• Utilization Management Nurse

    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...appropriate courses of action. As a Utilization Management RN working on the OneHome/ Home Solutions… more
    Humana (09/12/25)
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  • SNF Utilization Management RN…

    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 ... documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are… more
    Humana (09/12/25)
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  • Disease Management Nurse - Remote

    Sharecare (Nashville, TN)
    …appropriate resource utilization and desired clinical outcomes. The Disease Management Nurse is also responsible during their interactions with participants ... learn more, visit www.sharecare.com . **Job Summary:** The Disease Management Nurse has the responsibility for supporting...minimum. + This position will be based in a home office which must satisfy all HIPAA requirements. Sharecare… more
    Sharecare (09/13/25)
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  • Consultant, Nurse Disability I

    Lincoln Financial (Nashville, TN)
    …and/or proficiency with Disability Management (STD/LTD) knowledge, Workers Compensation, Utilization Review and/or nurse case management preferred skills ... **Alternate Locations:** Work from Home **Work Arrangement:** Remote : Work at ...We are excited to bring on a highly motivated Nurse Disability Consultant to our clinical organization. This position… more
    Lincoln Financial (10/10/25)
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  • Appeals Nurse

    Evolent (Nashville, TN)
    …team focusing on appeals and post-determination requests. We maintain the principles of utilization management by adhering to Evolent and Client policies and ... Be Doing:** + Practices and maintains the principles of utilization management and appeals management ...all employees have the following technical capability at their home : High speed internet over 10 Mbps and, specifically… more
    Evolent (10/11/25)
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  • Hospice Registered Nurse RN Full Time 5K…

    Aveanna Healthcare (Franklin, TN)
    …Salary: $37.00 - $43.00 per hour Position Details Position Overview TheHospice Registered Nurse Full-Time is responsible for pain management , symptom control in ... Hospice Registered Nurse RN Full Time 5K Sign on Bonus...of the patient/family during regularly scheduled and after hour home visits; Documents: assessment, identified problems, nursing interventions, goals,… more
    Aveanna Healthcare (09/18/25)
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  • Night Shift Nurse Supervisor

    Nashville Center for Rehabilitation and Healing (Nashville, TN)
    …team. The RN/LPN Supervisor assumes primary nursing responsibilities for the management of resident and staff activities. The RN/LPN Supervisor utilizes nursing ... practice and management skills and ensures resident care is administered in...nursing care is delivered which is outcome focused through utilization of the nursing process. Identify needs and provide… more
    Nashville Center for Rehabilitation and Healing (09/23/25)
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  • Director Case Management

    HCA Healthcare (Nashville, TN)
    …want to join an organization that invests in you as a Director Case Management ? At TriStar Skyline Medical Center, you come first. HCA Healthcare has committed up ... protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage,… more
    HCA Healthcare (10/01/25)
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  • Assessment Specialist PRN

    HCA Healthcare (Nashville, TN)
    …required (LPC, LMFT, LCSW, LADAC) + Previous experience in Needs Assessment and Utilization Management strongly preferred. + Familiarity with required DSM V-R ... protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care...nurses play a vital part. We know that every nurse 's path and purpose is unique. Do you want… more
    HCA Healthcare (09/27/25)
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  • Director Performance Improvement Emergency Dept

    HCA Healthcare (Brentwood, TN)
    …protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, ... + Referral services for child, elder and pet care, home and auto repair, event planning and more +...+ Assess cost-reduction opportunities including: 1. Appropriate administration and management of ED department 2. Assess skill mix opportunities,… more
    HCA Healthcare (09/07/25)
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  • Pre Post Endoscopy Services Specialty Educator

    HCA Healthcare (Nashville, TN)
    …protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, ... and adoption assistance. + Referral services for child, elder and pet care, home and auto repair, event planning and more + Consumer discounts through Abenity… more
    HCA Healthcare (08/10/25)
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  • Cardiac Cath Lab Director

    HCA Healthcare (Nashville, TN)
    …labor management , including position control, scheduling excellence, productivity management , and premium pay utilization . Maintain staffing to ensure ... protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage,… more
    HCA Healthcare (08/29/25)
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  • Care Manager RN PRN

    Community Health Systems (Clarksville, TN)
    Join us as a **Registered Nurse (RN) - Care Management RN PRN position** at Tennova Health Care- Clarksville Unit: Care Management (This is not a remote ... health, or nursing home setting required + 2-4 years of care management experience preferred **Knowledge, Skills and Abilities** + Strong understanding of case … more
    Community Health Systems (09/25/25)
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  • Clinical Operations Manager

    HCA Healthcare (Nashville, TN)
    …They Manage department operations to include staff schedule, staff productivity, resource utilization and expense management to ensure quality patient care and ... protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage,… more
    HCA Healthcare (10/10/25)
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  • Hospice RN Executive Director

    Gentiva (Nashville, TN)
    …licensed Registered Nurse (RN) with strong leadership experience in hospice care, home health, or clinical operations management . If you're a natural leader ... budgeting while driving branch revenue growth through census development, referral management , and efficient resource utilization + Maintain strong relationships… more
    Gentiva (07/31/25)
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  • Expanse Professional Development Specialist

    HCA Healthcare (Nashville, TN)
    …protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, ... and adoption assistance. + Referral services for child, elder and pet care, home and auto repair, event planning and more + Consumer discounts through Abenity… more
    HCA Healthcare (09/26/25)
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  • Dean-School of Nursing

    HCA Healthcare (Nashville, TN)
    …for delivering quality, responsive curriculum and programs. + Ensures that the number, utilization , and credentials of staff and non- nurse faculty are sufficient ... partnerships, and serves as an integral member of the College and Campus management team. This position will also ensure teaching excellence, faculty and student… more
    HCA Healthcare (09/28/25)
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