Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Utilization Review Coordinator

DCI Biologicals

Clinical Review CoordinatorSierra Donor Services (SDS) is looking for a dynamic and enthusiastic team member to join us to save lives!! Our mission at SDS is to save lives through organ and tissue donation and we want professionals on our team that will embrace this important work!! We are currently searching for a high caliber Clinical Review Coordinator to help facilitate the organ donation process by conducting a thorough quality review of medical records. If you have expertise in quality management, medical record review, and medical terminology, this is the job for you!!. This will be a hybrid role – meaning some duties may be completed remotely and some duties will be completed in the office.Sierra Donor Services is a designated organ procurement organization (OPO) within the state of California – and is a member of the DCI Donor Services family. For over four decades, DCI Donor Services has been a leader in working to end the transplant waiting list. Our unique approach to service allows for nationwide donation, transplantation, and distribution of organs and tissues while maintaining close ties to our local communities.DCI Donor Services operates organ procurement/tissue recovery organizations: Sierra Donor Services and Tennessee Donor Services with operations in the states of Tennessee, New Mexico and California. We also maximize the gift of life through the DCI Donor Services Tissue Bank and Sierra Donor Services Eye Bank.Our performance is measured by the way we serve donor families and recipients. To be successful in this endeavor is our ultimate mission. By mobilizing the power of people and the potential of technology, we are honored to extend the reach of each donor's gift and share the importance of the gift of life.We are committed to diversity, equity, and inclusion. With the help of our employee-led strategy team, we will ensure that all communities feel welcome and safe with us because we are a model for fairness, belonging, and forward thinking.Key responsibilities this position will perform include:Performs quality review of medical records to ensure accuracy.Critically analyzes medical records and identifies communicable diseases, infections, cancers. etc.References multiple sources to obtain medical record completion. Analyzes clinical data to identify reportable information.Documents deviation from standard operation procedures and reports escalates appropriately.Participates in internal and external auditing.Identifies trends and opportunities for improvement through the Quality Management System.Performs other duties as assigned.The ideal candidate will have:Education Required: Bachelor's degree or equivalent in related healthcare field.Two years of healthcare/medical records or OPO experience required.Licenses/Certifications: ASQ Quality, CQIA or equivalent preferred.Computer Skills: Working knowledge of computers to include Microsoft Office, strong data entry and typing skills required.We offer a competitive compensation package including:Up to 176 hours of PTO your first yearUp to 72 hours of Sick Time your first yearTwo Medical Plans (your choice of a PPO or HDHP), Dental, and Vision Coverage403(b) plan with matching contributionCompany provided term life, AD&D, and long-term disability insuranceWellness ProgramSupplemental insurance benefits such as accident coverage and short-term disabilityDiscounts on home/auto/renter/pet insuranceCell phone discounts through VerizonCell phone stipend**New employees must have their first dose of the COVID-19 vaccine by their potential start date or be able to supply proof of vaccination.**You will receive a confirmation e-mail upon successful submission of your application. The next step of the selection process will be to complete a video screening. Instructions to complete the video screening will be contained in the confirmation e-mail. Please note - you must complete the video screening within 48 hours from submission of your application to be considered for the position.DCIDS is an EOE/AA employer – M/F/Vet/Disability. DCI Biologicals

Vacancy posted 1 day ago
Similar jobs that could be interesting for youBased on the Utilization Review Coordinator in Nashville, TN vacancy
  • $18 - $20 per hour

     ...National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Utilization Review Coordinator PRIMARY PURPOSE : To assign utilization review requests; to verify and enter data in appropriate system(s); and to... 
    Suggested
    Work at office
    Local area
    Flexible hours

    Sedgwick

    Nashville, TN
    1 day ago
  •  ...Utility Coordinator Transportation Team – Nashville or Murfreesboro, TN Location The Utility Coordinator is responsible for planning,...  ...responses and ensure compliance with project deadlines. Review engineering plans to identify potential utility conflicts and... 
    Suggested
    Full time
    For contractors
    Internship
    Work at office
    Local area
    Relocation
    Monday to Friday
    Flexible hours

    Energy Land & Infrastructure LLC

    Nashville, TN
    21 hours ago
  • $95.2k - $130.9k

     ...improve mobility, safety, and quality of life. As a Lead Utility Engineer or Coordinator in our Transportation practice, you'll play a critical role...  ...through final design and constructionCoordinate and review utility relocation plans, agreements, permits, and supporting... 
    Suggested
    Full time
    For contractors
    Remote work
    Relocation

    Jacobs

    Nashville, TN
    4 days ago
  • $63k - $65k

     ...Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance PRIMARY PURPOSE To provide timely, evidence-based utilization review services to maximize quality care and cost-effective outcomes. ARE YOU AN IDEAL CANDIDATE? We are looking for enthusiastic... 
    Suggested
    Full time
    Work experience placement
    Local area
    Flexible hours

    Sedgwick

    Nashville, TN
    2 days ago
  •  ...Job Description Are you an experienced Registered Nurse with Utilization Review experience professional looking for a new opportunity with...  ...on the consistent application of CMS criteria Assesses and coordinates simple discharge planning Identifies quality of care issues... 
    Suggested
    Private practice
    Monday to Friday

    Healthcare Support Staffing

    Brentwood, TN
    5 days ago
  •  ...Lead Utility Engineer Or Coordinator At Jacobs, we're challenging today to reinvent tomorrow by solving the world's most critical problems for...  ...to facilitate utility relocations and project delivery Review roadway, bridge, and transportation design plans to assess... 
    For contractors
    Relocation

    Jacobs Solutions

    Nashville, TN
    4 days ago
  • $18 per hour

     ...purpose of Bringing Care To Life™. Branch Coordinator About the Role If you believe...  ...ensure compliance with insurance guidelines Review new and existing patient accounts to help...  ...healthcare setting or call center Experience utilizing multi-line phone-system. Physical... 
    Hourly pay
    Temporary work
    Work experience placement
    Work at office
    Local area
    Remote work
    Monday to Friday
    Flexible hours

    Apria Healthcare

    Nashville, TN
    12 hours ago
  • $120k - $175k

     ...company is an established heavy civil and utility contractor focused on safely delivering...  ..., owners, and other stakeholders to coordinate project activities and ensure work is delivered...  ...from startup through closeout Review plans, specifications, contracts, scopes... 
    For contractors
    For subcontractor
    Work at office
    Relocation

    Kimmel and Associates

    Nashville, TN
    21 hours ago
  •  ...position type and/or level. Job Summary The Coding Coordinator monitors operations, functions, workflow, and...  ...documentation. Assists in the development of materials utilized in educational activities. Reviews and stays abreast of new regulations and coding... 
    Work experience placement
    Immediate start

    Baylor Scott & White Health

    Nashville, TN
    21 hours ago
  •  ...Insurance Authorization Coordinator- Home Health and Hospice Join Pennant's dynamic insurance authorization team as...  ...Healthcare Administration, or a related field. Experience with utilization review and appeals processes. Skills and Competencies... 
    Daily paid

    Hartford HealthCare at Home - Torrington, CT - Pennant Servi...

    Nashville, TN
    1 day ago
  • $18 per hour

     ...for the culture. What You’ll Be Doing: The Coordinator, UM Intake at Evolent provides support to the Utilization Management Team. The coordinator will support...  ...administrative operations by ensuring the efficient intake, review and processing of documents. The general... 
    Full time
    Immediate start
    Remote work
    Work from home

    Evolent

    Nashville, TN
    2 days ago
  • $34.42 - $67.6 per hour

    Join to apply for the Appeals and Letters Coordinator Remote role at Optum 1 day ago Be among...  ...State requirements Ensure second-level reviews have been performed and documented. May...  ...care experience Experience with utilization management, utilization review, or insurance... 
    Remote job
    Hourly pay
    Minimum wage
    Full time
    Contract work
    Part time
    Work experience placement
    Work at office
    Local area
    Shift work
    Weekend work

    Optum

    Brentwood, TN
    2 days ago
  •  ...in a community that truly cares. Responsibilities of the MDS Coordinator: Ensure utilization of interdisciplinary rehab team process in the formulation of MDS/RAI's. Observe direct nursing care, review documentation and make appropriate recommendations, assist with... 
    Local area

    River-Grove-Health-and-Rehabilitatio

    Nashville, TN
    3 days ago
  •  ...team in the role of the Organ Recovery Coordinator with previous experience as a registered...  ...organ transplantation. If you want to utilize your critical care skills with a higher...  ...patient suitability for organ donation by reviewing medical records and consultation with... 
    Temporary work
    Local area
    Shift work
    Night shift
    Day shift

    DCI Donor Services

    Nashville, TN
    1 day ago
  •  ...Utilization Management Specialist Proactively monitor utilization of services for patients...  ...clinical staff. Conduct reviews, in accordance with certification requirements...  ...managed care organizations (MCOs) and coordinate the flow of communication concerning reimbursement... 
    Part time
    Work at office

    Acadia Healthcare

    Nashville, TN
    2 days ago
  •  ...materials. Creates the design and layout, and coordinates production of various materials,...  ...presentations or other marketing-related efforts.Utilizes storytelling techniques and champions...  ....Responsible for final graphics review and approval.Mentors lower-level designers... 
    Full time

    HNTB Companies

    Nashville, TN
    3 days ago
  •  ...and budget impacts to internal and external stakeholders.Establish project teams, coordinate activities amongst multiple disciplines and ensure the efficient, cost-effective utilization of staff.Develop and contribute to training curriculums and materials for consultants... 
    Contract work
    For subcontractor

    Burns & McDonnell

    Nashville, TN
    2 days ago
  • $43.27 - $52.88 per hour

     ...Assistant Project ManagerPower Delivery | Utilities | Transmission | Substation | EPC | Data...  ..., and power infrastructure projects Coordinate project schedules, budgets, milestones,...  ...applying, youacknowledge and agree that your application may be reviewed using AI tools.... 
    Remote job
    Permanent employment
    Contract work
    Temporary work
    For contractors
    Work at office
    Work from home

    Actalent

    Brentwood, TN
    6 days ago
  • $48.56k - $60.7k

     ...Description Title: Computer Technician Coordinator POSITION SUMMARY Supports the...  ...general direction, independently assign and review work of computer technicians who perform...  ...audio visual equipment and technologies utilized by the campus community. REQUIRED QUALIFICATIONS... 

    TNBR Careers

    Nashville, TN
    6 days ago
  •  ...Position Summary The RN MDS Coordinator coordinates and assists with completion and submission of accurate and timely interdisciplinary...  ...Facility Regulations that impact documentation Assist with review of the Interdisciplinary Comprehensive Care Plan Review... 
    Full time
    Work at office

    Life Care Centers of America

    Nashville, TN
    21 hours ago
  • $83k - $166.1k

     ...operations policies, this IC3 independently owns a defined work queue; coordinates across requestors, vendors, Accounts Payable, Procurement,...  ..., materials, projects, maintenance, and operational needs.Review requisition packages for required business justification,... 
    Contract work
    Temporary work
    Immediate start
    Flexible hours

    Oracle Corporation

    Nashville, TN
    1 day ago
  • The Development Coordinator supports key annual giving and engagement operation functions, focusing on data tracking, analysis, and reporting...  ...website asset submissions, finalizing campaign for review, and communicating fundraising updates to appropriate partners... 
    Work at office
    Afternoon shift
    1 day per week

    Vanderbilt University

    Nashville, TN
    3 days ago
  •  ...DutiesCreate and issue monthly invoices to internal teams for processing and payment.Produce monthly time and billing reports to be reviewed before invoices are created.Update time and billing entries and invoices as requested by client teams.Monitor transactions &... 
    Work at office

    Tri Star Sports & Entertainment

    Nashville, TN
    3 days ago
  •  ...Guest Experience Coordinator Four Seasons Hotel & Private Residences Nashville is seeking a Guest Experience Coordinator to join our...  ...special occasions to ensure a personalized guest experience. Review room assignments and support seamless arrivals and guest... 
    Full time
    Work at office
    Local area
    Flexible hours
    Day shift
    Afternoon shift

    Four Seasons Hotels

    Nashville, TN
    4 days ago
  • $115k

     ...MDS Coordinator - Nursing Home Located in Antioch, TN Salary Up To $115K Per Year; * Based on experience * Responsibilities :...  ...assessments (MDS) and care plans, including quarterly and annual reviews. Qualifications: Must have a current TN RN license... 

    American Medical Associates

    Nashville, TN
    1 day ago
  •  ...MDS Coordinator McKendree Post Acute and Rehab Hermitage, TN Are you a detail-driven Registered Nurse passionate about quality...  ...~ Generous employee referral program ~ Annual performance reviews and competitive bi-annual pay reviews ~ Support for personal... 
    Full time
    Part time
    Relief
    Shift work

    Brookside Rehab and Nursing

    Hermitage, TN
    1 day ago
  • $21.4 - $30.6 per hour

     ...referral intake, investigating all patient health insurance benefits, identifying & initiating prior authorization and step therapy reviews, proactively following up with various partners including the insurance payers, specialty pharmacies, and support organizations to... 
    Hourly pay
    Full time
    Temporary work
    Work experience placement
    Local area
    Immediate start
    Remote work
    Monday to Friday
    Flexible hours
    Shift work

    Cardinal Health

    Nashville, TN
    2 days ago
  • $23.73 per hour

     ...OVERVIEW: Under minimal supervision assists Coding Management in coordinating coding and charging activities within the scope of the coding...  ..., testing and upgrades. ESSENTIAL RESPONSIBILITIES: Reviews dashboards and reports, to identify and report needs to coding... 
    For contractors
    Local area

    Highmark Health

    Nashville, TN
    1 day ago
  •  ...Transportation CoordinatorThe Transportation Coordinator provides oversight of daily trip activities throughout TransCor America's network...  ...to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.... 
    Work at office

    Transcor America

    Nashville, TN
    2 days ago
  • $26 - $28 per hour

     .... We are currently looking to add a dynamic Client Experience Coordinator to our passionate team of tree care professionals What We Offer...  ...maintenance and environmental consulting for residential, utility, commercial and environmental partners in the U.S. and Canada.... 
    Hourly pay
    Permanent employment
    Full time
    Contract work
    Work experience placement
    Work at office

    Davey Tree Expert Co

    Nashville, TN
    1 day ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Utilization Review Coordinator. Be the first to apply!