- Mercury Group Staffing (Nashville, TN)
- …health record technology into the program workflow, ensuring technology supports Clinical Case Management . Education/Experience Requirements: Bachelor's ... About the job Corporate Director of Case Management ...initiatives. Establish, implement, and evaluate the strategic plan for clinical aspects of case management .… more
- HCA Healthcare (Chattanooga, TN)
- …Drive inpatient throughput and nursing process improvement initiatives, working closely with case management , virtual nurses, and ancillary support staff to ... Clinical Operations Director This position is...is a strategic leader focused on improving inpatient capacity management , discharge planning, and compliance with regulatory standards. What… more
- SaVida Health (Nashville, TN)
- …SaVida Health's care model includes medical care, counseling, comprehensive toxicology testing, case management and medical management of psychiatric ... DIRECTOR OF BILLING AND MANAGED SERVICES ABOUT THE...processes, including billing, collections, credentialing, provider enrollment, payor data management , and offshore vendor performance. The position is expected… more
- HCA Healthcare (Chattanooga, TN)
- …Drive inpatient throughput and nursing process improvement initiatives, working closely with case management , virtual nurses, and ancillary support staff to ... ready to manage in a new era as a Clinical Operations Director where building a healthier...is a strategic leader focused on improving inpatient capacity management , discharge planning, and compliance with regulatory standards. What… more
- Adoration Home Health and Hospice (Madison, TN)
- …leadership opportunity? Adoration Home Health is seeking a passionate, dedicated Registered Nurse Clinical Manager to join our team in Madison, TN . In this vital ... to make a meaningful impact in a supportive environment where your clinical expertise and leadership truly matter apply today! Office Location: Madison, Tennessee… more
- TeamHealth (Sevierville, TN)
- …evaluations of hospitalist staff Collaboration: foster positive relationships with nursing, case management , and specialty service lines to promote ... high-quality patient care. We are seeking a dynamic hospital medicine (HM) medical director to lead our team and drive excellence in inpatient care at LeConte… more
- Baptist Memorial Health Care Corporation (Memphis, TN)
- …obtaining authorizations, claims review, patient billing, appeal writing, auditing, and/or denial management ; 3-5 years case management experience, or other ... of an accredited nursing program Training Description Minimum Required Preferred/Desired Nursing, Case Management or Denial Management . Familiarity with… more
- ReVIDA (Sparta, TN)
- …all business activities professionally and ethically. Other duties, as assigned by the Regional Clinical Director or Chief Clinical Officer. Adherence to the ... 30 or more pounds, walking, standing, etc.) ability to support patient weight in case of emergency or disability requiring assistance. Must be able to see, stoop,… more
- The Tennessee Board of Regents (Franklin, TN)
- …campus, as well as other support resources with non- clinical and clinical student case management , short-term counseling, program coordination, systems ... meet social service and counseling needs. Develop, maintain, and strategically use a case management database to track students, conduct data reporting and… more
- HCA Healthcare (Chattanooga, TN)
- …Drive inpatient throughput and nursing process improvement initiatives, working closely with case management , virtual nurses, and ancillary support staff to ... ready to manage in a new era as a Clinical Operations Director where building a healthier...is a strategic leader focused on improving inpatient capacity management , discharge planning, and compliance with regulatory standards. **What… more
- Norstella (Nashville, TN)
- Sr. Director /VP/ Clinical Delivery Lead, Advisory Services Company: Citeline Location: Remote, United States Date Posted: Jun 2, 2025 Employment Type: Full Time ... Job ID: R-1246 **Description** Sr. Director /VP/ Clinical Delivery Lead, Advisory Services **Reports to**...clients, including (but not limited to) the following use case areas:** + Clinical development planning and… more
- Adecco US, Inc. (Columbia, TN)
- … clinical operations in a dynamic recovery setting? We are seeking a ** Clinical Director ** to guide our therapeutic team, shape client care strategies, and ... | Monday-Friday, Day Shift** **$120,000-$130,000 annually** **Key Responsibilities:** + Provide clinical supervision and leadership to therapists, case managers,… more
- Highmark Health (Nashville, TN)
- …required based on business need. **Preferred** + None **SKILLS** + Critical Thinking + Case Management + Customer Service + Oral & Written Communication Skills + ... performed in accordance with the highest and most current clinical standards. The incumbent reviews escalated cases electronically and...as the physician member of the multidisciplinary team for case and disease management . They will advise… more
- Sumitomo Pharma (Nashville, TN)
- …marketed products. + Conduct safety surveillance over product life cycle, reviewing clinical trial and post-marketing Individual Case Safety Reports (ICSRs), ... on behalf of PVRM for: Study Protocols, Informed Consent Forms (ICF), Safety Management Plans (SMP), Clinical Study Reports (CSR), Investigator's Brochures (IB),… more
- Humana (Nashville, TN)
- …prior experience participating in teams focusing on quality management , utilization management , case management , discharge planning and/or home health or ... + Experience working with Case managers or Care managers on complex case management , including familiarity with social determinants of health. + The… more
- Humana (Nashville, TN)
- …prior experience participating in teams focusing on quality management , utilization management , case management , discharge planning and/or home health or ... + Experience working with Case managers or Care managers on complex case management , including familiarity with social determinants of health. + The… more
- Humana (Nashville, TN)
- …prior experience participating in teams focusing on quality management , utilization management , case management , discharge planning and/or home health or ... + Experience working with Case managers or Care managers on complex case management , including familiarity with social determinants of health. + The… more
- Humana (Nashville, TN)
- …prior experience participating in teams focusing on quality management , utilization management , case management , discharge planning and/or home health or ... + Experience working with Case managers or Care managers on complex case management , including familiarity with social determinants of health. + The… more
- WestCare Foundation (Newport, TN)
- …overview of current needs of the client or participant to the Nurse Counselor and Clinical Director . + Make recommendations to the Clinical Compliance ... related project field may be substituted for degree. Experience and Competencies: + Case management experience preferred. + Ability to work collaboratively with… more
- Humana (Nashville, TN)
- …and experience with national guidelines such as NCD/LCD, MCG(R) or InterQual The Medical Director conducts clinical case reviews of requests received by ... members of the Medicare population and reports to the Lead Medical Director . **Other duties:** + Identify medical management operational improvements, including… more
