Pediatric Utilization Manager & Pre-Cert Specialist
East Tennessee Children's Hospital
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 with insurance providers. The ideal candidate has RN and/or RHIA credentials with at least 2 years of utilization review experience and strong knowledge of Meditech, Trace Products, and insurance processes. #J-18808-Ljbffr East Tennessee Children's Hospital
Vacancy posted 1 day ago
Similar jobs that could be interesting for youBased on the Pediatric Utilization Manager & Pre-Cert Specialist in Knoxville, TN vacancy
- ...Job Title Proactively monitor utilization of services for patients to optimize reimbursement... ...Functions: Act as liaison between managed care organizations and the facility professional... ...Assist the admissions department with pre-certifications of care. Provide...SuggestedReliefWork at office
$83.8k - $163.9k
...Forbes Bros. Group of Companies is a leading utility infrastructure contractor helping power... .... The Opportunity The Project Manager takes ownership of defined scopes on active... ...client or site-access requirements, and other pre-employment conditions permitted by...SuggestedDaily paidPermanent employmentFull timeContract workTemporary workFor contractorsFor subcontractorRemote workMonday to FridayShift workWeekend workForbes Bros. Group of Companies
Knoxville, TN1 day ago- ...waste-to-X technology. We are not just waste managers; we are creators of value from what... ...responsibility for civil tender preparation and pre-construction activities in accordance... ...including laydown areas, logistics, utilities and construction support requirements and...SuggestedContract workTemporary workFor contractorsLocal area
Kanadevia Inova
Knoxville, TNa month ago - 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...Suggested
- ...and their families? At Tennessee Cancer Specialists, it is the privilege of our employees to... ...different East Tennessee locations! As a Pre-Certification Specialist, you will... ...provide prompt feedback to physicians, management, and other clinical staff members regarding...SuggestedLive inWork at officeRelocationMonday to Friday
- 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...
- Accura Engineering is seeking a SUE Technician to perform subsurface utility investigations at job sites. You will use GPR, electromagnetic locators and vacuum excavation to locate utilities and support safe excavation. Responsibilities include drafting field sketches and...
- ...Overview Patient Access Specialist, Centralized Scheduling Full... ...verification, scheduling, and pre-registration of all... ...information, scheduling queue management, verification of benefits, scheduling... ...Schedules diagnostic procedures utilizing the eCare (Cerner) scheduling...Full timeWork experience placementWork at officeShift work
Covenant Health (Tennessee)
Knoxville, TN3 days ago - ...Coding Specialist, Outpatient Facility Coder Full Time, 80 Hours Per Pay Period, Day Shift... .... Working directly with the physicians, Manager of Corporate Coding Services, Director... ...resolve issues related to claims, coding, pre-cert, and denials appeals, and verifies that...Full timeWork at officeLocal areaDay shift
- ...WGACA Handbag Specialist The WGACA Handbag Specialist delivers an elevated customer experience... ...promoting an elevated experience selling pre-owned luxury and vintage apparel. This is... ..., and product features and benefits. Utilize brand guides and training materials to...Hourly payFull timePart timeFlexible hoursNight shift
$22.5 - $27.9 per hour
...is seeking a BIM Technology Specialist - Reality Capture and Visualization... ..., construction, and asset management while developing expertise in... ...their efficient operation. Utilize current visualization tools... ...This position is subject to a pre‑employment background check and...Temporary workRemote workFlexible hours$46.92k
...top-notch home and school where over 2,200 pre-K through 12th grade students from... ...Providing daily supervision and mentorship * Managing household routines and student schedules... ...including free housing, meals while on duty, utilities, and more) * Comprehensive benefits:...Full timeWork from homeRelocationRelocation packageFlexible hoursWeekday workMilton Hershey School
Knoxville, TN23 hours ago- ...Forbes Bros. Group of Companies in the United States seeks a Project Manager to own defined scopes on active utility construction projects, coordinating daily execution from planning through closeout. You will lead subcontractors and crews, track progress and costs, and...For subcontractor
Forbes Bros. Group of Companies
Knoxville, TN1 day ago - ...Job You Want! Part Time or PRN Dysphagia Management Specialist in Physician's Office/Clinic Settings,... ...to specialize in Dysphagia Diagnosis utilizing FEES as well as short term therapy, OR... ...skilled in FEES to the ASHA standards. A pre/post educational Self-Assessment of...Full timeTemporary workPart timeReliefWork at officeWeekend work
Dysphagia Management Systems
Knoxville, TN3 days ago - ...Hospital is seeking a registered nurse to deliver individualized, goal-directed pediatric care using the nursing process and primary nursing principles. You will report to the Nurse Manager and collaborate with families to meet each child’s care goals. Responsibilities...
- ...Children's Hospital in Knoxville, TN is seeking a registered nurse to manage individualized, goal-directed nursing care through the nursing... ...requires nursing licensure in Tennessee, a nursing degree, and pediatric experience. It emphasizes family collaboration, patient safety,...
- East Tennessee Children's Hospital seeks a skilled pediatric nurse to deliver individualized, goal-directed care using the nursing process and primary nursing principles. You will collaborate with a multidisciplinary team to plan and execute patient-centered care for children...
- ...agreement terms ensuring 100% compliance. · Manage an average of 8-10 concurrent projects in... ...planning through execution maximizing utilization and efficiency. · Personal... ...all aspects of event/meeting production, pre-event preparation & logistical development...Work at officeImmediate startFlexible hours
IMS Technology Services
Knoxville, TN2 days ago - East Tennessee Children's Hospital Association is seeking a dedicated registered nurse to manage individualized, goal-directed pediatric nursing care using the nursing process and primary nursing principles. The role reports to the Nurse Manager and emphasizes data-driven...
- ...Project ManagerThe Project Manager plays a key role in our Power Division, overseeing all... ...for the productivity of crafts, efficient utilization of materials and equipment, and contractual... ...to undergo and successfully complete a pre-employment physical examination. This exam...Contract workFor contractors
Phillips
Knoxville, TN3 days ago $110k - $138k
...will you be doing? The Computer Vision Specialist is a member of WWT’s Global Solutions &... ...warehousing and distribution, energy and utilities, venues and live events, and healthcare.... ...to the AI & Data Solutions Practice Manager, has no direct reports, and works alongside...Full timeWork experience placementRemote workFlexible hoursShift workWorld Wide Technology
Knoxville, TN4 days ago- ...Cardiac Telemetry Specialist PRN/OCC, Variable Hours Per Pay Period, Night Shift Fort Sanders Regional Overview: Fort Sanders... ...readiness in coordination with Bio Medical Engineering staff. Utilizes computer monitoring equipment to track and record...Work experience placementReliefNight shift
Covenant Health (Tennessee)
Knoxville, TN3 days ago $80.6k - $176.3k
...Delivery Specialist Join the Momentum Program as a Delivery Specialist and help drive... ...coordinating and execution-focused role in managing release readiness, PI planning, and... ...Acceptable Use Policy and maintaining billable utilization rates Proficient project management...Temporary workWork at officeLocal areaCGI
Knoxville, TN1 day ago$15 per hour
...and Customer facilities Code of Conduct and policies. Inform manager of work, site difficulties, and/or fluctuating volumes.... ...seasons when required. Basic computer proficiency. Comfortable utilizing phones, fax machine, printers, and other general office equipment...Hourly payFull timeTemporary workWork experience placementWork at officeRemote workMonday to FridayDatavant
Knoxville, TN1 day ago- ...Summary: This Safety Specialist position is primarily field-based, involving frequent travel... ...and regional teams to plan inspections, manage safety supplies, and prepare for upcoming... ...required to undergo and successfully complete a pre-employment physical examination. This...InternshipWork at office
Phillips and Jodran
Knoxville, TN4 days ago - ...Join Our Team at Knoxville Pediatric Dentistry!Pediatric Dentist | Knoxville, TennesseeWe're excited to welcome a pediatric dentist to Knoxville Pediatric Dentistry! If you love connecting with kids, helping nervous patients feel brave, and building relationships with...Local area
Specialty Dental Brands
Knoxville, TN1 day ago - ...Description Feasibility Informatics Manager ICON is a global... ...that available intelligence is utilized to deliver optimal, data-driven... ...Recruitment & Retention Specialists, Site Identification Managers... ...scenario). Transitioning all pre-award generated data (including...
410 ICR United States USA
Knoxville, TNmore than 2 months ago $40 - $48 per hour
Job Title: Junior Project Manager Job Description The Junior Project Manager supports the... ...field operations and office-based planning. Utilize Microsoft Office tools, including Excel,... ..., and Hospital 401(k) Retirement Plan Pre‑tax and Roth post‑tax contributions available...Contract workTemporary workFor subcontractorWork at office1 day per week- ...Corporation is seeking a Leasing and Occupancy Specialist to support the leasing office under the supervision of the Property Manager. This role handles clerical tasks, manages... ...on-site, ensure regulatory compliance, and utilize Yardi and MS Office to maintain resident...
- ...diagnosis. The role requires completion of an accredited radiologic program, ARRT registration or eligibility, and either new graduate status or 1 year of general radiology experience, with pediatric experience preferred. #J-18808-Ljbffr Dolly Parton Children's Hospital
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Pediatric Utilization Manager & Pre-Cert Specialist. Be the first to apply!
Related searches
- conflicts manager Knoxville, TN
- at&t manager Knoxville, TN
- macys manager Knoxville, TN
- histology manager Knoxville, TN
- oncology manager Knoxville, TN
- infection prevention manager Knoxville, TN
- ca identity manager Knoxville, TN
- receiving manager Knoxville, TN
- capture manager Knoxville, TN
- park manager Knoxville, TN