CHS Corporate

  • Franklin, TN, USA
Nov 24, 2021
CHS Corporate Remote * (Franklin, TN, USA)
Summary: The Utilization Review Manager is responsible for the implementation of the Utilization Review activities completed at the Utilization Review Centralized Support Service (URCSS) by the Utilization Review Clinical Specialist(s) in their department. Works with URCSS Business Performance Manager and Payor Relations Manager to facilitate coordination of services related to utilization review. Collaborates with the multidisciplinary team, lending professional clinical expertise to ensure quality, timely, and cost effective utilization management to achieve optimal outcomes. Essential Duties and Responsibilities 1. Serves as escalation point and oversight of daily functions for UR Clinical Specialist for questions or concerns regarding appropriateness and medical necessity of admission and continued hospital stay. 2. Coordinates with Regional Case Management Directors to address identified issues and trends or escalated challenges. Communicates Utilization...
Nov 24, 2021
CHS Corporate Remote * (Franklin, TN, USA)
Community Health Systems, Inc. is one of the nation's leading operators of general acute care hospitals. The organization's affiliates own, operate or lease 89 hospitals in 16 states with approximately 15,000 licensed beds. Affiliated hospitals are dedicated to providing quality healthcare for local residents and contribute to the economic development of their communities. Based on the unique needs of each community served, these hospitals offer a wide range of diagnostic, medical and surgical services in inpatient and outpatient settings. CHSPSC, LLC seeks a Utilization Review Clinical Specialist for its headquarters' Case Management team. Summary: Utilization management is the analysis of the necessity, appropriateness, and efficiency of medical services and procedures in the hospital setting. Utilization review is the assessment for medical necessity, both for admission to the hospital as well as continued stay. This function ensures that services are not only...
Nov 23, 2021
CHS Corporate Remote * (Franklin, TN, USA)
Community Health Systems, Inc. is one of the nation's leading operators of general acute care hospitals. The organization's affiliates own, operate or lease 89 hospitals in 16 states with approximately 15,000 licensed beds. Affiliated hospitals are dedicated to providing quality healthcare for local residents and contribute to the economic development of their communities. Based on the unique needs of each community served, these hospitals offer a wide range of diagnostic, medical and surgical services in inpatient and outpatient settings. CHSPSC, LLC seeks a Utilization Review Clinical Specialist for its headquarters' Case Management team. Summary: Utilization management is the analysis of the necessity, appropriateness, and efficiency of medical services and procedures in the hospital setting. Utilization review is the assessment for medical necessity, both for admission to the hospital as well as continued stay. This function ensures that services are not only...
Nov 22, 2021
CHS Corporate Remote * (Franklin, TN, USA)
Community Health Systems, Inc. is one of the nation's leading operators of general acute care hospitals. The organization's affiliates own, operate or lease 89 hospitals in 16 states with approximately 15,000 licensed beds. Affiliated hospitals are dedicated to providing quality healthcare for local residents and contribute to the economic development of their communities. Based on the unique needs of each community served, these hospitals offer a wide range of diagnostic, medical and surgical services in inpatient and outpatient settings. CHSPSC, LLC seeks a Utilization Review Coordinator for its headquarters' Case Management team. Summary: This role serves as a payor liaison to ensures that an authorization for services is obtained from payor, if required and communication with commercial payers is completed in a timely manner and is available to the Utilization Review Clinical Specialist for administrative, payor related tasks. Essential Duties and Responsbilities:...
Nov 19, 2021
CHS Corporate Remote * (Franklin, TN, USA)
Community Health Systems (CHS) is one of the nation's leading operators of general acute care hospitals. The organization's affiliates own, operate, or lease 83 hospitals in 16 states with approximately 13,000 licensed beds. Our Corporate Talent Acquisition Team is adding experienced Recruiters for sourcing, recruitment marketing, and interviewing/selection processes of clinical talent, primarily nursing, to support our hospitals in the following locations. First Hospital Wyoming Valley Kingston, Pennsylvania Moses Taylor Hospital Scranton, Pennsylvania Regional Hospital of Scranton Scranton, Pennsylvania Wilkes-Barre General Hospital Wilkes-Barre, Pennsylvania Greenbrier Valley Medical Center Ronceverte, West Virginia Plateau Medical Center Oak Hill, West Virginia Moberly Regional Medical Center Moberly, Missouri Northeast Regional Medical Center Kirksville, Missouri Poplar Bluff Regional Medical Center Poplar Bluff, Missouri Merit Health Biloxi Biloxi, Mississippi Merit...
Nov 18, 2021
CHS Corporate Remote * (Franklin, TN, USA)
Community Health Systems, Inc. is one of the nation's leading operators of general acute care hospitals. The organization's affiliates own, operate or lease 89 hospitals in 16 states with approximately 15,000 licensed beds. Affiliated hospitals are dedicated to providing quality healthcare for local residents and contribute to the economic development of their communities. Based on the unique needs of each community served, these hospitals offer a wide range of diagnostic, medical and surgical services in inpatient and outpatient settings. CHSPSC, LLC seeks a Utilization Review Coordinator for its headquarters' Case Management team. Summary: This role serves as a payor liaison to ensures that an authorization for services is obtained from payor, if required and communication with commercial payers is completed in a timely manner and is available to the Utilization Review Clinical Specialist for administrative, payor related tasks. Essential Duties and Responsbilities:...