Director of Clinical Utilization Review - Nashville, TN

Registered Nurse Utilization Management is responsible for collaborating with healthcare providers and members to optimize member benefits and promote effective use of resources. · ...

· Company Description · HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest a ...

The Consolidated Patient Accounts Center (CPAC) is a regionally consolidated business entity established to enhance revenue operations throughout the VHA network by standardization and consolidation of functions - and the integration of VHA and industry best standards. · The Reve ...

Who We Are: · Join a passionate and caring team who work collaboratively to support our clients The Odyssey Eating Disorder Network offers a robust continuum of services for adults and adolescents of all genders in multiple states that specialize in a full array of eating disorde ...

Job summaryThe Manager of Utilization Review oversees a team of utilization review nurses and coordinators, ensuring compliance with clinical regulatory standards, and enhancing the overall utilization review process to optimize patient care and manage resources effectively. · ...

We Are Hiring: · Department: Case Management · Schedule: Full Time, Days · Hospital: St Thomas Rutherford · Location: Murfreesboro, TN · What You Will Do: · Provide health care services regarding admissions, case management, discharge planning and utilization review. · Review adm ...

Description · Who We Are: · Join a passionate and caring team who work collaboratively to support our clients   The Odyssey Eating Disorder Network offers a robust continuum of services for adults and adolescents of all genders in multiple states that specialize in a full array o ...

Job Summary · The Manager of Utilization Review oversees a team of utilization review nurses and coordinators to ensure compliance with clinical regulatory standards and optimize patient care. · ...

The Manager of Utilization Review oversees a team of utilization review nurses and coordinators ensuring compliance with clinical regulatory standards enhancing the overall utilization review process to optimize patient care and manage resources effectively. · Serves as escalatio ...

Job DetailsLevel: ExperiencedJob Location: Franklin, TN 37067Position Type: Full TimeEducation Level: 4 Year DegreeJob Category: Health CareWho We Are: · Join a passionate and caring team who work collaboratively to support our clients   The Odyssey Eating Disorder Network offers ...

The Consolidated Patient Accounts Center (CPAC) is a regionally consolidated business entity established to enhance revenue operations throughout the VHA network by standardization and consolidation of functions, · English Language Proficiency. · ...

GQR Healthcare is seeking a travel nurse RN Utilization Review for a travel nursing job in Baltimore, Maryland. · Job Description & Requirements · Specialty: · Utilization Review · Discipline: · RN · Duration: · 13 weeks · 40 hours per week · Shift: · 8 hours, days · Employment T ...

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 ...

We help clients navigate complexity, support recovery and deliver outcomes that make a real difference in people's lives. · ...

+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, ...

Nurse Consultant Utilization Review provides utilization management review of worker's compensation claims accessing medical documentation and information provided by medical providers to determine the appropriateness of treatment setting and length of treatment required communic ...

The Utilization Review Nurse is to assess the medical necessity and quality of healthcare services by conducting pre-service, concurrent, and retrospective utilization management reviews. · ...

The Utilization Review Nurse is to assess the medical necessity and quality of healthcare services by conducting pre-service, concurrent, and retrospective utilization management reviews. · ...

Behavioral Health Utilization Management Medical Case Manager · CalOptima · Join Us in this Amazing Opportunity · The Team You'll Join · We are a mission driven community‐based organization that serves member health with excellence and dignity, respecting the value and needs of e ...

Licensed Veterinary Technician · Mobley Veterinary Clinic is committed to providing exceptional care for small animals in Nashville. We prioritize comprehensive treatment where every pet receives personalized attention, establishing ourselves as trusted partners for pet owners. · ...