Jobs by Simply Hired

Search for Jobs

Job Title, Skills, or Company

City, State, or ZIP

Senior Manager Medical Necessity jobs - Nashville, TN

Viewing 1 - 10 of 20 jobs

  • Provider Auditor Sr-90274

    WellPoint - Nashville, TN

    to be reviewed, conducts review using medical charts, medical notes, itemized bills and provider contracts. ... Experience with fraud, waste and abuse and/or medical necessity experience is preferred.

    5 days ago from CareerBuilder

  • Nurse Medical Management I, II, Sr.

    WellPoint - Nashville, TN

    quality, cost effective care through assessing the medical necessity of inpatient admissions, outpatient services, ... Consult with clinical reviewers and/or medical directors to ensure medically appropriate, high quality, cost effective c...

    10 days ago from WellPoint, Inc

  • Nurse Medical Management I, II, Sr.

    AMERIGROUP - Nashville, TN

    quality, cost effective care through assessing the medical necessity of inpatient admissions, outpatient services, ... Consult with clinical reviewers and/or medical directors to ensure medically appropriate, high quality, cost effective c...

    13 days ago from Amerigroup

  • Senior Director, Care Management

    Havasu Regional Medical Center - Brentwood, TN

    Commission compliance requirements * Proficiency with medical necessity and appropriateness criteria such as McKesson's InterQual ISD criteria and/or Milliman Care Management Guidelines * Working knowledge of Medicare and other...

    30+ days ago from Havasu Regional Medical Center

  • Senior Director, Care Management

    Lake Cumberland Regional Hospital - Brentwood, TN

    Commission compliance requirements * Proficiency with medical necessity and appropriateness criteria such as McKesson's InterQual ISD criteria and/or Milliman Care Management Guidelines * Working knowledge of Medicare and other...

    30+ days ago from Lake Cumberland Regional Hospital

  • Senior Director, Care Management

    LifePoint Hospitals - Brentwood, TN

    Joint Commission compliance requirements Proficiency with medical necessity and appropriateness criteria such as McKesson's InterQual ISD criteria and/or Milliman Care Management Guidelines Working knowledge of Medicare and other...

    30+ days ago from Lifepoint Hospitals

  • Senior Director, Care Management-142608

    LifePoint Hospitals - Brentwood, TN

    Senior Director, Care Management-142608 Hospital Support Center Description Job Summary: The Sr. Director, Care ... Joint Commission compliance requirements Proficiency with medical necessity and appropriateness criteria such as...

    30+ days ago from HEALTHeCAREERS Network

  • GI Gastrologist Associate Medical Directors

    Medsolutions - Franklin, TN

    treatment services. THE POSITION Reporting to the Senior Medical Director, the Associate Medical Director is ... of medical necessity/appropriateness, and assessing medical review criteria. Working closely with the Manager,...

    5 days ago from IHispano

  • Case Manager Behavioral Health - Middle

    Wellpoint-caremore - Nashville, TN

    high quality, cost effective care through assessing the medical necessity of inpatient admissions, outpatient ... * Consults with clinical reviewers and/or medical directors to ensure medically appropriate, high quality, cost effectiv...

    2 days ago from WellPoint-Caremore

  • Director, Care Management

    Havasu Regional Medical Center - Brentwood, TN

    compliance requirements * Proficiency with medical necessity and appropriateness criteria such as McKesson's InterQual ISD criteria and/or Milliman Care Management Guidelines * Working knowledge of Medicare and other third-party-payer...

    30+ days ago from Havasu Regional Medical Center

Post a Job on BusinessWeek.com

Post a Job

Reach millions of talented professionals