- BlueCross BlueShield of Tennessee (Nashville, TN)
- …position\. + This job requires digital literacy assessment\. **Job Qualifications** _License_ + Registered Nurse \(RN\) with active license in the state of ... have you on our team\. **Job Responsibilities** + Supporting utilization management functions for more complex and non\-routine cases...their residence if the state is participating in the Nurse Licensure Compact Law\. _Experience_ + 3 years \-… more
- Humana (Nashville, TN)
- …community and help us put health first** Full-Time, Remote Telephonic opportunity The Utilization Management Nurse 2 utilizes clinical nursing skills to ... communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are...+ Minimum of Associate Degree in nursing + Licensed Registered Nurse (RN) in a compact state… more
- Humana (Nashville, TN)
- **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... independent determination of the appropriate courses of action. The Utilization Management Nurse 2 uses clinical...skills to make an impact** **Required Qualifications** + Licensed Registered Nurse (RN) in the (appropriate state)… more
- Humana (Nashville, TN)
- **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... independent determination of the appropriate courses of action. The Utilization Management Nurse 2 uses clinical...skills to make an impact** **Required Qualifications** + **Licensed Registered Nurse (RN)** in the (appropriate state)… more
- CVS Health (Nashville, TN)
- …+ Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year of experience in a hospital ... is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical management services that...setting. + A Registered Nurse that holds an active, unrestricted… more
- Select Medical (Nashville, TN)
- …mechanical ventilation liberation rates. **Qualifications** Minimum requirements: + Permanent State Registered Nurse License and Certificate of Authority. + ... such as medication errors, falls, and hospital-acquired pressure ulcers. Champions nurse -driven protocols to decrease urinary catheter utilization rates and… more
- Centene Corporation (Nashville, TN)
- …competitive benefits including a fresh perspective on workplace flexibility. Remote position ** Registered Nurse (RN) or licensed clinician only. 2-4 years of ... changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene...Mental Health Professional (LMHP) required or + RN - Registered Nurse - State Licensure and/or Compact… more
- Jennie Stuart Medical Center, Inc. (Hopkinsville, KY)
- …by the state of Kentucky or hold license in a compact state as a Registered Nurse . ACLS preferred. Required Certifications: Basic Life Support (BLS) must be ... Registered Nurses are accountable for providing safe and...of care set by state board of nursing, state nurse practice act, and other governing agency regulations. Resolving… more
- Vanderbilt University Medical Center (Nashville, TN)
- …emphasizing negative elements. **Position Qualifications:** **Responsibilities:** **Certifications:** LIC- Registered Nurse - Licensure-Others **Work ... patients and families from the beginning - Autonomy and Utilization of Critical Skills - Teamwork that displays comradery...of the healthcare team. Has experience in gathering pertinent clinical data that aid in referral, treatment, or other… more
- Jennie Stuart Medical Center, Inc. (Hopkinsville, KY)
- …Emergency Department. Provide care to patients within the scope of practice of a Registered Nurse as defined by the Kentucky Board of Nursing. ESSENTIAL ... appropriate care. * Delegates duties based on complexity of patient needs. * Utilization of critical thinking skills in prioritization of care. * Develops and… more
- Evolent (Nashville, TN)
- …+ Performs other duties as assigned. **The Experience You'll Need (Required):** + Registered Nurse or Licensed Practical/Vocational Nurse with a current, ... for the mission. Stay for the culture. **What You'll Be Doing:** The Nurse Reviewer is responsible for performing precertification and prior approvals. Tasks are… more
- Jennie Stuart Medical Center, Inc. (Hopkinsville, KY)
- To ensure the delivery of competent, high quality clinical care in a caring compassionate environment. * Completes nursing HX and assessment accurately within ... appropriate care. * Delegates duties based on complexity of patient needs. * Utilization of critical thinking skills in prioritization of care. * Develops and… more
- Fresenius Medical Center (Cadiz, KY)
- **About this role:** As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical ... or chronic kidney disease. **Training and advancement:** You will enter our Clinical Leadership Program that creates and supports a culture of continuous learning… more
- Veterans Affairs, Veterans Health Administration (Nashville, TN)
- Summary The Nashville VA Medical Center is seeking a highly motivated and experienced Registered Nurse to serve as a Research Nurse within the Research and ... Service. The incumbent will play a critical role in supporting clinical research activities, ensuring regulatory compliance, and promoting Veteran-centered care… more
- Sharecare (Nashville, TN)
- …to drive cost effective and appropriate resource utilization and desired clinical outcomes. The Disease Management Nurse is also responsible during their ... to enable individuals with disabilities to perform the essential functions. + Current Registered Nurse multi-state compact license in the state in which they… more
- HCA Healthcare (Nashville, TN)
- …or instruction of Clinical EHR application - Required + Currently licensed as a registered nurse or allied health professional in the state(s) in which he or ... platform. This includes the educational aspects of orientation and onboarding of clinical employees and development of education that addresses EHR practice gaps for… more
- HCA Healthcare (Nashville, TN)
- …in Nursing required; Master's Degree in Nursing preferred. + Current licensure as a Registered Nurse (RN) in the state of Tennessee or compact state required. ... or limits? Our TriStar Centennial Medical Center team is looking for a Clinical Operations Manager. HCA Healthcare is an advanced healthcare network that has… more
- HCA Healthcare (Nashville, TN)
- …evaluation and utilize adult learning principles - Required + Currently licensed as a registered professional nurse in the state(s) in which he or she practices, ... area. This includes educational aspects of orientation and onboarding of clinical employees, clinical professional development, and development of education… more
- Community Health Systems (Clarksville, TN)
- Join us as a ** Registered Nurse (RN) - RN Charge Step Down Nights position** at Tennova Healthcare- Clarksville Unit: Step Down Unit (1+ years of Step Down and ... for addressing unit challenges and emergencies. **Licenses and Certifications** + RN - Registered Nurse - State Licensure and/or Compact State Licensure required… more
- Vanderbilt University Medical Center (Nashville, TN)
- …research. **Organization:** Neonatal/Ped Trnsprt Cohort 10 **Job Summary:** JOB SUMMARY The Registered Nurse provides critical care to neonatal and pediatric ... instead of emphasizing negative elements. **Position Qualifications:** **Responsibilities:** **Certifications:** LIC- Registered Nurse - Licensure-Others **Work Experience:** Relevant… more
