- CVS Health (Nashville, TN)
- …compassionate. And we do it all with heart, each and every day. **Position Summary** The Quality Management Nurse (QM Nurse ) supports Aetna Better Health ... ensuring compliance with regulatory and accreditation standards while driving healthcare quality initiatives. This role combines clinical expertise with quality … more
- CVS Health (Nashville, TN)
- …we do it all with heart, each and every day. **Position Summary** Utilization Management is a 24/7 operation and work schedules will include weekends, holidays, and ... other products, services and/or programs * Identifies opportunities to promote quality effectiveness of Healthcare Services and benefit utilization * Consults and… more
- HCA Healthcare (Nashville, TN)
- …preferred. CM knowledge and experience in multiple markets/divisions is a plus + Legal Nurse Consultant Certified (LNCC) preferred + Registered Nurse - ... an organization that invests in you as a Case Management Managed Care Consultant ? At HCA Healthcare,...and strategic initiatives. + Demonstrates strong task and priority management to meet deadlines and deliver high- quality … more
- Fujifilm (Nashville, TN)
- …customers. + Ensure compliance with all applicable requirements of the company's quality management system. + Maintains effective communications and working ... **Position Overview** The Clinical Consultant , MI - I shall be responsible for... products and services. + Understand and apply appropriate quality management system processes. + Promote Company… more
- HCA Healthcare (Dickson, TN)
- …apart from any other healthcare provider. We are seeking a(an) Lactation Consultant PRN to join our healthcare family. **Benefits** TriStar Horizon Medical Center, ... nurses play a vital part. We know that every nurse 's path and purpose is unique. Do you want...passion for patient care. Apply today for our Lactation Consultant PRN opportunity. **Job Summary and Qualifications** The Clinical… more
- CVS Health (Nashville, TN)
- …to coordinate, document, and communicate all aspects of the utilization/benefit management program. + Conduct clinical reviews for adult inpatient behavioral health ... constituents in the coordination and administration of the utilization/benefit management function. + Gathers clinical information and applies the appropriate… more
- HCA Healthcare (Nashville, TN)
- …AVP of Quality , as necessary. . Act as an education resource and consultant to facility Vice President of Quality / Quality Director and Medical Department ... to make a real impact. As a(an) Division Lead Quality Coordinator you can be a part of change....location._** It is an exciting time to be a nurse at HCA Healthcare! Come unlock your career potential… more
- Deloitte (Nashville, TN)
- …interpersonal skills to collaborate with clinicians, physicians, NP/PAs, ancillary departments, Quality , Case Management , Finance, Revenue Cycle, and Coders + ... Healthcare Clinical Documentation Specialist - Senior Consultant Our Deloitte Regulatory, Risk & Forensic team...severity of illness and risk of mortality, capture rates, quality metrics and can effectively prioritize their work activities… more