- The Cigna Group (Franklin, TN)
- The Chief Medical Officer (CMO) Utilization Management will develop and manage efforts to improve and maintain cost and utilization trends. ... CMS, departments of insurance, or other outside regulators + Evaluate utilization trends, referral patterns, fraudulent medical practices, quality standards,… more
- HCA Healthcare (Nashville, TN)
- …2,000 sites of care in 21 states and the United Kingdom. We are looking for a Chief Medical Officer for our TriStar Skyline Medical Center team where ... to be an influencer in healthcare? **Apply for our Chief Medical Officer role today!**...+ You will serve as a consultant to hospital Medical Staff Services regarding physician credentialing, utilization ,… more
- Evolent Health (Nashville, TN)
- …as a clinical liaison to providers and clients as directed by the office of the Chief Medical Officer . While leading a team of Orthopedic and Spine Surgeons. ... as needed for new hires to educate and train on Utilization management system and Field Medical Director process, standards and resources. + Acts as assigned… more
- Vanderbilt University Medical Center (Nashville, TN)
- …This position serves as a member of the Office of the President and Chief Operating Officer , Vanderbilt University Hospital (VUH). The person in this role ... **Discover Vanderbilt University Medical Center:** Located in Nashville, Tennessee, and operating...will represent the Office of the VUH President and Chief Operating Officer in a professional manner,… more
- Vanderbilt University Medical Center (Nashville, TN)
- …and coordination/integration of processes with other departments. * Responsible to the Chief Nursing Officer for the integration of nursing practice across ... **Discover Vanderbilt University Medical Center:** Located in Nashville, Tennessee, and operating...Care Centers to assure Clinical Enterprise accreditation/licensure. * Ensure utilization of space within the Patient Care Center supports… more
- HealthEdge Software Inc (Nashville, TN)
- …innovative technology to solve critical needs in healthcare. This individual will report to the Chief Medical Officer of Healthedge (HE) and ensure that our ... Quality Assurance), CMS (Centers for Medicare & Medicaid Services), URAC ( Utilization Review Accreditation Commission) and other State regulatory bodies. The ideal… more
- LifePoint Health (Gallatin, TN)
- …department stake holders to facilitate care in a safe environment. Reports to: Chief Financial Officer *Minimum Education* Bachelor's degree in Nursing - ... staff competencies in all areas of care management to include utilization review, transition/discharge planning, social work services. Provide specialized expertise,… more