- CoreCivic (Brentwood, TN)
- …_This position will pay $82,000 - $97,400 with a 10% bonus eligible._ **SUMMARY:** The Manager , Utilization Management / Case Management provides ... better the public good. CoreCivic is currently seeking a ** Manager , Health Services Audits** located at our corporate office...Utilization Review and Case Management functions for the organization under the direction of… more
- LifePoint Health (Gallatin, TN)
- … or related healthcare field. **Job:** **Nursing* **Organization:** ** **Title:** * Utilization Mgmt Case Manager FT* **Location:** *Tennessee-Gallatin* ... Monitors adherence to the hospital's utilization review plan to ensure appropriate use of...admissions and extended hospitals stays. Reports to: Director - Case Management Minimum Education Associate's, Bachelor's degree… more
- Select Medical (Nashville, TN)
- …doing what is right. The Case Manager is responsible for utilization reviews and resource management , discharge planning, treatment plan management ... **Overview** **Critical Illness Recovery Hospital** ** Case Manager (PRN)** _Requires a current...the plan of care. + Demonstrates compliance with facility-wide Utilization Management policies and procedures. + Coordinates… more
- HCA Healthcare (Nashville, TN)
- …Centennial Medical Center have the opportunity to make a real impact. As a(an) RN Case Manager you can be a part of change. Benefits TriStar Centennial Medical ... improve positive outcomes for your patients as a (an) Case Manager Nurse. We want your knowledge...What you will do in this role: + Provides case management services for both inpatient and… more
- HCA Healthcare (Nashville, TN)
- …Bonus available for qualified RN candidates! Do you have the career opportunities as a Case Management RN you want in your current role? We invest in what ... Eligibility for benefits may vary by location. The RN Case Manager is responsible for promoting patient-centered...What you will do in this role: + Provides case management services for both inpatient and… more
- CVS Health (Nashville, TN)
- …within Aetna/CVS Health. Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers ... This position consists of working intensely as a telephonic case manager with patients and their care...overcome barriers to meeting goals and objectives - Utilizes case management processes in compliance with regulatory… more
- WestCare Foundation (Newport, TN)
- Case Manager (VSP) Job Details Job...Gordon Fox Suicide Prevention Grant (SSPGF). This role provides case management to eligible veterans and their ... Range $22.00 - $24.00 Hourly Description Position Summary: The Case Manager serves as a member of...support and family intervention activities. + Facilitate one-hour weekly case management meeting with eligible veterans and/or… more
- Baptist Memorial (Collierville, TN)
- …first 24 hours of arrival to complete an initial review. Collaborate with physicians, Manager of Case Management and physician advisors to resolve conflicts. ... years Healthcare/Medical-Acute Care Required. Preferred/Desired + Healthcare/Medical- Case Manager Preferred, or Healthcare/Medical - Utilization Review… more
- Baptist Memorial (Memphis, TN)
- …- RN- Case Manager Facility: BMH - Women's Hospital Department: WH Case Management Admin BMH Women's Category: Nurse RN Type: Clinical Work Type: Full ... Preferred: RN with 3 years of clinical experience with Case Management experience in a hospital or...skills. Problem solving; and governmental regulations. Training Preferred: Certified Case Manager About Baptist Memorial Health Care… more
- BlueCross BlueShield of Tennessee (Chattanooga, TN)
- …**2 years' experience in IDD for this role\.** **Job Responsibilities** + Supporting utilization management functions for more complex and non\-routine cases as ... utilization of benefits + Performing the essential activities of case management : assessment: planning, implementation, coordinating, monitoring, outcomes and… more
- Baptist Memorial (Memphis, TN)
- …clinical experience Preferred/Desired + RN with 3 years of clinical experience with Case Management experience in a hospital or payer setting Education Minimum ... of patients throughout the continuum of care for appropriate utilization of resources, service delivery and compliance with federal...BSN or MSN Training Minimum Required Preferred/Desired + Certified Case Manager Special Skills + . Minimum… more
- Cardinal Health (Nashville, TN)
- …get life-changing therapies to patients who need them-faster.** **_Responsibilities_** The Senior Case Manager supports patient access to therapy through patient ... guidance and training to junior case managers on best practices in case management , patient interaction, and navigating internal and external systems. +… more
- Baptist Memorial (Memphis, TN)
- …activities relating to utilization review and discharge planning. + Assist Case Management Director in strategies for improvement and intervention. + Assist ... Overview Analyst- Case Management Senior RN Job Code...hire, terminate, discipline, promote or effectively recommend such to manager . Reporting Relationships No Work Environment Functional Demands Label… more
- Baptist Memorial (Memphis, TN)
- …to identify the patient's health goals and coordinate services with the RN Case Manager for an effective transition plan. Meets directly with patient/family ... 16833 - Social Worker LMSW Facility: BMH - Memphis Hospital Department: ME Case Management Admin Baptist Memphis Category: Social Services Type: Clinical Work… more
- HCA Healthcare (Nashville, TN)
- …like you to be a part of our team. **Job Summary and Qualifications** The Sr. Manager of Case Management Reporting and Analytics is primarily responsible for ... producing HCA's enterprise reports within the Case Management Department. The Sr ...client satisfaction goals within a deadline + Knowledge of case management and/or utilization review… more
- CenterWell (Knoxville, TN)
- …performance review and outcomes of care analysis to determine efficiency, the efficacy of case management system as well as any other systems and process. ... of our caring community and help us put health first** The **Clinical Manager ** coordinates and oversees all direct care patient services provided by clinical… more
- Evolent (Nashville, TN)
- …team focusing on appeals and post-determination requests. We maintain the principles of utilization management by adhering to Evolent and Client policies and ... **What You Bring:** + Management experience in a Health Care Setting, preferably Utilization Management is required. + Minimum of 5 years in Utilization … more
- Community Health Systems (Knoxville, TN)
- …responsible for coordinating and overseeing discharge planning, transitions of care, and case management activities to ensure optimal patient outcomes. This role ... collaborative care planning. + Maintains accurate and timely documentation of case management activities, including records of referrals, patient interactions,… more
- North Wind Group (Nashville, TN)
- … utilization of staff, reputation of the office, contract management , billing collection and project profitability. The SPM prepares project proposals ... for each project on a weekly basis with Project Manager , Design/Project Engineer, using scheduling and project management...nature of those accommodations will be determined on a case -by- case basis. If you are an individual… more
- ZOLL Medical Corporation (Memphis, TN)
- …patients suffering from serious cardiopulmonary and respiratory conditions.ZOLL Cardiac Management Solutions offers a unique portfolio of novel technologies designed ... patients at risk of sudden cardiac death. + HFMS (https://cardiacdiagnostics.zoll.com/products/heart-failure-arrhythmia- management -system/) (Heart Failure Management system) is a… more