26 jobs matching your criteria
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Utilization Review Nurse, RN (Oncology)
access_time Posted 10 days ago
account_balance Lucent Health Solutions LLC
location_on Nashville
The Utilization Review RN Case Manager shall be responsible for all aspects of the utilization review process as directed by the Supervisor of Utilization Review. * Activities shall include, but not ...
Utilization Review Specialist
access_time Posted 8 days ago
account_balance Promises Behavioral Health, LLC
location_on Brentwood
Communicates to relevant parties at the facility and the Corporate Utilization Review Director any issues with benefit coverage or denials, facilitating client notifications as needed. * Completes ...
Medical Director (Remote/Contract)
access_time Posted 9 days ago
account_balance Lucent Health Solutions LLC
location_on Nashville
To ensure that physician utilization review staff are properly qualified, trained, supervised, and supported by explicit written clinical review criteria and review procedures and to ensure that they ...
Director of Construction
access_time Posted 1 month ago
account_balance Fessler & Bowman Inc
location_on Smyrna
The Director of Construction will support the field operations teams in all aspects including ... utilization, and product quality. * Review weekly project financial performance with PM to ensure ...
Regional Director
access_time Posted 1 month ago
account_balance Specialty Dental Brands
location_on Nashville
... patient schedule utilization, staff productivity, collections, receivables, and controlling ... Manage/review EOD processes and KPI dashboard with OMs. * HR/Payroll reviews with OMs. * Build ...
Senior Director of Clinical Operations
access_time Posted 2 months ago
account_balance Tennessee Donor Services
location_on Nashville
... utilization. This role is critical to providing leadership and guidance to all clinical teams. The ... Works in collaboration with the Medical Director to continually review and enhance clinical ...
Director, Clinical Documentation Integrity and Quality
access_time Posted 26 days ago
account_balance Honest Medical Group
location_on Nashville
Monitor and track the utilization of pre-visit planning forms by partners, identifying ... How You Qualify You reviewed the Who You Are section of this job posting and immediately felt the ...
Director of Civil Engineering, Nashville
access_time Posted 2 months ago
account_balance W & A Engineering, LLC
location_on Nashville
Review project reports to ensure projects are on schedule and within budget ... Analyze department utilization and profitability * Participate in the proposal writing process
SAP MDM Technical Lead (DIRECT HIRE, REMOTE)
access_time Posted 10 days ago
account_balance Beacon Hill
location_on Nashville
... utilization. This role will encompass MDM governance, data modeling, integration, and driving our ... Conduct code reviews and implement best practices on development methodologies with both internal ...
UM Nurse Specialist
access_time Posted 1 month ago
account_balance YesCare Corporation
location_on Brentwood
Review and assess over/under utilization issues. * Track, trend and evaluate appropriateness and ... Director. * Identify and document comparisons with community standards, regionally based as ...
Manager, Project Management ( remote )
access_time Posted 14 hours ago
account_balance AssistRx
location_on Nashville
Drive to business outcomes & utilization, not just deadlines * Drives adherence to IT Department ... with Director of Project Management * Participate in resource planning process to allocate ...
Care Coordinator Job, Full Time, Primary Care
access_time Posted 18 days ago
account_balance Sanitas Medical Center
location_on Murfreesboro
... direct care providers related to treatments, procedures, medications, and continuing care ... utilization review staff regarding variances from the care plan or transfer/discharge plan
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