- Community Health Systems (Franklin, TN)
- **Job Summary** The Remote PRN Clinical Utilization Review Specialist is responsible for evaluating the necessity, appropriateness, and efficiency of ... collaborates with healthcare providers to facilitate efficient patient care. The Clinical Utilization Review Specialist monitors adherence to hospital … more
- HCA Healthcare (Nashville, TN)
- …**Introduction** Do you want to join an organization that invests in you as a PRN Director Clinical Resource Management? At HealthTrust, a division of HCA, you ... make a difference. We are looking for a dedicated PRN Director Clinical Resource Management like you...and optimizing the current GPO contract portfolio, developing comprehensive clinical and utilization protocols, and developing and… more
- Wellpath (Franklin, TN)
- …support. **About this role** The Regional Care Manager (RCM) is responsible for utilization review , care coordination, and daily care management across multiple ... Nursing or Care Management Certification + RN preferred EXPERIENCE + Previous utilization review and/or case management and pre-certification experience +… more
- HCA Healthcare (Nashville, TN)
- …face or telemedicine assessment completed and physician consult. + Provides a thorough clinical review and risk assessment with appropriate level of care ... treatment is reimbursed by contacting managed care organizations and completing initial utilization review . Documents in Midas as required. Involves mobile… more
- HCA Healthcare (Nashville, TN)
- …**Introduction** Do you want to join an organization that invests in you as a PRN Director Pharmacy Solutions? At HealthTrust, a division of HCA, you come first. HCA ... make a difference. We are looking for a dedicated PRN Director Pharmacy Solutions like you to be a...Pharmacy (eg CPO, VP, DOP) Leaders, Pharmacy Leaders (eg clinical , operational), Physicians, Value Analysis Leaders, HealthTrust Contracting Team.… more
- HCA Healthcare (Nashville, TN)
- …important to you, we encourage you to apply for our RN Coord Trauma PI PRN WFH opening. Our team will promptly review your application. Highly qualified ... our colleagues in their positions. Join our Team as a(an) RN Coord Trauma PI PRN WFH and access programs to assist with every stage of your career. **Benefits** Work… more