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HCA Healthcare
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Nashville, Tennessee
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healthcare. As a member of CereCore, the Director of Talent Delivery for HCA Professional Services is ... account management.
Strong experience in implementations and healthcare/IT.
Practices and
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Covenant Health
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Knoxville, Tennessee
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utilization; developing and enforcing policies and procedures; assisting with project management; maintaining ... Services
Full Time, 80 Hours Per Pay Period, Day Shift
Thompson Cancer
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Covenant Health
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Knoxville, Tennessee
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the daily management and direction of Knoxville Business Office Services. Responsible for the ...
Work with the Staff, Management Team and Vice President of Patient Account Services to establish
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HCA Healthcare
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Nashville, Tennessee
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Executives thrive with us! HCA Healthcare is one of the nation’s leading providers of healthcare services ... related to utilization review (UR) metrics, works with hospital utilization management committees upon
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The Cigna Group
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Franklin, Tennessee
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The Chief Medical Officer (CMO) Utilization Management will develop and manage efforts to improve ... , and similar accreditors/regulators for the performance of all utilization management (UM) programs
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Universal Health Services
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MEMPHIS, Tennessee
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Responsibilities
Utilization Management Coordinator
Compass Intervention Center is seeking a dynamic and talented Utilization Management Coordinator. Our mission is to
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Baptist Memorial
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Memphis, Tennessee
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Summary
The Utilization Review Nurse is responsible for evaluating the medical necessity and appropriateness of healthcare services and treatment as prescribed by utilization review
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Baptist Memorial
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Memphis, Tennessee
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Summary
The Utilization Review Nurse is responsible for evaluating the medical necessity and appropriateness of healthcare services and treatment as prescribed by utilization review
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HCA Healthcare
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Nashville, Tennessee
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want to join an organization that invests in you as a Director Change Management? At HCA Healthcare ... Management Metrics Tracking
HCA Healthcare (Corporate) , based in Nashville, Tennessee, supports a
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Humana
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Nashville, Tennessee
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comprehensive medication reviews for prescriptions requiring pre-authorization. The Utilization Management ... independent determination of the appropriate courses of action.The Utilization Management Clinical Pharmacist
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UnitedHealth Group
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Nashville, Tennessee
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comprehensive care management or utilization review services in various locations.
*This is a 100 ...
Provides utilization management services, in coordination with other Case Management staff, providers, and
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Humana
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Nashville, Tennessee
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, utilization management, case management, discharge planning and/or home health or post acute services such as ... medical interpretation and determinations whether services provided by other healthcare professionals are
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HCA Healthcare
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Nashville, Tennessee
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Certification:** Nationally accepted certification in Case Management, Utilization Review, Coding, or other ... experience in denial management.
Requires professional level of knowledge of utilization review, care
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Humana
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Nashville, Tennessee
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communication of medical services and/or benefit administration determinations. The Utilization Management Nurse ... the appropriate courses of action.
The Utilization Management Nurse 2/Home Health Utilization
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HCA Healthcare
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Nashville, Tennessee
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candidate will be focused on gaining experiences within HCA Healthcare’s Care Management product suite ... Description
Introduction
Last year our HCA Healthcare colleagues invested
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CommonSpirit Health
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Chattanooga, Tennessee
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activities.
● Communicates PDP effectiveness to National Real Estate Services senior management through ... management responsibilities in accordance with the PDP project services responsibility matrix
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Humana
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Nashville, Tennessee
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healthcare providers, clinical group practice management.
Utilization management experience in a medical ... medical interpretation and determinations whether services provided by other healthcare professionals are
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HCA Healthcare
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Nashville, Tennessee
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Discharge Planning/Transitional Care, Post-Acute Services support, Social Work programs, and Case Management ... Management, alignment with HCA Affiliated/Owned Post-Acute Services, Social Work programs and other Clinical
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Humana
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Nashville, Tennessee
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, utilization management, case management, discharge planning and/or home health or post acute services such as ... interpretation and determinations whether services provided by other healthcare professionals are in agreement
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Humana
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Nashville, Tennessee
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medical interpretation and determinations whether services provided by other healthcare professionals are ... participating in teams focusing on quality management, utilization management, case management, discharge
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HCA Healthcare
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Brentwood, Tennessee
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healthcare systems management for clinical operations.**
**Physician Services Group (https://careers ... of the nation’s leading providers of healthcare services, comprising of over 180 hospitals and about
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HCA Healthcare
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Chattanooga, Tennessee
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with Parkridge Medical Center today and find out what it truly means to be a part of the HCA Healthcare ... :
Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include
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HCA Healthcare
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Brentwood, Tennessee
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the nation’s leading providers of healthcare services, comprising of over 180 hospitals and about 2 ... management and clinical teams within HCA Anesthesia Services
Primary interface of HCA Anesthesia
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Humana
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Nashville, Tennessee
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of services provided by other healthcare professionals in compliance with review policies, procedures ... improving consumer experiences
Preferred Qualifications
Medical utilization management
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HCA Healthcare
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Nashville, Tennessee
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engagement, retail margin management, patient service utilization and complimentary service utilization ...
• Bachelor’s degree in Foodservice Management, Nutrition, Finance, Business Management, Healthcare
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Humana
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Nashville, Tennessee
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and determinations whether services provided by other healthcare professionals are in agreement with ... prior experience participating in teams focusing on quality management, utilization management, case
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Humana
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Nashville, Tennessee
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position with responsibility for utilization management and clinical decision-making as outlined in the ... **
Tasks include, but are not limited to:
70% :
Performing utilization management
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CVS Health
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Nashville, Tennessee
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wraparound services to promote effective utilization of available resources and optimal, cost-effective ... knowledgably participate with their provider in healthcare decision-making.
-Analyzes all utilization
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HealthEdge Software Inc
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Nashville, Tennessee
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About our "Wellframe" Product:
With Wellframe, we reimagine healthcare relationships through a ... need it. We call it Digital Health Management. Our comprehensive suite of Digital Health Management
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HCA Healthcare
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Nashville, Tennessee
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servicing external revenue-generating clients
5+ years of experience in Healthcare related services ... CereCore, part of HCA Healthcare, you come first. HCA Healthcare has committed up to $300 million in
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