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Senior Manager Medical Necessity jobs - Nashville, TN

Viewing 1 - 10 of 24 jobs

  • 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...

    9 days ago from HEALTHeCAREERS Network

  • Senior Manager Medical Necessity (10201-9801)

    HCA Healthcare - Franklin, TN

    the Medical Necessity team. The Senior Manager of Medical Necessity will work to ensure compliance with the Medical ... process throughout Case Management departments. The Senior Manager will assist in tracking Medical Necessity...

    21 hours ago from HCA Healthcare

  • Senior Manager Medical Necessity

    Npas - Franklin, TN

    the Medical Necessity team. The Senior Manager of Medical Necessity will work to ensure compliance with the Medical ... process throughout Case Management departments. The Senior Manager will assist in tracking Medical Necessity...

    9 days ago from Npas

  • Senior Manager Medical Necessity

    HCA - Franklin, TN

    Cool SpringsOther Locations: nullThe Senior Manager of Medical Necessity is primarily responsible ... the Medical Necessity team. The Senior Manager of Medical Necessity will work to ensure compliance with the Medical...

    11 days ago from HCA

  • 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...

    10 days ago from Amerigroup

  • 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

  • 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...

    9 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...

    9 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...

    7 days ago from Lifepoint Hospitals

  • Director of Utilization Management

    Navihealth - Brentwood, TN

    work plan, policies/procedures - including medical necessity criteria, and prior year’s evaluation) and ... Minimum of 5 years leadership/management experience with demonstrated interaction with senior leaders...

    25 days ago from NaviHealth

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