- Covenant Health Inc. (Knoxville, TN)
- Overview Registered Nurse Utilization Management PRN/OCC,Hours Vary, Day Shifts Covenant Health Overview: Covenant Health is the region's top-performing ... management or case management experience. Licensure Requirement: Current licensure as a Registered Nurse ( RN ) as issued by the State of Tennessee.… more
- Fresenius Medical Center (Greeneville, 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
- Vanderbilt University Medical Center (Nashville, TN)
- …emphasizing negative elements. **Position Qualifications:** **Responsibilities:** **Certifications:** LIC- Registered Nurse - Licensure-Others **Work ... preeminent programs in patient care, education, and research. **Organization:** MCJCHV Case Mgmt 10 **Job Summary:** Collaborates with the health care team to… more
- Veterans Affairs, Veterans Health Administration (Murfreesboro, TN)
- … Nurse -Community Living Center 8B. The Community Living Center (CLC) Registered Nurse ( RN ) executes position responsibilities that include: Demonstrate ... leadership, experience, and creative approaches to management of complex resident care Collaborates in the development,...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
- CVS Health (Nashville, TN)
- …Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers flexible medical management ... + Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year of experience in a hospital… more
- Humana (Nashville, TN)
- **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work...skills to make an impact** **Required Qualifications** + **Licensed Registered Nurse ( RN )** in the… more
- Humana (Nashville, TN)
- …community and help us put health first** Full-Time, Remote Telephonic opportunity The Utilization Management Nurse 2 utilizes clinical nursing skills to ... communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work...+ Minimum of Associate Degree in nursing + Licensed Registered Nurse ( RN ) in a… more
- Vanderbilt University Medical Center (Nashville, TN)
- …emphasizing negative elements. **Position Qualifications:** **Responsibilities:** **Certifications:** LIC- Registered Nurse - Licensure-Others **Work ... to impact pediatric patients and families from the beginning - Autonomy and Utilization of Critical Skills - Teamwork that displays comradery and family center care… more
- Quality 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
- Community Health Systems (Franklin, TN)
- …Knowledge of HIPAA regulations and patient confidentiality standards. **Licenses and Certifications** + RN - Registered Nurse - State Licensure and/or ... appropriateness, and efficiency of hospital services to ensure compliance with utilization management policies. This role conducts admission and continued… more
- Veterans Affairs, Veterans Health Administration (Smyrna, TN)
- …the integration of VHA and industry best standards. The Revenue Utilization review (RUR) Registered Nurse ( RN ) is an active member of the revenue cycle ... clinical denials. Provides feedback as appropriate, for performance improvement, utilization management , and compliance related issues. Conducts...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
- Community Health Systems (Franklin, TN)
- …The manager supports and coordinates the various aspects of the hospital's utilization management program, denials and appeals activities. Works with UR ... clinical expertise to ensure quality, timely, and cost effective utilization management to achieve optimal outcomes. The...+ 3-5 years work experience in healthcare as a nurse required + 1-3 years work experience in Care… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Registered Nurse Care Manager, Continuum of Care Full Time, 80 Hours Per Pay Period , Day Shift M-F. May rotate weekend and minor holidays. Parkwest ... services within the scope of practice as a registered nurse meeting all required standards both...in area of assigned responsibility. Licensure Requirement: Current Tennessee RN License. Current certification in Case Management ,… more
- Covenant Health Inc. (Sevierville, TN)
- Overview Registered Nurse Care Manager, Continuum of Care PRN, Variable Hours & Shift LeConte Medical Center Overview: LeConte Medical Center is a part of ... services within the scope of practice as a registered nurse meeting all required standards both...in area of assigned responsibility. Licensure Requirement: Current Tennessee RN License. Current certification in Case Management ,… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Registered Nurse Care Manager, Social Services PRN/OCC, Variable Hours and Shifts Fort Sanders Regional Overview: Fort Sanders Regional Medical Centeris ... certification bonuses, and leadership development programs. Position Summary: The RN Care Manager III is responsible for integrating evidenced... services within the scope of practice as a registered nurse meeting all required standards both… more
- Community Health Systems (Knoxville, TN)
- … skills to prioritize tasks in a dynamic environment. **Licenses and Certifications** + RN - Registered Nurse - State Licensure and/or Compact State ... **Job Summary** The Care Manager - RN is responsible for coordinating and overseeing discharge...and overseeing discharge planning, transitions of care, and case management activities to ensure optimal patient outcomes. This role… more
- Covenant Health Inc. (Harriman, TN)
- …+ Provides care management services within the scope of practice as a registered nurse meeting all required standards both legal and regulatory + In ... of experience in area of assigned responsibility. Licensure Requirement: Current Tennessee RN License. Current certification in Case Management , CCM, ACM or… more
- Covenant Health Inc. (Harriman, TN)
- …+ Provides care management services within the scope of practice as a registered nurse meeting all required standards both legal and regulatory. + In ... of experience in area of assigned responsibility. Licensure Requirement: Current Tennessee RN License. Current certification in Case Management , CCM, ACM or… more
- Gentiva (Johnson City, TN)
- …Executive Director to join our leadership team. This role is ideal for a licensed Registered Nurse ( RN ) with strong leadership experience in hospice care, ... budgeting while driving branch revenue growth through census development, referral management , and efficient resource utilization + Maintain strong relationships… more
- Community Health Systems (Clarksville, TN)
- Join us as a ** Registered Nurse ( RN ) - Charge Intensive Care Unit (ICU)** at Tennova Healthcare- Clarksville Unit: ICU 1+ years of ICU experience preferred ... Monitors patient flow, manages bed assignments, and optimizes resource utilization within the unit. + Conducts employee and patient...addressing unit challenges and emergencies. **Licenses and Certifications** + RN - Registered Nurse -… more