Utilization Management Specialist
6 days ago
Medicine Journal seeks a skilled Utilization Management Specialist to join our team. With a focus on ensuring the quality and efficiency of patient care, this role is ideal for an experienced nurse with a strong background in utilization management.
Job Summary
We are looking for a highly motivated individual who can interact effectively with interdisciplinary staff to complete the process of utilization management. As a Utilization Management Specialist at Medicine Journal, you will be responsible for initial and concurrent review of patient records, obtaining information from physicians, and determining medical necessity of admissions, observations, and procedures.
Responsibilities
- Determine medical necessity of admissions, observations, and procedures
- Responsible for observation management and capturing of avoidable days
- Participate in gathering and reporting data for performance improvement activities
- Takes responsibility for department and organization objectives
Requirements
- Current license to practice nursing in the State of Tennessee
- Prior experience in utilization management
- Knowledge of managed care practices with minimum of three years experience and evidence of clinical knowledge and familiarity with regulatory and insurance reimbursement issues
What We Offer
We offer a competitive salary range of $80,000 - $110,000 per year, depending on experience, as well as a comprehensive benefits package that includes health, dental, and vision insurance, 401(k) matching, and paid time off.
-
Clinical Utilization Specialist
2 weeks ago
Chattanooga, Tennessee, United States Medicine Journal Full timeJob Title: Clinical Utilization Specialist - NursingA career opportunity has arisen at Medicine Journal for a skilled and experienced RN, focusing on the management of healthcare resources to ensure the best possible outcomes for patients.About Us:Medicine Journal is a leading medical publication dedicated to providing accurate and timely information to...
-
X-Ray Imaging Specialist
23 hours ago
Chattanooga, Tennessee, United States EN Management Full timeJob OpportunityEN Management is currently seeking a highly skilled X-Ray Imaging Specialist to join our team. As an X-Ray Imaging Specialist, you will be responsible for providing direct positioning and x-ray imaging services to patients in our Urgent Care health clinics across Chattanooga and the surrounding areas.About the RoleThis is a PRN position that...
-
Diagnostic Imaging Specialist
6 days ago
Chattanooga, Tennessee, United States EN Management Full timeJob OverviewWe are seeking a skilled Diagnostic Imaging Specialist to join our team at EN Management.Salary: $60,000 - $80,000 per year, depending on experience.ResponsibilitiesOperate or oversee the operation of radiology and magnetic imaging equipment to produce high-quality images for diagnostic purposes.Explain procedures and observe patients to ensure...
-
Logistics Specialist
5 days ago
Chattanooga, Tennessee, United States Gypsum Management & Supply, Inc. Full timeAbout Us: Gypsum Management & Supply, Inc. is a leading North American distributor of gypsum wallboard, acoustical ceiling products, and other specialty building materials.Job Summary: We are seeking an experienced Logistics Specialist to join our team in Gypsum Distribution. As a Logistics Specialist, you will be responsible for safely operating a...
-
Chattanooga, Tennessee, United States Doorby Property Management Full timeWe are seeking an Industrial Property Maintenance Specialist to join our team at Doorby Property Management. As a key member of our maintenance team, you will be responsible for ensuring the smooth operation of our properties throughout the greater Chattanooga area.Responsibilities include:Job Completion: See a job through from start to finish, ensuring that...
-
Diagnostic Imaging Specialist
4 weeks ago
Chattanooga, Tennessee, United States Urgent Team Management Full time**About Urgent Team Management**Urgent Team Management, an affiliate of Urgent Team, operates several urgent and family care centers throughout the Southeast.We are committed to providing quality and affordable healthcare services to our communities.Our centers are open seven days a week, offering a range of services including treatments for injuries and...
-
Clinical Expert in Wound Management
6 days ago
Chattanooga, Tennessee, United States Vohra Wound Physicians Full timePart-Time Clinical Specialist PositionAt Vohra Wound Physicians, we offer a unique opportunity for medical professionals to excel in wound management. Our Part-Time Clinical Specialist role is ideal for those seeking a challenging yet rewarding career path.About Us:Vohra Wound Physicians is a renowned group of medical specialists dedicated to delivering...
-
Chattanooga, Tennessee, United States Vohra Wound Physicians Full timeAt Vohra Wound Physicians, we are seeking a skilled Part-Time Wound Care Specialist to join our team in Chattanooga, TN.About the OpportunityThis is a unique opportunity to work as an independent contractor, providing wound management services at the bedside in post-acute care settings. You will have the autonomy to work 3 weekdays per week, with no call or...
-
IT Cybersecurity Risk Management Specialist
6 days ago
Chattanooga, Tennessee, United States Bureau of Safety and Environmental Enforcement Full timeJob OverviewThe Bureau of Safety and Environmental Enforcement is seeking an experienced IT Cybersecurity Risk Management Specialist to join our team. In this role, you will be responsible for ensuring the confidentiality, integrity, and availability of our systems, networks, and data.
-
Logistics Operations Manager
4 days ago
Chattanooga, Tennessee, United States Covenant Logistics Full timeJob SummaryThe Freight Planning Specialist is responsible for maximizing the utilization of drivers and company assets while meeting customer requirements and driver qualifications.
-
Physiatry Specialist
6 days ago
Chattanooga, Tennessee, United States Medrina Full timeJob SummaryMerdina is seeking a highly skilled Physiatrist to join our team in Chattanooga, TN. As a Physiatry Specialist, you will be responsible for managing patients with physical disabilities and chronic conditions.
-
Data Management and Analysis Specialist
6 days ago
Chattanooga, Tennessee, United States LaBella Associates Full timeJob OverviewWe are seeking a qualified Data Management Technician to join our team at LaBella Associates. This position will be located at our Chattanooga, TN office, and reporting to the office is required.The salary offered for this position may be influenced by factors such as relevant experience, education, and work location.ResponsibilitiesCreate and...
-
Wound Management Specialist
6 days ago
Chattanooga, Tennessee, United States Vohra Wound Physicians Full timePart-Time Wound Management Specialist PositionDiscover a fulfilling career as a part-time wound management specialist with Vohra Wound Physicians in Chattanooga, TN.About the RoleThis exciting opportunity allows you to work on a flexible schedule, typically 45 hours per week, with no nights, call, or weekend clinical responsibilities.ResponsibilitiesDeliver...
-
Wound Care Physician Specialist
7 days ago
Chattanooga, Tennessee, United States Vohra Physicians Full timePart-Time Wound Care Physician Specialist PositionJoin Vohra Physicians in Chattanooga, TN as a part-time Wound Care Physician Specialist.This opportunity offers a unique blend of clinical satisfaction, autonomy, and flexibility. Enjoy a work-life balance with no nights, no call, and no weekend clinical responsibilities.Become an expert in wound management...
-
Hospital Reimbursement Specialist
6 days ago
Chattanooga, Tennessee, United States Medicine Journal Full timeMedicine Journal is seeking a skilled Hospital Reimbursement Specialist to join our team. This role offers a competitive salary of $65,000 - $80,000 per year.About the Role:Codify inpatient and outpatient encounters with precision and accuracy using ICD-10-CM, PCS, CPT, and HCPCS coding systems.Ensure compliance with CMS regulations, Official Coding...
-
Chattanooga, Tennessee, United States Vohra Wound Physicians Full timeDiscover a fulfilling career as a wound care specialist with Vohra Wound Physicians, a renowned medical group providing expert services across 28 states. Our team offers an unparalleled work-life balance, with no nights, weekends, or call responsibilities.We are seeking skilled physicians to join our team, committed to delivering exceptional patient care and...
-
Nurse Care Specialist
1 day ago
Chattanooga, Tennessee, United States Erlanger Health Full timeAbout the JobErlanger Health is seeking a skilled Nurse Care Specialist to join our team. As a Nurse Care Specialist, you will play a vital role in providing exceptional patient care and contributing to a healthy work environment.About UsErlanger Health is a leading healthcare provider dedicated to delivering high-quality patient care. We are committed to...
-
Critical Care Nurse
6 days ago
Chattanooga, Tennessee, United States Cynet Health Full timeCynet Health: Critical Care Nurse - Telemetry Specialist**Overview:**Cynet Health is seeking a dedicated and compassionate Critical Care Nurse to join our team as a Telemetry Specialist. This opportunity offers a chance to work in a fast-paced environment, providing high-quality patient care while collaborating with a skilled team of healthcare...
-
Nurse Specialist
1 day ago
Chattanooga, Tennessee, United States Parkridge Medical Center Full timeJob SummaryWe are seeking a skilled Nurse Specialist - Float Pool to join our team at Parkridge Medical Center. This role involves providing direct patient care, utilizing therapeutic communication, and maintaining a safe therapeutic environment.
-
Electrical Estimating Specialist
6 days ago
Chattanooga, Tennessee, United States Avail Infrastructure Solutions Full timeCompany Overview:Avail Infrastructure Solutions is a leading custom enclosure manufacturer in North America, serving various industries including utility, BESS, data center, and hydrogen markets. With a strong presence in the US, we provide cost-effective solutions that protect critical infrastructure while extending operating life.About Us:We are a dynamic...