• Utilization Management Nurse

    CVS Health (Nashville, TN)
    …Must have active current and unrestricted RN licensure in state of residence. + Utilization Management is a 24/7 operation and work schedules will include ... med surg or specialty area. + Managed Care experience preferred, especially Utilization Management . + Preference for those residing in EST or CST zones.… more
    CVS Health (05/10/25)
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  • Consultant , Nurse Disability

    Lincoln Financial (Nashville, TN)
    …Role at a Glance** We are excited to bring on a highly motivated Nurse Disability Consultant to our clinical organization. This position will be responsible ... for** * 4 Year/Bachelor's Degree in Nursing * Registered Nurse License - Current, unrestricted license in the state...Care, , Trauma , Disability, Workman's comp or case management or Utilization review **Application Deadline** **What's… more
    Lincoln Financial (04/30/25)
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  • Senior Clinical Strategy Consultant

    Highmark Health (Nashville, TN)
    …​ **SKILLS** + Deep Clincal Expertise -extensive knowledge of clinical, quality, care, utilization , high-cost claim, and population health management . Must be a ... in Business or Clinical field **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse (RN) or Pharmacist (Pharm D) or Physician Assistant (PA) **Preferred** +… more
    Highmark Health (05/10/25)
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  • RN Care Mgr II

    Covenant Health Inc. (Sevierville, TN)
    Overview Registered Nurse Care Manager, Continuum of Care PRN/OCC, Variable Hours, Day Shift LeConte Medical Center Overview: LeConte Medical Center is a part of ... and patients and serving as a clinical resource and consultant to the health care team. The RN Care...reports directly to the Manager/Coordinator of Quality and Care Management at the facility level Recruiter: Jennifer Lawless ||###@covhlth.com||… more
    Covenant Health Inc. (02/12/25)
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  • RN Care Mgr II

    Covenant Health Inc. (Knoxville, TN)
    Overview Registered Nurse Care Manager, Continuum of Care PRN/OCC, Variable Hours & Shifts Occasional weekends Parkwest Overview: Headquartered in Knoxville, ... with a minimum of 3 years of experience. Case Management certification is preferred, but not required. There is...and patients and serving as a clinical resource and consultant to the health care team. The RN Care… more
    Covenant Health Inc. (04/22/25)
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  • RN Care Coordinator II

    Covenant Health Inc. (Knoxville, TN)
    Overview Registered Nurse Care Coordinator, Quality Management Full Time, 80 Hours Per Pay Period, Day Shift Occasional travel as needed Covenant Medical Group ... and patients and serving as a clinical resource and consultant to the health care team. The RN Care...Coordinator II reports directly to the Manager of Quality Management at the corporate level. Recruiter: Sandra Simmons ||… more
    Covenant Health Inc. (04/24/25)
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  • RN Care MGR II

    Covenant Health Inc. (Harriman, TN)
    …coordinating education of staff and patients and serving as a clinical resource and consultant to the health care team. The RN Care Manager II is responsible for ... reports directly to the Manager/Coordinator of Quality and Care Management at the facility level. Recruiter:Sandra Simmons ||###@covhlth.com|| ### Responsibilities… more
    Covenant Health Inc. (03/29/25)
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  • RN Care Mgr III

    Covenant Health Inc. (Harriman, TN)
    …coordinating education of staff and patients and serving as a clinical resource and consultant to the health care team. The RN Care Manager III is responsible for ... nursing unit and reports directly to the Manager/Coordinator of Quality and Care Management at the facility level Recruiter: Sandra Simmons || ###@covhlth.com || ###… more
    Covenant Health Inc. (03/17/25)
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  • RN Care Mgr I

    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 Center is an ... and patients and serving as a clinical resource and consultant to the health care team. The RN Care...reports directly to the Manager/Coordinator of Quality and Care Management at the facility level Recruiter: Lacey Spoon ||… more
    Covenant Health Inc. (03/19/25)
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  • RN Care Mgr I

    Covenant Health Inc. (Morristown, TN)
    Overview Registered Nurse Care Manager, Continuum of Care PRN/OCC, Variable Hours, Day Shifts Morristown Hamblen Overview: Morristown-Hamblen Healthcare System has ... their annual mammograms, biopsies, and can meet with a nurse navigator if needed. The Women's Center offers six...and patients and serving as a clinical resource and consultant to the health care team. The RN Care… more
    Covenant Health Inc. (04/05/25)
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  • Director Regulatory and Accreditation WFH

    HCA Healthcare (Nashville, TN)
    …assessments of focused topics within HCA Healthcare hospitals/ASCs including credentialing, utilization management , peer review, medical staff and board bylaws, ... guidance to division vice president, quality or director, quality and risk management . Up to 75% TRAVEL REQUIRED Major Responsibilities * Individual serves as… more
    HCA Healthcare (04/20/25)
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