- Williamson Health (Smyrna, TN)
- …Summary: The role of the ER Case Manager is to perform activities of both Utilization Management and Case Management in the setting of the Emergency ... offering exceptional healthcare across 60-plus specialties and subspecialties close to home . The flagship facility, Williamson Medical Center, which recently opened… 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...appropriate courses of action. As a Utilization Management RN working on the OneHome/ Home Solutions… 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 ... documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are… more
- Sharecare (Nashville, TN)
- …appropriate resource utilization and desired clinical outcomes. The Disease Management Nurse is also responsible during their interactions with participants ... learn more, visit www.sharecare.com . **Job Summary:** The Disease Management Nurse has the responsibility for supporting...minimum. + This position will be based in a home office which must satisfy all HIPAA requirements. Sharecare… more
- CVS Health (TN)
- …Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers flexible medical management ... day. **Position Summary** **This is a remote work from home role anywhere in the US with virtual training.**...or Specialty Pharmacy. **Preferred Qualifications** + 1+ years' Case Management experience or discharge planning, nurse navigator… more
- CenterWell (Nashville, TN)
- **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 uses clinical knowledge, communication skills, and ... experience in a high volume and fast paced environment + Previous experience in utilization management + Education: BSN or Bachelor's degree in a related field… more
- ChenMed (Memphis, TN)
- …expanding and we need great people to join our team. The Registered Nurse , Remote Triage, is responsible for providing telephonic triage directional patient care ... client counseling, patient advocacy, health education and referral and resource management to ChenMed patients and their families. Providing on-call coverage, the… more
- Aveanna Healthcare (Franklin, TN)
- …Salary: $37.00 - $43.00 per hour Position Details Position Overview TheHospice Registered Nurse Full-Time is responsible for pain management , symptom control in ... Hospice Registered Nurse RN Full Time 5K Sign on Bonus...of the patient/family during regularly scheduled and after hour home visits; Documents: assessment, identified problems, nursing interventions, goals,… more
- Fresenius Medical Center (Memphis, TN)
- …and acting on adverse events and action thresholds. + Oversees facility's Home Therapies Program if applicable. + Accountable for compliance with all applicable ... and acts as the liaison for patient care as per the disease management agreement, including initial and ongoing validation of member eligibility. Facilitate timely… more
- Fresenius Medical Center (Knoxville, TN)
- …Quality, and Technical Services departments. + Collaborates with or functions as the Home Therapies Program Manager to oversee the facility's Home Therapies ... Classification of Disease (ICD) coding. + Manages clinic financials including efficient utilization of supplies or equipment and regular profits and loss review. +… more
- Nashville Center for Rehabilitation and Healing (Nashville, TN)
- …team. The RN/LPN Supervisor assumes primary nursing responsibilities for the management of resident and staff activities. The RN/LPN Supervisor utilizes nursing ... practice and management skills and ensures resident care is administered in...nursing care is delivered which is outcome focused through utilization of the nursing process. Identify needs and provide… more
- HCA Healthcare (Nashville, TN)
- …want to join an organization that invests in you as a Director Case Management ? At TriStar Skyline Medical Center, you come first. HCA Healthcare has committed up ... protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage,… 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 ... world-class treatment with all the convenience and warmth of home . In addition to providing the area's leading cardiac...with a minimum of 3 years of experience. Case Management certification is preferred, but not required. There is… more
- BlueCross BlueShield of Tennessee (Memphis, TN)
- …we'd love to have you on our team\. **Job Responsibilities** + Supporting utilization management functions for more complex and non\-routine cases as needed\. ... from hospital care to the comfort of their own home ? Join us in empowering at\-risk individuals to navigate...for individuals with strong critical thinking skills, excellent time management , and the ability to prioritize task efficiently\. If… more
- Covenant Health Inc. (Knoxville, TN)
- …+ Takes administrative on-call when required as a support to the on-call nurse and provides software management related to processing intakes, reviewing ... homecare and eligibility guidelines for hospice. + Ensures service utilization correlates with assessment data. + Processes the OASIS/HIS...health or hospice experience required. Three (3) years as home health field staff nurse preferred with… more
- HCA Healthcare (Nashville, TN)
- …required (LPC, LMFT, LCSW, LADAC) + Previous experience in Needs Assessment and Utilization Management strongly preferred. + Familiarity with required DSM V-R ... protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care...nurses play a vital part. We know that every nurse 's path and purpose is unique. Do you want… more
- Covenant Health Inc. (Lenoir City, TN)
- Overview Registered Nurse Care Manager, Quality Management PRN/OCC,Hours and Shifts Vary Fort Loudoun Medical Center Overview: Fort Loudoun Medical Center is ... reports directly to the Manager/Coordinator of Quality and Care Management at the facility level. Recruiter: Sandra Simmons ||...and Coordination of Care: + Collaborates directly with the Nurse Manager to ensure the staff adheres to sound… more
- HCA Healthcare (Brentwood, TN)
- …protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, ... + Referral services for child, elder and pet care, home and auto repair, event planning and more +...+ Assess cost-reduction opportunities including: 1. Appropriate administration and management of ED department 2. Assess skill mix opportunities,… more
- HCA Healthcare (Nashville, TN)
- …protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, ... and adoption assistance. + Referral services for child, elder and pet care, home and auto repair, event planning and more + Consumer discounts through Abenity… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Registered Nurse Care Coordinator, Quality Management Full Time, 80 Hours Per Pay Period, Day Shift About Us Covenant Medical Group employs or manages ... Cumberland Plateau so that medical care is close to home - ensuring you get the right care at...Coordinator II reports directly to the Manager of Quality Management at the corporate level. Recruiter:Sandra Simmons || ###@covhlth.com… more
