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University of Tennessee Medical Center.

Case Manager (UR)

Pay: Not specified

Posted: 2 weeks ago

Location: Knoxville, TN (Onsite)

Last Updated: 2 weeks ago

Hours: Full-Time

Expires: 9/30/2026

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What they do

A Case Manager coordinates delivery of a range of social and health services to individuals and families. Assess client needs and work with agencies and institutions ensure clients get the help they need. Monitor client and work with other service providers as necessary to address client needs.

$46,565 / year median in Tennessee

+13% projected growth

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Job Description

Job Detail

Job Title:

Case Manager (UR)

Department:

Utilization Review

Full/Part Time:

Full

Req Number:

UHS-36304

Position Summary:

Reviews surgical cases for coding and compares to Medicare's Inpatient Only List. Compares prior authorizations against surgery performed to ensure accurate CPT codes applies to authorization. Collaborates with physicians and obtains status adjustment orders when necessary. Utilizes Code 44 process as appropriate and applies to claims per CMS guidelines.

Position Qualification:

RN in state of TN. BSN preferred Utilization Review experience or coding experience preferred.