- Centene Corporation (Nashville, TN)
- …the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, ... within the Eastern or Central time zone. **Position Purpose:** Analyzes all prior authorization requests to determine medical necessity of service and appropriate… more
- Veterans Affairs, Veterans Health Administration (Murfreesboro, TN)
- …by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. Responsibilities VA LPN Specialty Pay Scale VA25 ... Primary Care GS-7 is under the supervision of the Nurse Manager in Primary Care at the Alvin C....complex patient assignments, which include prioritization and coordination of clinical activities with minimal supervision. Patient Aligned Care Team… more
- The Cigna Group (Nashville, TN)
- …required is proficiency with various computer-based applications such as Microsoft Office. + Prior clinical experience in geriatric, adult or family medicine is ... decrease unnecessary healthcare cost. We are an interdisciplinary group of clinical professionals that understand the needs of patients, medical professionals,… more
- Vanderbilt University Medical Center (Nashville, TN)
- …in patient care, education, and research. **Organization:** VPEC **Job Summary:** The nurse practitioner (NP) within the acute care hospital setting works in ... NP demonstrates an advanced level of medical and nursing knowledge, clinical /technical competence, sound clinical judgment, professional communication skills,… more
- HCA Healthcare (Nashville, TN)
- …step in your career path, we encourage you to apply for our Operating Room Nurse opening. We review all applications. Qualified candidates will be contacted by a ... you have the career opportunities as a(an) Operating Room Nurse you want in your current role? We invest...months, 24 months) 6 month commitment if you leave prior to 6 months you have to pay back… more
- HealthTrust Workforce Solutions (Nashville, TN)
- **Entrust Your Career to HealthTrust!** **Registered Nurse (RN) - Vascular Access- Full Time** At HealthTrust, we believe that healthcare isn't defined by the four ... provision of care for the patient while performing and monitoring the clinical insertion of a Peripherally Inserted Central Catheter (PICC), Midline Catheters,… more
- Vanderbilt University Medical Center (Nashville, TN)
- …members * Comfortable changing assignment/roles every day or so * Comfortable with the clinical review of testing results and visit plans to determine if ... or actions might be indicated * Experience/proficiency in the review and the utilization of EPIC and/or eStar including...clinic by one of our surgeons for medical optimization prior to the day of surgery. This process allows… more
- Fresenius Medical Center (Hendersonville, TN)
- …regulations at: https://content.intranet.fmcna.com/regulatory-affairs/wp-content/uploads/sites/46/2019/05/Pre-Licensed- Nurse -50-State- Review ... of the hemodialysis health care team as a Registered Nurse Applicant, under the direction or supervision of a...for other staff members. + Routinely meets with the Clinical Manager to discuss personnel and patient care status,… more
- LifePoint Health (Brentwood, TN)
- …and day-to-day implementation and management of processes related to the concurrent review of the clinical documentation in the inpatient medical record. ... * Clinical Documentation Integrity (CDI) Manager* *Who we are:*...Perform other duties as assigned. *What you'll need:* *Education: * Nurse (RN, NP, or graduate of a state approved… more
- HCA Healthcare (Nashville, TN)
- …you want to join an organization that invests in you as a Revenue Integrity Clinical Coding Analyst RN? At Parallon, you come first. HCA Healthcare has committed up ... the opportunity to make a difference. We are looking for a dedicated Revenue Integrity Clinical Coding Analyst RN like you to be a part of our team. **Job Summary… more
- Vanderbilt University Medical Center (Nashville, TN)
- …Ensures capture of discharge diagnosis and procedures independently. Documents the patient's clinical status and care provided. Performs concurrent review of ... patient records for documentation to support assignment of clinical codes. . KEY RESPONSIBILITIES * Performs assessment of patient records to evaluate documentation… more
- HCA Healthcare (Nashville, TN)
- …+ Collaborate to identify and plan for supplier presentations at advisory board meetings; review content prior to presentations + Timely review , approval, ... accordance with law and regulation Required + Certified OR Nurse Preferred + 3-5 years clinical leadership...Certified OR Nurse Preferred + 3-5 years clinical leadership experience Required (Surgical Services Preferred) + 5… more
- Edwards Lifesciences (Nashville, TN)
- …event narratives for internal review (eg R&D, quality, RA) or external review ( Clinical Endpoints Committee), as well as for regulatory submissions. + ... complaint information. + Collaborate with senior safety management to review and analyze aggregate safety reports to identify early...clinical and relevant industry experience Required Or + Nurse Practitioner (NP) with a Master's of Science in… more
- Vanderbilt University Medical Center (Nashville, TN)
- …* Negotiate service levels and service changes with the Support Service Departments. * Review variance to budget and prior period actual data and implement ... work team which supports the mission, vision and credo of the Vanderbilt Clinical Enterprise. Maintain the established goals of the Patient Care Center and the… more
- Fresenius Medical Center (Nashville, TN)
- …dialysis therapy for patients under the direct supervision of a licensed nurse in accordance with organization policies, procedures, and training and in compliance ... + Monitor patients' response to dialysis therapy. + Obtain vital signs prior to reinfusion; perform all relevant functions necessary for the discontinuation of… more
- HCA Healthcare (Nashville, TN)
- …Bachelors or Associate Degree in Nursing + Prior healthcare experience required + Prior clinical and/or coding background preferred + Prior HCA SSC ... your potential! **Job Summary and Qualifications** The Revenue Integrity Registered Nurse Auditor evaluates medical record documentation for evidence of clinical… more
- Sanofi Group (Nashville, TN)
- …with healthcare professionals, primarily the center coordinating genetic counselor, registered nurse , or other ancillary staff. The PEL works collaboratively in a ... settings (eg, home and outpatient), ensuring healthcare professionals are knowledgeable prior to treating patients. Coordination with field team members as… more
- Nashville Center for Rehabilitation and Healing (Nashville, TN)
- …Facility/Community Systems that allow capture of resources provided on the MDS, clinical trends that impacts resident care, and any additional information that has ... an affect on the clinical and operational outcomes of the Facility/Community + Utilizes...+ Responsible for timely and accurate completion of Utilization Review and Triple Check + Serves on, participates in,… more
- Ascension Health (Nashville, TN)
- …Management to join our team! In this pivotal role, you'll lead clinical discussions during Payer JOC meetings, oversee denial management activities, and perform ... + Develop systems and processes for prospective, concurrent and retrospective utilization review for allself-funded and fully insured clients to implement and manage… more
- HCA Healthcare (Nashville, TN)
- …the Plan of Care under the direction and supervision of a Registered Nurse and/or Director, Professional Services. Performs all functions in a professional and ... environmental needs of patients. + Verifies Plan of Care prior to each visit and provides care according to...of one year experience as an LPN/LVN in a clinical care setting + Home care experience preferred +… more