franklin, Murfreesboro
Murfreesboro
the late nights and sacrifices worth it." - Current RN
PURPOSE STATEMENT:
Clinical professional responsible for facilitating admissions, clinical intake assessments and utilization review processes to assure continuity for the most appropriate level...
icims.com -
TriStar Centennial Medical Center-Franklin (TN)
supporting a balance of optimal care and appropriate resource utilization.
II.POSITION QUALIFICATIONS:
1. Bachelor’s prepared RN with current state licensure. In lieu of BSN, RN must have 5 years case management experience and complete a bachelor’s...
3 similar jobs: Lebanon, Murfreesboro, Nashville
TriStar Centennial Medical Center-Lebanon (TN)
with 2 years case management experience preferred.
• Certification in case management, nursing, or utilization review preferred.
• InterQual experience, preferred.
• Ability to establish and maintain collaborative and effective working relationships...
4 similar jobs: Nashville, Murfreesboro, Franklin, Hermitage
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