Utilization Review Jobs in Tennessee
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Search Results - Utilization Review Jobs in Tennessee
Erlanger Behavioral Health-Chattanooga
clinical intake assessments and utilization review processes to assure continuity for the most appropriate level of care for patients and their benefit/resources utilization.
Responsibilities:
ESSENTIAL FUNCTIONS:
Respond to inquiries about the facility...
Aveanna Healthcare-Spring Hill (TN)
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.
• Ensures accurate...
2 similar jobs: Fairview, Pelham
Erlanger Behavioral Health-Chattanooga
clinical intake assessments and utilization review processes to assure continuity for the most appropriate level of care for patients and their benefit/resources utilization.
Responsibilities:
ESSENTIAL FUNCTIONS:
Respond to inquiries about the facility...
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...
TrustPoint Hospital-Murfreesboro
and utilization review processes to assure continuity for the most appropriate level of care for patients and their benefit/resources utilization.
Responsibilities:
ESSENTIAL FUNCTIONS:
Respond to inquiries about the facility within facility policy timeframes...
Humana-Knoxville
to build rapport with internal and external customers and stakeholders.
Preferred Qualifications
• Experience with utilization review process.
• Experience with behavioral change, health promotion, coaching and wellness.
• Knowledge of community health...
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...
CTTX Health-Midtown (TN)
and in a timely fashion in order to meet facility, physician and payor deadlines.
• Attend and/or participate in facility meetings as directed by Center Manager (may include utilization review, infection control, disaster preparedness, etc.)
• Completes sufficient...
workable.com -
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 -
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...
workable.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 -
Perimeter Healthcare-Jackson (TN)
companies, and court systems to coordinate necessary documentation, discharge planning, therapeutic passes, and reviews (MTPR’s, utilization reviews, court hearings).
Facilitates external team and family calls, video calls, FST’s, court hearings, etc. when...
Knoxville
Overview:
PURPOSE STATEMENT:
Clinical professional responsible for facilitating admissions, clinical intake assessments and utilization review processes to assure continuity for the most appropriate level of care for patients and their benefit...
icims.com -
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 -
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 -
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