- Vanderbilt University Medical Center (Nashville, TN)
- …hospital and entity of Vanderbilt Medical Center in beautiful Nashville, TN. As the Director of Case Management at Monroe Carrel Jr. Children's Hospital, ... a professional nursing certification in leadership, care coordination, or clinical care. This is a full-time position based on-site...enhance the growth and communication for the Department of Case Management . * Works within a Shared… more
- HCA Healthcare (Nashville, TN)
- …work environment where diversity and inclusion thrive? Submit your application for our Director Clinical Informatics opening with HCA Healthcare today and find ... benefits may vary by location._** We are seeking a Director Clinical Informatics for our team to...from health information exchange with national networks to use case -specific clinical decision support. Success in this… more
- Humana (Nashville, TN)
- …prior experience participating in teams focusing on quality management , utilization management , case management , discharge planning and/or home health or ... + Experience working with Case managers or Care managers on complex case management , including familiarity with social determinants of health. + The… more
- Humana (Nashville, TN)
- …prior experience participating in teams focusing on quality management , utilization management , case management , discharge planning and/or home health or ... + Experience working with Case managers or Care managers on complex case management , including familiarity with social determinants of health. + The… more
- Vanderbilt University (Nashville, TN)
- …community to ensure a collaborative support network on campus, including the Associate Director for Clinical Operations for best service delivery. The Associate ... Position Summary: The Associate Director for Psychiatry is an integral part of...policies and procedures for psychiatry in collaboration in the Clinical Operations team. + Caseload assignment and management… more
- Highmark Health (Nashville, TN)
- …provide qualified medical direction and consultation for care delivery and complex case management for our community-based palliative care program. In addition, ... and through patient centered evaluation and engagement. The medical director will serve as a clinical champion...the interdisciplinary team.Devote their best ability to the proper management of the program + Assure that the established… more
- Humana (Nashville, TN)
- …and experience with national guidelines such as NCD/LCD, MCG(R) or InterQual The Medical Director conducts clinical case reviews of requests received by ... members of the Medicare population and reports to the Lead Medical Director . **Other duties:** + Identify medical management operational improvements, including… more
- HCA Healthcare (Nashville, TN)
- …team in intra and inter departmental initiatives (eg, data abstraction, revenue cycle, case management , clinical documentation improvement, EHR, EMPI, ... the planning, development, implementation and maintenance of the health information management (HIM) services. The Director initiates, designs, leads, executes,… more
- Select Medical (Nashville, TN)
- …, while also completing medical record documentation. You will report directly to the Director of Case Management and provide social work services, as ... Manager (PRN)** _Requires a current licensure in a clinical discipline either as a Nurse or a Respiratory...surg, vents)** + Adequate experience in an acute medical case management setting and confidence to manage… more
- BrightSpring Health Services (Nashville, TN)
- …clients and exchanges information to identify the clients' needs and consults with Director of Clinical Management to determine the Company's ability ... payer. + Contacts referral sources to advise them of case acceptance and provides information on the clinical...license. + Must have two years of experience with case management or related discipline + Must… more
- CVS Health (Nashville, TN)
- …expertise as well as directing case management when necessary. The Medical Director will act as a business and clinical liaison to network providers and ... Appeals / Appeal Hearings / Special Projects and Committee participation when needed. The Medical Director will provide clinical , coding, and reimbursement… more
- Nashville Center for Rehabilitation and Healing (Nashville, TN)
- RN MDS Director Nashville Center for Rehabilitation and Healthcare Center is looking for a talented and hard-working RN MDS Coordinator to join our ever-growing ... team. MDS Director Essential Job Functions + Oversees accurate and thorough...that govern the process + Acts as an in-house Case Manager demonstrating detailed knowledge of residents health status,… more
- Elevance Health (Nashville, TN)
- …(formerly IngenioRx) leverages the power of new technologies and a strong, clinical -first lens, to deliver member-centered, lasting pharmacy care **.** Reporting to ... the VP, Product Strategy, The Product Innovation Director is responsible is to create an innovation pipeline...meet current and emerging needs of the Pharmacy Benefit Management (PBM) market. This leader will drive build, buy… more
- Bayer (Brentwood, TN)
- …minds to make a real difference, there's only one choice.** **Associate Director Regional Marketing - Prostate - Mid Atlantic - Tennessee Valley** **Associate ... Director Regional Marketing - Prostate - Mid Atlantic -...responsible for activities across five key areas, in each case , acting as a champion to deliver brand communication… more
- CenterWell (Murfreesboro, TN)
- …performance review and outcomes of care analysis to determine efficiency, the efficacy of case management system as well as any other systems and process. ... outcome planning. + Works in conjunction with the Branch Director and Company Finance Department to establish location's revenue...+ Responsible for review of the appropriate number of Case Managers and clinical staff documentation to… more
- Highmark Health (Nashville, TN)
- …required based on business need. **Preferred** + None **SKILLS** + Critical Thinking + Case Management + Customer Service + Oral & Written Communication Skills + ... performed in accordance with the highest and most current clinical standards. The incumbent reviews escalated cases electronically and...as the physician member of the multidisciplinary team for case and disease management . They will advise… more
- BrightSpring Health Services (Madison, TN)
- …interdisciplinary group + Conducting quarterly record reviews and communicating findings with Director of Clinical Operations and/or Executive Director + ... + Knowledge of the hospice philosophy of care and principles of pain/symptom management + Commitment to clinical and documentation excellence About our Line… more
- BrightSpring Health Services (Murfreesboro, TN)
- …and Hospice Overview Adoration Home Healthis currently seeking aRegistered Nurse Clinical Managerfor our location in Murfreesboro, Tennessee. This is an office ... oversees the implementation of improvement plans + Collaborates with Branch Director in the implementation of quality improvement activities and corrective action… more
- HCA Healthcare (Nashville, TN)
- …work to deliver clinical excellence behind the scenes in data science, case management or transfer centers. Unlock your potential at TriStar Centennial ... will do in this role:** + Assumes responsibility for clinical and resource management of unit (24...instruments, and equipment for procedures + Works with manager/assistant director in development of procedures and policies for the… more
- HCA Healthcare (Smyrna, TN)
- …work to deliver clinical excellence behind the scenes in data science, case management or transfer centers. Unlock your potential at TriStar StoneCrest ... **Are you passionate about delivering patient-centered care?** Submit your application for Clinical Nurse Coordinator position and spend more time at the bedside… more