• 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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  • Registered Nurse Mental Health…

    Veterans Affairs, Veterans Health Administration (Nashville, TN)
    …Avenue Clinic. Responsibilities The Nurse Outpatient Mental Health (MH) Registered Nurse (RN) executes position responsibilities to improve patient and ... documents nursing triage assessments, risk screens, measurement-based care tools, clinical reminders, and patient plan of care according to...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
    Veterans Affairs, Veterans Health Administration (01/16/25)
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  • Pre-Authorization Registered Nurse

    Humana (Fort Campbell, KY)
    …professional onsite, field, or remote based opportunities. The Prior Authorization, Registered Nurse , RN, Intern will utilize Humana's Medicaid training and ... the goal to put health first? The Prior Authorization, Registered Nurse , RN, Intern will review prior...to complete medical necessity reviews for requested services using clinical judgment and refers to internal stakeholders for review… more
    Humana (01/15/25)
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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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  • Utilization Management Nurse (Gulf South…

    Humana (Nashville, TN)
    …etc. **Use your skills to make an impact** **Required Qualifications** + Licensed Registered Nurse (RN) compact licensure with no disciplinary action + 3+ ... and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to...required based on business needs + This is a remote position **Scheduled Weekly Hours** 40 **Pay Range** The… more
    Humana (01/25/25)
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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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  • Post-Acute Utilization Management Nurse

    Humana (Nashville, TN)
    …Provider calls **Use your skills to make an impact** **Required Qualifications** + Licensed Registered Nurse (RN) compact license with no disciplinary action + 1 ... and help us put health first** The Utilization Management Nurse utilizes clinical nursing skills to support...required based on business needs + This is a remote position **Scheduled Weekly Hours** 40 **Pay Range** The… more
    Humana (01/25/25)
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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- 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 (01/17/25)
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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 (01/22/25)
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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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  • Director, Compliance Operations

    WelbeHealth (Nashville, TN)
    …compliance with regulatory standards **Job Requirements:** + Bachelor's degree required + Registered Nurse (RN), master's degree, or other relevant advanced ... 100% REMOTE OPPORTUNITY At WelbeHealth, each participant of our...is guided by our interdisciplinary team (IDT), composed of clinical and non- clinical members who work cohesively… more
    WelbeHealth (01/23/25)
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  • RN Patient Care Coordinator - Pediatric Orthopedic…

    Vanderbilt University Medical Center (Nashville, TN)
    …emphasizing negative elements. **Position Qualifications:** **Responsibilities:** **Certifications:** LIC- Registered Nurse - Licensure-Others **Work ... patient care, education, and research. **Organization:** CHOC DOT 4 Clinical **Job Summary:** JOB SUMMARY Monday - Friday at...Office Towers 4th Floor (Option for some days of remote opportunity after at least 6 months to a… more
    Vanderbilt University Medical Center (01/10/25)
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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 (01/24/25)
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