- Evolent (Nashville, TN)
- …the mission. Stay for the culture. **What You'll Be Doing:** The Nurse Practitioner /Physician Assistant (ARNP/NP/PA) Cardiology is responsible for support and ... with the Director of UM to ensure client satisfaction. Perform all peer clinical review activities while located in a state or territory of the United States.… more
- Vanderbilt University Medical Center (Nashville, TN)
- …Summary:** The geriatric advanced practice provider (APP: Geriatric or Acute Care Nurse Practitioner or Physicians Assistant), will participate in the consult ... of emphasizing negative elements. **Position Qualifications:** **Responsibilities:** **Certifications:** LIC-Licensed Nurse Practitioner - Tennessee **Work Experience:** Relevant… more
- HCA Healthcare (Nashville, TN)
- …Systems + Clinical Certifications in one of the following preferred: Registered Nurse , Nurse Practitioner , Doctor (MD/DO), Pharm D, Pharmacy Tech ... builds working with operations and medical leadership to understand their clinical needs. Review applicable evidenced-based literature, reviewing request for… more
- Molina Healthcare (Bowling Green, KY)
- …the Chief Medical Officer. + Evaluates authorization requests in timely support of nurse reviewers; reviews cases requiring concurrent review , and manages the ... national, state, and local laws and regulatory requirements affecting the medical and clinical staff. + Marketplace UM reviews + MD licenses required for the… more
- Molina Healthcare (Bowling Green, KY)
- …the chief medical officer. * Evaluates authorization requests in timely support of nurse reviewers, reviews cases requiring concurrent review and manages the ... for national committee for quality assurance (NCQA) and utilization review accreditation commission (URAC) certifications. * Provides leadership and consultation… more
- Community Health Systems (Antioch, TN)
- …and education related to behavioral health access and assessment practices. + If Nurse Practitioner licensed and operating under appropriate state scope: + ... non-affiliated sites. + Formulates diagnostic impressions based on psychosocial history, clinical presentation, review of systems, and patient-reported symptoms.… more