- 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
- 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)
- …QUALIFICATIONS:** + Bachelor's degree or equivalent experience + 5+ years of previous clinical experience in utilization management + 2 + years of indirect or ... + Registered nurse (RN) with unrestricted licensed **OR** independent licensed clinical social worker (LCSW) + Master's degree + Knowledge of Medicaid regulatory… 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