Revenue Utilization Review - Smyrna, TN

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 ...

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 ...

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

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. · ...

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

Job Description · Nurse Consultant Utilization Review · ...

+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, ...

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. · ...

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 ...

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

+The Clinical Director role focuses on providing clinically driven subject matter expertise with an emphasis on the AdmissionCare product. · ...

This position is responsible for professional planning work of intermediate difficulty. · Provides technical assistance to the Town Council, Planning Commission, Board of Zoning Appeals, and Historic Zoning Commission; · ...

D.R. Horton, Inc., the largest homebuilder in the U.S., was founded in 1978 and is a publicly traded company on the New York Stock Exchange. · DHI Communities is currently looking for an Multifamily - Assistant Project Manager for their Construction Department · The Multifamily-A ...

We are looking for an RN PRN to join our team at TriStar StoneCrest Medical Center. The Registered Nurse performs direct patient care within the scope of the Registered Nurse Practice Act and is responsible for assessing plans and evaluating patients' care needs. · Administer pre ...

This classification receives and relays emergency and non-emergency requests for police fire and after hour utility services utilizing radio telephone and computer equipment.The telecommunicator operates computers communications equipment prepares documentation maintains records ...

Middle Tennessee Oral and Implant Surgery is seeking a dedicated and skilled Registered Surgical Assistant to join their team in delivering exceptional patient care. We're looking for someone who brings technical expertise but also a compassionate approach to every interaction, e ...

+Job summaryThe purpose of this classification is to perform probation work involving supervising activities of offenders placed on probation by the courts. · ,+Must possess and maintain a valid Tennessee Driver's license. · Bachelor's degree in criminal justice, psychology, soci ...