- HCA Healthcare (Nashville, TN)
- **Description** **Introduction** Do you have the career opportunities as a(an) Utilization Review Services RN you want with your current employer? We ... of colleagues. Do you want to work as a(an) Utilization Review Services RN...+ 1-4 years of relevant case management/ utilization review experience preferred + Registered Nurse… more
- Aveanna Healthcare (Franklin, TN)
- Hospice Registered Nurse RN Full Time ApplyRefer a FriendBack Job Details Requisition #: 204729 Location: Franklin, TN 37064 Category: Nursing Salary: $37.00 ... the plan of care and patient needs. + Participates in quality improvement, utilization review , and infection control activities as requested. + Attends… more
- Community Health Systems (Franklin, TN)
- …Knowledge of HIPAA regulations and patient confidentiality standards. **Licenses and Certifications** + RN - Registered Nurse - State Licensure and/or ... **Job Summary** The Clinical Utilization Review Specialist is responsible for...for evaluating the necessity, appropriateness, and efficiency of hospital services to ensure compliance with utilization management… more
- Lebanon Center for Rehabilitation and Healing (Lebanon, TN)
- …meaningful contributions to the rehab team conferences, patient care conferences, utilization review meetings, family conferences, and caregiver training ... a week 37.5 - 40 hours per week Respiratory Nurse ( RN ) We are searching for a...and clinical code of ethics and practice. . Implementing in- services and training. . Maintaining a current body of… more
- Sharecare (Nashville, TN)
- …cost effective, appropriate resource utilization and quality outcomes. The Clinical Registered Nurse is also responsible for early identification of those ... for everyone. To learn more, visit www.sharecare.com . **Job Summary:** The Clinical Registered Nurse has the responsibility for supporting the goals and… more
- Vanderbilt University Medical Center (Nashville, TN)
- …emphasizing negative elements. **Position Qualifications:** **Responsibilities:** **Certifications:** LIC- Registered Nurse - Licensure-Others **Work ... 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… more
- HCA Healthcare (Nashville, TN)
- …treatment is reimbursed by contacting managed care organizations and completing initial utilization review . Documents in Midas as required. Involves mobile ... flexibility and supports changes that improve quality of care, service and operations. + RN 's Only -...patients in regard to managed care organizations + Conducts utilization review for managed care cases in… more
- Manchester Center for Rehabilitation and Healing (Manchester, TN)
- …trends on a monthly basis + Responsible for timely and accurate completion of Utilization Review and Triple Check + Serves on, participates in, and attends ... Reference Date (ARD). Captures the RUG score which reflects the care and services provided + Demonstrates an understanding of MDS requirements related to varied… more
- Sedgwick (Nashville, TN)
- …to ensure efficient, cost effective, and high quality delivery of case management and utilization review services to clients for multiple business lines; and ... to provide expertise in client specific case management and utilization review requirements and ensure customer satisfaction through the provision of these … more
- Highmark Health (Nashville, TN)
- …SUMMARY** This job implements effective ** utilization management** strategies including: review of appropriateness of health care services , application of ... of quality issues. Monitors and analyzes the delivery of health care services ; educates providers and members on a proactive basis; and analyzes qualitative… more
- HCA Healthcare (Nashville, TN)
- …step in your career path, we encourage you to apply for our Case Management RN opening. We review all applications. Qualified candidates will be contacted by a ... **Description** 8k Sign-On Bonus available for qualified RN candidates! Do you have the career opportunities...a part of the nation's leading provider of healthcare services , HCA Healthcare. Benefits TriStar Skyline Medical Center, offers… more
- Evolent (Nashville, TN)
- … Nurse + Associate or Bachelors in Nursing (Must be a Registered Nurse ) + Experience as an RN in a Pain Management setting is preferred + Strong ... and analyzes clinical record documentation in order to approve services that meet clinical review criteria. +...Inspector General of the Department of Health and Human Services or the General Service Administration (GSA),… more
- Vanderbilt University Medical Center (Nashville, TN)
- …+ Adapt and align organizational structures to optimize the efficiency and effectiveness of services . **Quality and Service ** + Review PCC performance in ... them in embracing the change. **Position Qualifications:** **Responsibilities:** **Certifications:** LIC- Registered Nurse - Licensure-Others **Work Experience:** Relevant… more
- BAYADA Home Health Care (Franklin, TN)
- …ensure compliance with Medicare regulations and state/federal laws governing home health services . + Manage all aspects of the agency's clinical and administrative ... metrics including admission rates, re-hospitalizations, visit productivity, and clinician utilization . + Collaborate with referral sources, physicians, hospitals, and… more
- HCA Healthcare (Nashville, TN)
- …HCA Healthcare which is part of the nation's leading provider of healthcare services , HCA Healthcare. **Benefits** HCA Healthcare offers a total rewards package that ... 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
- Intellatriage (Brentwood, TN)
- …nurses are able to be at ease knowing their patients are in good hands. Our nurse triage services are in high demand, exceeding our growth goals every year for ... oversee a centralized team providing case management and triage services for PACE, Hospice, and Home Health patients. This...45 to 300+ - making us the largest post-acute nurse triage service in the world. We… more