- CenterWell (Nashville, TN)
- …part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, ... determination of the appropriate courses of action. The Utilization Management Nurse 2 uses clinical knowledge, communication skills, and independent… more
- Humana (Nashville, TN)
- …+ Registered nurse (RN) with unrestricted licensed **OR** independent licensed clinical social worker + 2 -5 yrs of previous senior leadership experience ... and help us put health first** The Utilization Management ( UM ) Director, Clinical Strategy and Practice for...to work effectively in a cross-functional, matrixed environment. + 2 + yrs Payer experience with responsibility for the creation… more
- Vanderbilt University Medical Center (Nashville, TN)
- …through preeminent programs in patient care, education, and research. **Organization:** TMO/ UM Team E **Job Summary:** JOB SUMMARY Collaborates with the health ... outcomes and system improvement goals including financial, satisfaction, and clinical as the nursing component of the care coordination...growth across the continuum of care. Position Shift: PRN ( 2 shifts per month) ADN + 5 YOE required… more
- Humana (Nashville, TN)
- …+ Registered nurse (RN) with unrestricted licensed **OR** independent licensed clinical social worker + 5+ years of previous clinical experience in ... Establish standardized protocols and workflows across the enterprise. + Lead activities regarding UM annual evaluation + Lead activities related to UM Program… more
- Ascension Health (Nashville, TN)
- …Management to join our team! In this pivotal role, you'll lead clinical discussions during Payer JOC meetings, oversee denial management activities, and perform ... management to optimize patient care and partner with the National Senior Director of UM to align on organizational goals. Ready to lead and innovate? Apply now!… more