- Covenant Health Inc. (Knoxville, TN)
- Overview Registered Nurse , Revenue Integrity & Utilization Management Full Time, 80 Hours Per Pay Period, Day Shift Covenant Health Overview: Covenant ... by Forbes as a Best Employer. Position Summary: The RN Utilization Management I will...word and excel. Licensure Requirements: Current licensure as a Registered Nurse ( RN ) as issued… 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...and extended hospitals stays. Reports to: Director - Case Management Minimum Education Associate's, Bachelor's degree or RN… 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 ... - $42.00 per hour Position Details Position Overview TheHospice Registered Nurseis responsible for pain management , symptom control in the delivery of care to… more
- Nashville Center for Rehabilitation and Healing (Nashville, TN)
- …ever-growing team.The RN Supervisor assumes primary nursing responsibilities for the management of resident and staff activities. The RN Supervisor utilizes ... RN Supervisor Nashville Center for Rehabilitation and Healing...nursing care is delivered which is outcome focused through utilization of the nursing process. Identify needs and provide… more
- Fresenius Medical Center (Chattanooga, TN)
- …staff training, equipment, physician and patient relations, cost containment, supply management , medical records, patient billing, OSHA and all company, state and ... quality of patient care, as defined by the quality goals, by working with management to ensure that policies and procedures are followed. + Assists with implementing… more
- Fresenius Medical Center (Winchester, TN)
- …Classification of Disease (ICD) coding. + Manages clinic financials including efficient utilization of supplies or equipment and regular profits and loss review. + ... of education and experience. + Graduate of an accredited School of Nursing ( RN ). + Current appropriate state licensure. **EXPERIENCE AND SKILLS:** + Required: + 6+… more
- Sharecare (Nashville, TN)
- …cost effective, appropriate resource utilization and quality outcomes. The Clinical Registered Nurse is also responsible for early identification of those ... according to the disease management program intervention guidelines. A Clinical Registered Nurse is supervised by an Operations Manager (OM). All Sharecare… more
- Veterans Affairs, Veterans Health Administration (Memphis, TN)
- Summary The Registered Nurse in the Clinical Contact Center is responsible for providing competent, evidence-based care to patients. The individual will assist ... , and customer satisfaction throughout the continuum of care. Responsibilities The Registered Nurse Clinical Contact Center is responsible and accountable for… more
- Select Medical (Nashville, TN)
- …Illness Recovery Hospital** **Select Specialty Hospital - Nashville** **Advanced Practice Registered Nurse / APRN** **Full-Time Hours** **Location:** **2000 ... every day across our four divisions. **Responsibilities** The Advanced Practice Registered Nurse (APRN) works collaboratively with the multidisciplinary health… more
- Select Medical (Nashville, TN)
- **Overview** **Critical Illness Revovery Hospital** **Advanced Practice Registered Nurse / APRN** **PRN - As Needed Position** **_Hours will be available on ... care and doing well by doing what is right. The Advanced Practice Registered Nurse (APRN) works collaboratively with the multidisciplinary health care team,… more
- Veterans Affairs, Veterans Health Administration (Nashville, TN)
- …located in Nashville, TN. Responsibilities The Nurse Referral Coordination Team (RCT) Registered Nurse ( RN )) is responsible for executing a streamlined ... of the internal referral care process, clinical review criteria, utilization management standards, clinical documentation requirements, community...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
- Elevance Health (Nashville, TN)
- …patients, chronically ill pediatric patients, and patients with IDD. + Home Health, Utilization Management or Case Management experience strongly preferred. ... **Transitions of Care RN - 100% Virtual** This role enables associates to...for participating in delivery of patient education and disease management interventions and for performing health coaching for members,… more
- Vanderbilt University Medical Center (Nashville, TN)
- …emphasizing negative elements. **Position Qualifications:** **Responsibilities:** **Certifications:** LIC- Registered Nurse - Licensure-Others **Work ... or actions might be indicated * Experience/proficiency in the review and the utilization of EPIC and/or eStar including the Media tab, Care Everywhere, StarPanel,… more
- ChenMed (Memphis, TN)
- …expanding and we need great people to join our team. The Part Time Registered Nurse , Virtual Care, is responsible for providing telephonic emergency triage and ... client counseling, patient advocacy, health education and referral and resource management to ChenMed patients and their families. Providing on-call coverage, the… more
- Lebanon Center for Rehabilitation and Healing (Lebanon, TN)
- Schedule . 5 days a week 37.5 - 40 hours per week Respiratory Nurse ( RN ) We are searching for a highly motivated, flexible, organized, skilled respiratory ... meaningful contributions to the rehab team conferences, patient care conferences, utilization review meetings, family conferences, and caregiver training sessions. +… more
- HCA Healthcare (Nashville, TN)
- …1-4 years of relevant case management / utilization review experience preferred + Registered Nurse - Currently licensed as a registered professional ... **Description** **Introduction** Do you have the career opportunities as a(an) Utilization Review Services RN you want with your current employer? We have an… more
- Vanderbilt University Medical Center (Nashville, TN)
- …through preeminent programs in patient care, education, and research. **Organization:** Utilization Management 20 **Job Summary:** JOB SUMMARY Facilitates ... instead of emphasizing negative elements. **Position Qualifications:** **Responsibilities:** **Certifications:** LIC- Registered Nurse - Licensure-Others **Work Experience:** Relevant… more
- Baptist Memorial (Memphis, TN)
- …goals Description Minimum Required Preferred/Desired RN with 3 years of clinical experience RN with Case Management or Utilization Review experience in a ... Overview Job Summary The Utilization Review Nurse is responsible for...management , medical necessity reviews, verification of authorization, resource utilization , and denial prevention. Job Responsibilities * Completes and… more
- CVS Health (Nashville, TN)
- …active current and unrestricted RN licensure in state of residence. + Utilization Management is a 24/7 operation and work schedules will include weekends, ... **Required Qualifications** + 2+ years of experience as a Registered Nurse in adult acute care/critical care...or specialty area. + Managed Care experience preferred, especially Utilization Management . + Preference for those residing… more
- Ascension Health (Nashville, TN)
- **Details** + **Department:** Utilization Management + **Schedule:** Monday - Friday. 40 hours a week. + **Hospital:** Ascension Saint Thomas + **Location:** ... TN market. We're looking for an experienced Director of Utilization Management to join our team! In...all clients. **Requirements** Licensure / Certification / Registration: + Registered Nurse credentialed from the Tennessee Board… more