- Select Medical (Nashville, TN)
- …by doing what is right. The Case Manager is responsible for utilization reviews and resource management , discharge planning, treatment plan management ... **Overview** **Critical Illness Recovery Hospital** **Case Manager (PRN)** _Requires a current licensure in a...the plan of care. + Demonstrates compliance with facility-wide Utilization Management policies and procedures. + Coordinates… more
- ChenMed (Nashville, TN)
- … management programs, clinical meetings and other meetings. The Nurse Practitioner will adhere to strict departmental goals/objectives, standards of performance, ... travel **_EDUCATION AND EXPERIENCE CRITERIA:_** + ARNP or similar advanced degree in Nursing required + Current Nurse Practitioner Certification in the State of… more
- Prime Therapeutics (Nashville, TN)
- …+ Clinical and Quality oversight for this program is provided by the Manager , Patient Programs. **Responsibilities** + Registered Nurse (RN). + 5 years ... post-degree clinical experience. + Experience in managed care, specialty drugs, care management and utilization review. + Meets Magellan Credentialing criteria.… more
- Elevance Health (Nashville, TN)
- Nurse Audit Lead - Carelon Payment Integrity **Location:** The ideal candidate will live within 50 miles of one of our pulse point locations and will work on a ... is determined to recover, eliminate, and prevent unnecessary medical-expense spending. The ** Nurse Audit Lead** is responsible for leading a team of clinicians… more
- Elevance Health (Nashville, TN)
- **Telephonic Nurse Disease Management II** **$2000 Sign on Bonus** At **Federal Health Products and Services - FHPS** , a proud member of the Elevance Health, ... and Experiences:** + Must be eligible for a multi-state license. + BS in nursing preferred. + Prior case management experience is preferred. + Prior disease… more
- The Cigna Group (Nashville, TN)
- …at home to improve quality of life, increase understanding and management of serious illness, facilitate coordination between providers, and decrease unnecessary ... includes health risk assessments, transitions of care, complex and chronic disease management , and palliative care support. We conduct in-home longitudinal care for… more
- HCA Healthcare (Brentwood, TN)
- …environment where diversity and inclusion thrive? Submit your application for our Manager Data Management Business Intelligence opening with HCA Healthcare today ... **_Note: Eligibility for benefits may vary by location._** We are seeking a Manager Data Management Business Intelligence for our team to ensure that… more
- Humana (Nashville, TN)
- …services, social sciences, or health related field. + Previous experience in utilization management , discharge planning and/or home health or rehabilitation. + ... first** Humana Healthy Horizons in Virginia is seeking a Manager , Care Management (LTSS-ABD) who will lead...and Supports (LTSS) Waiver Services, in hospice and/or in nursing facilities. They will lead LTSS-ABD care management… more
- Highmark Health (Nashville, TN)
- …Inc. **Job Description :** **JOB SUMMARY** This job implements the effective utilization management strategies including: review of appropriateness of health ... Management + Experience in a clinical setting **Preferred** + Certification in utilization management or a related field + Experience in UM/CM/QA/Managed Care… more
- HCA Healthcare (Nashville, TN)
- …labor management , including position control, scheduling excellence, productivity management , and premium pay utilization . Maintains staffing to ensure ... join an organization that invests in you as a Manager Simulation and Technology? At Work from Home, you...clinical education programs are planned and secured. Assists in management of simulation and other events based at the… more
- HCA Healthcare (Nashville, TN)
- …Do you want to join an organization that invests in you as an Associate Manager Contracts? At HealthTrust, you come first. HCA Healthcare has committed up to $300 ... a difference. We are looking for a dedicated Associate Manager Contracts like you to be a part of...or the GPO. The individual will assist in the management of the Core GPOs Portfolio to include Laboratory,… more
- HCA Healthcare (Brentwood, TN)
- …environment where diversity and inclusion thrive? Submit your application for our Manager Performance Improvement Labor opening with Tristar Health today and find ... **_Note: Eligibility for benefits may vary by location._** We are seeking a(an) Manager Performance Improvement Labor for our team to ensure that we continue to… more
- HCA Healthcare (Nashville, TN)
- …states and the United Kingdom. We are looking for a Clinical Pharmacy Manager for our TriStar Centennial Medical Center team where excellence creates excellence. ... want to be an influencer in healthcare? **Apply for our Clinical Pharmacy Manager role today!** **Job Summary and Qualifications** The Pharmacy Clinical Manager … more
- BrightSpring Health Services (Madison, TN)
- …Home Health and Hospice Overview Adoration Home Care is seeking an experienced home health nurse or therapist to fill the role of Patient Care Manager . The PCM ... assisting field staff with problem solving to provide the most appropriate care management for our patients + Maintain a strong working knowledge of Medicare,… more
- HCA Healthcare (Nashville, TN)
- …want to join an organization that invests in you as a(an) Medication Compliance Manager ? At HCA Healthcare, you come first. HCA Healthcare has committed up to $300 ... difference. We are looking for a dedicated Medication Compliance Manager like you to be a part of our...Medication Compliance is responsible for oversight, strategic direction and management of daily operations of the Medication Diversion Program.… more
- HCA Healthcare (Nashville, TN)
- …testing plans and events, go live activities, support, and optimization. + Management of resource utilization and project assignments, prioritization of task ... Eligibility for benefits may vary by location._** Come join our team as a Manager Meditech Consulting Service. We care for our community! Just last year, HCA… more
- Huron Consulting Group (Nashville, TN)
- …it promotes a culture of respect, unity, collaboration, and personal achievement. As a Manager , you will have the unique ability to specialize in certain areas that ... talent, training, supervising, coaching/mentoring, and providing feedback through performance management + Facilitate communication and collaboration between all key… more
- Sharecare, Inc. (Nashville, TN)
- …/ new hire plan selection, claims issues, ID card issues, grievances/appeals, utilization management (UM) status, including but not limited to medical, ... + Claims adjustments + Grievances and appeals submissions + Utilization management intake or status + Complex...Patient Care Technician (PCT) + Physical Therapy Assistant + Nursing Assistant + Medical Secretary/Clinic Manager +… more
- HCA Healthcare (Nashville, TN)
- …capital equipment requests + You will be responsible for the fiscal management of department; assures proper utilization of organization's financial resources ... What qualifications you will need: + Bachelor's degree in nursing **required** + Master's degree in Nursing ,...and/or experience + Currently licensed as a registered professional nurse in the state in which he or she… more
- Nashville Center for Rehabilitation and Healing (Nashville, TN)
- …and state regulations and company policy and procedures.Acts as in-house case manager by considering all aspects of the residents care and coordinating services ... and guidelines that govern the process + Acts as an in-house Case Manager demonstrating detailed knowledge of residents health status, critical thinking skills to… more