- HCA Healthcare (Nashville, TN)
- …**Introduction** Do you want to join an organization that invests in you as a Utilization Review Services Registered Nurse? At Parallon, you come ... 3% to 9% of pay (based on years of service ) + Employee Stock Purchase Plan with 10% off...make a difference. We are looking for a dedicated Utilization Review Services Registered… more
- Ascension Health (Nashville, TN)
- …and salary range at the time of the offer._ **Responsibilities** Direct services , workflow and resources for assigned nursing travelers. + Develop departmental goals ... + Direct clinical activities, including patient assessment, care plan development, service level determination, patient visits, and complaint management. + Prepare… more
- Vanderbilt University Medical Center (Nashville, TN)
- …that the appropriate admission status is ordered. Conducts initial admission based on utilization review medical necessity criteria. Refers cases for secondary ... difficulty. * Clinical Applications Systems (Novice): Possesses fundamental proficiency in utilization review systems, clinical support systems and business… more
- Sharecare (Nashville, TN)
- …appropriate total healthcare management and ensure cost effective, appropriate resource utilization and quality outcomes. The Clinical Registered Nurse is ... stratification level. + Identifies participant barriers to accessing health care services . Coordinates with Provider Service Managers and/or other members… more
- Aveanna Healthcare (Franklin, TN)
- …the plan of care and patient needs. + Participates in quality improvement, utilization review , and infection control activities as requested. + Attends ... Hospice Registered Nurse RN Full Time ApplyRefer a FriendBack...+ Ensures the timely and adequate delivery of hospice services to the terminally ill patient and their family,… more
- Vanderbilt University Medical Center (Nashville, TN)
- …if additional records requests or actions might be indicated * Experience/proficiency in the review and the utilization of EPIC and/or eStar including the Media ... floating within the Hi-RiSE TVC Clinic and floating to the VPEC OHO Clinic * Comfortable with the clinical review of testing results and visit plans to determine… more
- Sharecare (Nashville, TN)
- …of the care enhancement program by providing telephonic care and resource utilization for members in an appropriate, efficient, and cost-effective manner while ... orientation and to take the pre and post-test to review competency during orientation. Yearly competency test is required...Functions:** + Achievement of Clinical Objectives: + Deliver dietary services within the RD scope of practice to members… more
- Gallatin Center for Rehabilitation and Healing (Gallatin, TN)
- …meaningful contributions to the rehab team conferences, patient care conferences, utilization review meetings, family conferences, and caregiver training ... standards of conduct and clinical code of ethics and practice. . Implementing in- services and training. . Maintaining a current body of knowledge in areas of… more
- Evolent (Nashville, TN)
- …+ Reviews charts and analyzes clinical record documentation in order to approve services that meet clinical review criteria. + Conducts ongoing activities which ... Nurse, you will be a key member of the utilization management team. We can offer you a meaningful...Inspector General of the Department of Health and Human Services or the General Service Administration (GSA),… more
- HCA Healthcare (Nashville, TN)
- …assessments of focused topics within HCA Healthcare hospitals/ASCs including credentialing, utilization management, peer review , medical staff and board bylaws, ... include: + Comprehensive medical coverage that covers many common services at no cost or for a low copay....3% to 9% of pay (based on years of service ) + Employee Stock Purchase Plan with 10% off… more
- HCA Healthcare (Nashville, TN)
- …plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug ... and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation. + Additional options...3% to 9% of pay (based on years of service ) + Employee Stock Purchase Plan with 10% off… more
- Elevance Health (Nashville, TN)
- …must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US ... member of the Elevance Health family of companies providing unparalleled level of service in pharmacy benefits. By leveraging the power of new technologies, our… more
- HCA Healthcare (Nashville, TN)
- …plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug ... and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation. + Additional options...3% to 9% of pay (based on years of service ) + Employee Stock Purchase Plan with 10% off… more
- HCA Healthcare (Nashville, TN)
- …from Home which is part of the nation's leading provider of healthcare services , Methodist Healthcare. **Benefits** Work from Home, offers a total rewards package ... include: + Comprehensive medical coverage that covers many common services at no cost or for a low copay....3% to 9% of pay (based on years of service ) + Employee Stock Purchase Plan + Retirement readiness… more
- Lincoln Financial (Nashville, TN)
- …Coronary Care, , Trauma , Disability, Workman's comp or case management or Utilization review **Application Deadline** **What's it like to work here?** At ... Rehabilitation Coordinators (VRC) and others to support with return-to-work services * Effectively manages assigned caseload within department productivity goals… more
- Evolent (Nashville, TN)
- …years of direct clinical patient care + **Minimum one year of experience with Utilization Review (UM) in a managed care environment** + **Cardiology and Oncology ... for the mission. Stay for the culture. **What You'll Be Doing:** Our shared services team offers candidates the opportunity to make a meaningful impact by providing… more