Utilization Review Specialist - Dickson, TN, US

The Utilization Review Specialist ensures that all services provided to patients meet payer requirements for medical necessity and authorization. · Obtain initial authorizations for all new admissions · Submit concurrent reviews and continued-stay requests within required timelin ...

The Clinical Utilization Review Specialist is responsible for evaluating the necessity, appropriateness, and efficiency of hospital services to ensure compliance with utilization management policies. · This role conducts admission and continued stay reviews, supports denials and ...

+The Clinical Utilization Review Specialist is responsible for evaluating the necessity, appropriateness, and efficiency of hospital services to ensure compliance with utilization management policies. · +Performs admission and continued stay reviews using evidence-based criteria, ...

This position performs a detailed review of loan and approval documentation. Ensures accuracy of information in core. · ...

Performs claim documentation review verifies policy coverage assesses policy application validity communicates with healthcare providers policyholders and beneficiaries to ensure accurate and timely handling of the medical review process. · ...

This Work from Home position requires that you live and will perform the duties of the position; within 60 miles of an HCA Healthcare Hospital. · Do you want to join an organization that invests in you as a Medical Insurance Collections Specialist? At Parallon, you come first. · ...

Do you want to join an organization that invests in you as a Medical Insurance Collections Specialist? At Parallon, you come first. · ...

+ The bank is seeking a motivated, customer‑focused Digital Services Specialist to join our growing Digital Services Department. · + · + · Troubleshoot issues related to Online Banking, Mobile App Banking, eDeposit, Merchant Remote Deposit Capture, eStatements, · + ...

· Job Purpose: The Billing Specialist supports the full revenue cycle by ensuring accurate claim creation, timely submission, payment posting, and resolution of outstanding balances. This role works closely with clinical, admissions, and utilization review teams to ensure clean ...

Job Type · Full-time · Description · Under the supervision of the Attendant 1 (Lead), the Attendant 2 is responsible for supporting all aspects of the rest area operations, as well as supervision of the Rest Area Attendants and any Job Coaches assigned to a service recipient. · R ...

We are looking for an enthusiastic Med Surg LPN to help us reach our goals. Unlock your potential · As a Licensed Practical Nurse/Licensed Vocational Nurse (LPN/LVN) at HCA Healthcare, you'll play a key role in delivering safe, high-quality care that puts patients first. · ...

For over 35 years Youth Villages has transformed the lives of children and families nationwide through innovative research-based programs focused on preserving and restoring families. · ...

The Bank of Dickson is seeking a motivated customer-focused Digital Services Specialist to join their growing Digital Services Department. · Serve as a point of contact for customers seeking assistance with or applying for digital services. · Troubleshoot issues related to Online ...

We are looking for an enthusiastic Med Surg LPN to help us reach our goals. Unlock your potential with a leading healthcare provider dedicated to the growth and development of our colleagues. · ...

We are seeking a compassionate and skilled RN Patient Assessment Specialist to evaluate the clinical and medical needs of potential clients for substance use and mental health treatment. · ...

The Billing Specialist supports the full revenue cycle by ensuring accurate claim creation, timely submission, payment posting, and resolution of outstanding balances. · ...

The Insurance Verification Specialist ensures accurate and timely insurance verification for all incoming patients. · High school diploma or equivalent required; associate's or bachelor's degree in business, finance, or related fields preferred. · Minimum of 2 years of experience ...

Sign on bonus for external candidates: $5,000 · Introduction · Last year our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a(an) Med Surg LPN with TriStar Horizon Medical Center you can be a part of an organization that is devoted to gi ...

Bank of Dickson is seeking a motivated, customer‑focused Digital Services Specialist to join our growing Digital Services Department. · Serve as a point of contact for customers seeking assistance with or applying for digital services. · Troubleshoot issues related to Online Bank ...

This Work from Home position requires that you live and will perform the duties of the position; within 60 miles of an HCA Healthcare Hospital (Our hospitals are located in the following states: FL, GA, ID, KS,, KY,, MO,, NV,, NH ,, NC , SC , TN , TX ,, UT , VA ).You contribute t ...