- Wellpath (Nashville, TN)
- …or Care Management Certification. + RN preferred. Experience + Previous utilization review and/or case management and pre-certification experience + ... difference** The Regional Care Manager (RCM) works collaboratively with the Utilization Medical Director, Regional Medical Directors, and Site Leadership to… more
- HCA Healthcare (Smyrna, TN)
- …quality patient care. We offer compassion and comfort in our modern facility. The Registered Nurse ( RN ) CM is responsible for promoting patient-centered care ... "Mission and Value Statement." + Currently licensed as a Registered Nurse in the state(s) of practice...you to apply for our Case Management RN PRN opening. We review all applications.… more
- HCA Healthcare (Nashville, TN)
- … RN opening and continue to learn! **Job Summary and Qualifications** The Registered Nurse ( RN ) CM is responsible for promoting patient-centered care ... supporting a balance of optimal care and appropriate resource utilization . + Provides case management services...you to apply for our Case Management RN opening. Our team will promptly review … more
- HCA Healthcare (Nashville, TN)
- …our Nurses at TriStar Centennial Medical Center! **Job Summary and Qualifications** The Registered Nurse ( RN ) CM is responsible for promoting ... supporting a balance of optimal care and appropriate resource utilization . Provides case management services for...you to apply for our Case Management RN PRN opening. We review all applications.… more
- Lincoln Financial Group (Nashville, TN)
- …proficiency with Disability Management (STD/LTD) knowledge, Workers Compensation, Utilization Review and/or nurse case management preferred skills ... looking for** * 4 Year/Bachelor's Degree in Nursing * Registered Nurse License - Current, unrestricted license...in a career at Lincoln, we encourage you to review our current openings and apply on our website.… more
- The Cigna Group (Franklin, TN)
- The RN Coordinator serves as the key contact point for...as needed 3) 3+ years of experience as a Registered Nurse 4) Proficient level of experience with ... coordinate and streamline all services offered within Evernorth. The RN Coordinator will educate the patient on healthcare options,...and make specific recommendations based on their goals 4. Review paperwork for patients to ensure it meets all… more
- HCA Healthcare (Nashville, TN)
- …experience preferred + Certifications, Licenses, and other Special Requirements + Current/Active Registered Nurse ( RN ) License within practice state required ... Home Health RN Clinical Manager opening. Our team will promptly review your application. Highly qualified candidates will be contacted for interviews. **Unlock… more
- Nashville Center for Rehabilitation and Healing (Nashville, TN)
- …trends on a monthly basis + Responsible for timely and accurate completion of Utilization Review and Triple Check + Serves on, participates in, and attends ... are seeking qualified candidates who have experience as an RN or LPN and are committed to help our...as directed by their supervisor and Administrator Qualifications: + Registered Nurse / LPN with current, active… more
- LifePoint Health (Gallatin, TN)
- …upon hire *Required Skills* Licenses: State of Tennessee or Multi-State Registered Nurse licensure - Required Certification in Case Management such as CCM - ... Provide Case Management leadership and management for hospitals within...competencies in all areas of care management to include utilization review , transition/discharge planning, social work services.… more
- Highmark Health (Nashville, TN)
- …Inc. **Job Description :** **JOB SUMMARY** This job implements effective utilization management strategies including: review of appropriateness of health ... care services, application of criteria to ensure appropriate resource utilization , identification of opportunities for referral to a Health Coach/ case … more
- HCA Healthcare (Smyrna, TN)
- …and personal growth, we encourage you to apply for our Operating Room RN opening. We promptly review all applications. Highly qualified candidates will ... We care like family! Jump-start your career as a(an) Operating Room RN today with Physicians Pavilion Surgery Center. **Benefits** Physicians Pavilion Surgery… more
- HCA Healthcare (Nashville, TN)
- …step in your career path, we encourage you to apply for our Operating Room Nurse - Float Pool opening. We review all applications. Qualified candidates will be ... you have the career opportunities as an Operating Room Nurse - Float Pool you want in your current...the instrument and equipment set-up for your OR, including utilization of preference cards and ability to anticipate your… more
- Houston Methodist (Nashville, TN)
- …- One year of clinical experience preferred **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure and/or Compact ... an acute care hospital setting is required; coding and utilization review experience preferred + For Medical...State Licensure within 60 days **OR** + RN -Temp - Registered Nurse -… more
- The Cigna Group (Nashville, TN)
- …with chronic illnesses in an effort improve clinical outcomes and decrease utilization . We provide physical, emotional, and spiritual support for patients who are ... facing life-threatening illnesses. We are currently seeking nurse practitioners who are passionate about serious illness care and management to join our growing… more