- 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)
- …policies, procedures and bylaws. . Prepare the medical record and other information for review by the PPE Reviewer , PPE Committee, CMO, VPQ/Quality Director and ... location._** It is an exciting time to be a nurse at HCA Healthcare! Come unlock your career potential...The Division Lead Quality Coordinator is responsible for the review screening, organization of case by the Professional Practice… 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
- 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