Utilization & Reimbursement Specialist — Care Coordination
Acadia Healthcare
Acadia Healthcare is seeking a qualified professional to proactively monitor utilization of services and optimize reimbursement for our facilities. The role includes liaising with managed care organizations, reviewing plans for certification compliance, and coordinating communication with clinical staff. Responsibilities also cover monitoring length of stay, gathering data for reporting, and conducting medical necessity reviews. #J-18808-Ljbffr Acadia Healthcare
- East Tennessee Behavioral Health seeks a qualified professional to monitor service utilization and coordinate reimbursement requirements with managed care organizations. The role includes reviews for medical necessity, admissions appeal processing, and staff training on...Reimbursement
- ...Job Title Proactively monitor utilization of services for patients to optimize reimbursement for the facility. Essential... ...Act as liaison between managed care organizations and the facility... ...care organizations (MCOs) and coordinate the flow of communication concerning...ReimbursementReliefWork at office
$140.47k - $190.04k
...Senior Oncology Specialist Sapphire - Knoxville TN Attention Military... ...exist. Amgen's supportive care treatments help patients... ...achieve territory sales by utilizing their Oncology background and... ...product access, resolving/triage reimbursement issues, and maintaining...ReimbursementLocal areaRemote workRelocationFlexible hours- ...Certified Mds Coordinator, Registered Nurse, Transitional Care PRN/OCC, Variable Hours, Day Shift Fort Sanders... ...benefits package with tuition reimbursement, student loan assistance,... ...accurately captures the RUG (Resource Utilization Group) category. Will provide...ReimbursementReliefWork at officeImmediate startDay shift
- ...treatment, the gold standard in care for opioid use disorder, has... .... Day in the Life of a Care Coordinator Meet face-to-face with all... ...in the patient’s record Utilize collateral contacts and other... ...new to this field. Mileage reimbursement (if applicable) Crossroads matches...ReimbursementTemporary workWork at officeLocal areaMonday to Friday
- ...Summary: The Verification Specialist - Specialty role is... ...information concerning patient/client care; complying with all federal... ...and Responsibilities: Coordinates with the Intake Specialists... ...of experience in healthcare reimbursement with focus on insurance verification...ReimbursementWork from home
$18.27 per hour
...Behavioral Health Care CoordinatorPosition at Clarvida - Tennessee Behavioral Health Care Coordinator Location: Jacksboro, TN/ Knoxville, TN (Community-based / In-home &... ...Assistance Program • Pet insurance • Mileage reimbursement* • Company cell phone • National discounts...ReimbursementFull timeFlexible hours- ...Cardiac Telemetry Specialist PRN/OCC, Variable Hours... ...deliver exceptional care. As a Joint... ...package with tuition reimbursement, student loan assistance... ...Position Summary: Coordinates continuous cardiac and... ...Engineering staff. Utilizes computer monitoring equipment...Work experience placementReliefNight shift
- ...unsurpassed customer service. Hanger's Patient Care segment is the largest owner and... ...at the front deskAppointment Scheduling: Coordinate follow-up appointments, including cast and... ...filing system.Understanding of medical reimbursement and terminology and an understanding of...ReimbursementWork at officeLocal area
- East Tennessee Children's Hospital is seeking a Utilization Review Coordinator to perform pre-certification and extended stay reviews for admitted patients. The role ensures timely pre-certification for inpatient, observation, and same-day surgery cases and communicates...
$80k
...CNS Cares Rn Authorizing Specialist Salary: $80,000 per year or more depending on experience Location... ...audits of patient records, and coordinate with the clinical team as needed.... ...appropriateness of ordered level of care, utilizing standard criteria and clinical...Full timeLocal areaMonday to Friday- ...process. Referral Screening Specialist Recruiting - Knoxville,... ...the donation process through coordination and communication of referral... ...organ and tissue donors by utilizing information from medical records... ...1+ years in a health-care related position including use...Temporary workWork at officeLocal areaNight shiftRotating shiftDay shift
$19.86 per hour
...SCTT Care Coordinator Location: Knoxville, TN, Kingsport, TN, Chattanooga, TN, Morristown, TN Employment Type: Full time Salary... ...shopping, travel, Verizon, and entertainment. ~ Mileage reimbursement. ~ Cellphone stipend. Benefits may vary by state or...ReimbursementHourly payFull timeImmediate startFlexible hours$1,884.96 per week
...involves providing clinical care in a fast-paced ER environment... ...protocols and standards. Utilize Cerner EMR to accurately document... ...with the healthcare team to coordinate patient care plans and... ...and Vision insurance Travel reimbursement for assignments Paid sick...ReimbursementNight shift- ...Coding Specialist, Outpatient Facility Coder Full Time, 80 Hours... ...medical documentation, and reimbursement issues specific to medical billing... .... Facilitates and coordinates education of coding staff in... ...educates to maximize level of care assignment for increased reimbursement...ReimbursementFull timeWork at officeLocal areaDay shift
$4,098 - $5,129 per month
...A Certified Work Incentives Coordinator (CWIC), Community Partner Work... ...in the IDD Program Specialist sub-series. It differs from... ...program compliance and quality care for individuals. Oversees service... ...billed services for reimbursement eligibility and monitors grant...ReimbursementFull timeInternshipWork at officeRemote work$70k - $75k
...Experience Our Admissions RN coordinates all aspects of a patient's... ...match Paid Training Mileage Reimbursement Tuition Reimbursement Flexible... ...community regarding hospice utilization and benefits. Completes... ...regarding high quality hospice care and be able to personally provide...ReimbursementWork at officeRelocation packageFlexible hours$10k
...rehabilitation programs provide ongoing care and specialized treatment to... ...'ll make an impact by utilizing your specialized plan-of-... ...oversight, and coordination of staff assignments based on... ...identity theft coverageTuition reimbursement, loan assistance, and 401(k)...ReimbursementFull timeTemporary workFlexible hoursShift work- ...where you are valued! Join the McNabb Center Team as the Reimbursement Specialist program today! The Reimbursement Specialist JOB... ...including HMO/PPO, Commercial, Medicare, Medicare Advantage, TN Care's, Medicaid and Private Pay. Ability to work well in a...ReimbursementContract workCasual workWork at officeLocal areaImmediate startMonday to Friday
- Youth Villages is seeking a Family Intervention Specialist to support in-home interventions for youth and families. You will manage a... ...caseload, conduct family sessions, and assess youth needs, while coordinating with providers and courts to build effective treatment plans....
$19.54 per hour
...Reimbursement Specialist - Insurance Verification (UTMC Program) Help Others, Make a Difference, Save a Life. Do you want to make a difference... ...~ Knox County, Tennessee Apply today to work where we care about you as an employee and where your hard work makes a...ReimbursementHourly payContract workWork at officeLocal areaImmediate startMonday to Friday- ...PURPOSE OF THE JOBPromotes family-centered care by providing services to meet the... ...Certification Required: Certified Child Life Specialist (CCLS) or eligible to sit for the Child... ...cost conscious with Departmental resources.Utilizes hospital resources and time respectfully...Full timeWork experience placement
$42 - $50 per hour
...learning new ways to deliver care, and being part of a team... ...communication/cognitive impairments, utilizing a variety of evidenced based... ...medical orders as part of a coordinated team. Participate in... ...insurance ~ Licensure reimbursement ~ Company-provided CEUs and...ReimbursementFull timeTemporary workReliefLocal areaMonday to Friday- ...Tennessee Children's Hospital is seeking a Child Life Specialist to promote family-centered care and address the psychosocial and developmental needs... ...The role involves supervising students and volunteers, coordinating activities in playrooms and clinics, and ensuring a...
- ...MDS Coordinator (RN) Are you a compassionate Registered Nurse (RN) looking to make a meaningful... ...their healthcare journey? If so, join Care Initiatives as a MDS Coordinator (RN),... ...documentation to support accurate reimbursement and quality measures. Analyze resident...Reimbursement
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- ...Clinical Documentation Integrity Specialist Full Time, 80 Hours Per Pay Period, Day Shifts... ...reviews in the setting of an acute care facility. Concurrent reviews assure the... ...relates to coding, medical documentation, and reimbursement issues specific to medical billing and...ReimbursementFull timeLocal areaDay shift
$52k - $60k
...after such placements, including foster care, residential treatment facilities, hospitalization... ...by highly trained Family Intervention Specialists directly in the family’s home and... ...insurance.Community-based staff will be reimbursed for applicable mileage.Salary:$52,000 -...ReimbursementFull timePart timeInternshipWork at officeLocal areaFlexible hours- ...in prevention, treatments, care solutions and communities, that... ...to reach more patients Coordinate, engage, and partner with multiple... ...Nurse Educators and Field Reimbursement Managers) to deliver an... ...performance goals and objectives utilizing; KPIs, scaling of successes,...ReimbursementLocal areaNight shift
- ...providing the highest quality care possible for persons and... ...Health Saving Account or Health Reimbursement Account 401K with Company... ...planning, referral, service coordination, counseling (individual, family... ..., training, and license, utilizing evidence-based practices as...ReimbursementInternshipWork at officeTrial periodShift workNight shiftWeekend workAfternoon shift
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