• Clinical Registered Nurse

    Sharecare (Nashville, TN)
    …for all Sharecare clinicians. **Essential Job** **Functions:** **Achievement of Clinical Objectives** + Reviews status of participant's preventive health exams ... impact of the health care delivery system on the clinical and financial outcomes of the member population and...+ Minimum of 3 years recent experience in a clinical setting. + Basic knowledge of physiology and chronic… more
    Sharecare (01/08/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Nashville, TN)
    **Diagnosis Related Group Clinical Validation Auditor-** ** Registered Nurse ** **Location:** This position will work a hybrid model ( remote and office). ... and efficiency recommendations. **Minimum Requirements:** + Requires current, active, unrestricted Registered Nurse license in applicable state(s). + Requires a… more
    Elevance Health (01/01/25)
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  • Certified Registered Nurse

    Veterans Affairs, Veterans Health Administration (Nashville, TN)
    …to the educational mission as a mentor or preceptor providing didactic and clinical instruction in anesthesia to student nurse anesthetists, medical and dental ... Learn more VA offers a comprehensive total rewards package: VA Nurse Total Rewards Pay: Competitive salary, regular salary increases, potential for… more
    Veterans Affairs, Veterans Health Administration (12/21/24)
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  • UR Clinical Specialist ( Remote )

    Community Health Systems (Franklin, TN)
    …in computer and web-based applications. **Licenses and Certifications** + RN - Registered Nurse - State Licensure and/or Compact State Licensure required ... to the hospital as well as continued stay. The Utilization Review Clinical Specialist supports and coordinates the various aspects of the hospital's utilization… more
    Community Health Systems (01/10/25)
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  • PRN Utilization Review Clinical Specialist…

    Community Health Systems (Franklin, TN)
    …review experience + Required License/Registration/Certification: Licensed Practical Nurse or Licensed Registered NursePreferred ... with work up to 40 hours per week. **Essential Duties:** + Initial clinical assessments, continued stay assessments, and payer requested reviews are performed using… more
    Community Health Systems (01/08/25)
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  • Nurse Auditor

    Vanderbilt University Medical Center (Nashville, TN)
    …emphasizing negative elements. **Position Qualifications:** **Responsibilities:** **Certifications:** LIC- Registered Nurse - Licensure-Others **Work ... **Job Summary:** Vanderbilt University Medical Center is seeking a full-time Nurse Auditor to perform detailed audits of perioperative services charges to… more
    Vanderbilt University Medical Center (01/08/25)
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  • Consultant, Nurse Disability

    Lincoln Financial Group (Nashville, TN)
    …as indicated **What we're looking for** * 4 Year/Bachelor's Degree in Nursing * Registered Nurse License - Current, unrestricted license in the state where the ... Carolina); Omaha, NE (Nebraska); Work from Home **Work Arrangement:** Remote : Work at home employee residing outside of...We are excited to bring on a highly motivated Nurse Disability Consultant to our clinical organization.… more
    Lincoln Financial Group (01/03/25)
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  • Clinical Documentation Specialist

    Houston Methodist (Nashville, TN)
    clinical experience preferred **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure and/or Compact State Licensure within ... ** Clinical Documentation Specialist - 100% Remote (Must...60 days **OR** + RN-Temp - Registered Nurse - Temporary State Licensure within 60 days + CCDS… more
    Houston Methodist (12/03/24)
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  • Care Manager Behavioral Health - Part Time…

    Highmark Health (Nashville, TN)
    …+ Licensed Marriage and Family Therapist (LMFT) + Licensed Behavior Specialist + Registered Nurse . **Preferred** + None **SKILLS** + Working knowledge of ... **Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** **Fully Remote - Part Time - Weekends Required.** This job implements the effective utilization… more
    Highmark Health (12/12/24)
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  • Utilization Management Specialist (RN Required)…

    Vanderbilt University Medical Center (Nashville, TN)
    …emphasizing negative elements. **Position Qualifications:** **Responsibilities:** **Certifications:** LIC- Registered Nurse - Licensure-Others **Work ... and documentation in practical applications of moderate difficulty. * Clinical Applications Systems (Novice): Possesses fundamental proficiency in utilization review… more
    Vanderbilt University Medical Center (01/10/25)
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  • Care Manager- Remote

    Sharecare (Nashville, TN)
    …within a matrix organizational design. **Qualifications:** + Current multi-state compact Registered Nurse licensure in state of residence is required, ... + Actively participate in team huddles and contribute to clinical learning. + Remain current on clinical ...to clinical learning. + Remain current on clinical knowledge via self-directed learning. **Specific Skills/ Attributes:** +… more
    Sharecare (12/04/24)
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  • Nursing Assistant- Community Living Center East…

    Veterans Affairs, Veterans Health Administration (Murfreesboro, TN)
    …tasks delegated by and performed under the supervision and directions of a Registered Nurse Performs full range of nursing procedures utilizing appropriate and ... care or outpatient setting under the direction of a Registered Nurse and/or Licensed Vocational Nurse...orientation and overseeing/assessing their practical experience while in a clinical setting. Ability to recognize and react to emergent… more
    Veterans Affairs, Veterans Health Administration (01/01/25)
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  • CDI Concurrent Review and Query Specialist

    HCA Healthcare (Nashville, TN)
    …of experience in an acute care facility required Licenses, Certifications, & Training: + Registered Nurse - Currently licensed as a Registered Professional ... **Description** This is a fully remote role, but you must live within 60...to physicians for conflicting, imprecise, incomplete, illegible, or inconsistent clinical documentation. This individual need to function in a… more
    HCA Healthcare (01/10/25)
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  • Advanced Practice Provider Lead - Pediatric Heart…

    Vanderbilt University Medical Center (Nashville, TN)
    …Advanced Practice Registered Nurses and Physician Assistants. This role includes clinical practice (60% of FTE), and administrative duties (40% of FTE), such as ... The Pediatric Heart Institute Advanced Practice Team Leader has responsibility for administrative, clinical and human resource activities in conjunction with the… more
    Vanderbilt University Medical Center (11/28/24)
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  • CDI Reconciliation Specialist

    HCA Healthcare (Nashville, TN)
    …equivalent combination of education and/or experience required Licenses, Certifications, & Training: + Registered Nurse - Currently licensed as a Registered ... **Description** This is fully remote role, but you must live within 60..._HSC Escalation:_ + Using critical thinking skills, independent discretion, clinical judgement, Official Coding Guidelines, DRG Classification, and Coding… more
    HCA Healthcare (01/08/25)
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  • Area Business Manager - Rare Blood Disorders, Rare…

    Sanofi Group (Nashville, TN)
    …sales position or 4 years clinical experience such as an Advanced Registered Nurse Practitioner, Physician Assistant, Registered Nurse , Physical ... + Conduct formal and informal presentations and convey complex Hematology clinical information fluently to Institutional based physicians in large academic centers… more
    Sanofi Group (11/08/24)
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  • Field Care Manager, Behavioral Health

    Humana (Nashville, TN)
    clinical experience in behavioral health **OR** an active, unrestricted Kentucky Registered Nurse **(RN)** license with at least three years of experience ... Virginia, or West Virginia.** + An active, unrestricted Licensed Masters Clinical Social Worker **(LCSW),** Licensed Professional Clinical Counselor **(LPCC)**… more
    Humana (11/20/24)
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  • Utilization Management Behavioral Health…

    Humana (Nashville, TN)
    …Therapist **(LMFT)** , Licensed Professional Counselor **(LPC)** , Psychologist **(PhD)** , Registered Nurse **(RN)** or other professional license. + Three (3) ... independent determination of the appropriate courses of action. + Utilizes clinical knowledge, communication skills, and independent critical thinking skills towards… more
    Humana (11/13/24)
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  • Auditor

    WelbeHealth (Nashville, TN)
    …families **Job Requirements:** + Graduate of an Accredited School of Nursing: unencumbered Registered Nurse (RN) License or LVN License with which you practice ... **100% REMOTE OPPORTUNITY** The WelbeHealth PACE program helps seniors...WelbeHealth locations **Benefits of Working at WelbeHealth** Apply your clinical expertise in new ways as we rapidly expand.… more
    WelbeHealth (01/11/25)
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  • Market Director of Utilization Management

    Ascension Health (Nashville, TN)
    …codes for all clients. **Requirements** Licensure / Certification / Registration: + Registered Nurse credentialed from the Tennessee Board of Nursing obtained ... - Friday. 40 hours week. + **Hospital:** Ascension Saint Thomas + **Location:** Remote - Nashville, TN. This position requires occasional travel to Ascension Saint… more
    Ascension Health (10/25/24)
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