Perform comprehensive clinical review of requested services utilizing clinical criteria, received through various mechanismsJob Description:Job Responsibilities* Initiate referrals to ensure appropriate coordination of care.* Seek the advice of the Medical Director when appropriate, according to policy.* Assists non-clinical staff in performance of administrative reviews* Performing comprehensive provider and member appeals, denial interpretation for letters, retrospective […]
Jobs In Chattanooga, Tennessee
Job DescriptionGeneral Summary The Shared Health program offers person-centered care planning, service coordination, and support services for members receiving long-term care and/or home and community based services. The Member Associate works in partnership with Care Coordinators/ Case Managers to promote interdependent collaboration with the member, physician/primary care manager, family, and other members of the care […]
*Overview*The Chattanooga Heart Institute offers the most comprehensive cardiac care available in this region. Founded in 1976, we now have six offices in Tennessee and one in Georgia. Our practice is made up of 29 board-certified cardiologists, three cardiothoracic surgeons and three vascular surgeons. We merged with CHI Memorial Health Care System in 2011 which […]
Job Summary:A registered professional nurse employed by Erlanger Medical Center is responsible for direct and indirect care of the patient. Responsible for assigned shift and formulate a plan and execute with oncoming staff leader as department requires. Education:Required: Graduate from an accredited School of Nursing. De-escalation training, if applicable. Preferred:BSN Experience:Required:Clinical experience required. Evidence of […]
Clinical Staff Ldr MS Select-CWW6-Elective Ortho-Fulltime-Dayshift**RN with at least 2 years of experience** (31045) –Erlanger Baroness HospitalClinical Staff Ldr MS SelectRegular – Non-exempt – Full-time – Standard Hours 36 Description Job Summary:A registered professional nurse employed by Erlanger Medical Center is responsible for direct and indirect care of the patient. Responsible for assigned shift and […]
MILITARY VETERANS Description SHIFT: Day Job SCHEDULE: Full-time Your Talent. Our Vision. At Anthem, Inc., it s a powerful combination, and the foundation upon which we re creating greater access to care for our members, greater value for our customers, and greater health for our communities. Join us and together we will drive the future […]
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