- CenterWell (Nashville, TN)
- …opportunities for managing populations and coordinating care to reduce acute and post - acute care utilization . The Manager role is hybrid with travel ... action plans that will reduce acute and post - acute care utilization . + Solicits/shares...management experience + Experience working in primary care, acute care, ambulatory care and or value-based care organizations… more
- Humana (Nashville, TN)
- …teams focusing on quality management , utilization management , case management , discharge planning and/or home health or post - acute services (such ... Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management . + Utilization management experience in a… more
- Humana (Nashville, TN)
- …teams focusing on quality management , utilization management , case management , discharge planning and/or home health or post acute services such ... Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management . + Utilization management experience in a… more
- HCA Healthcare (Nashville, TN)
- …facilitate a successful care transition. + Partners with Social Services to ensure the post - acute medical needs and level of care are appropriate. + Assumes ... Do you have the career opportunities as a Case Management RN you want in your current role? We...supporting a balance of optimal care and appropriate resource utilization . What you will do in this role: +… more
- Select Medical (Nashville, TN)
- … within the plan of care. + Demonstrates compliance with facility-wide Utilization Management policies and procedures. + Coordinates UR compliance with ... what is right. The Case Manager is responsible for utilization reviews and resource management , discharge planning,...step-down, med surg, vents)** + Adequate experience in an acute medical case management setting and confidence… more
- Humana (Nashville, TN)
- …teams focusing on quality management , utilization management , case management , discharge planning and/or home health or post acute services such ... Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management + Utilization management experience in a… more
- HCA Healthcare (Nashville, TN)
- …confirm with NCBON. **Preferred Certification:** Nationally accepted certification in Case Management , Utilization Review, Coding, or other denial management ... in denial management . + Requires professional level of knowledge of utilization review, care management , InterQual and/or medical necessity methods, DRGs,… more
- HCA Healthcare (Nashville, TN)
- …for leading, developing and implementing a Pharmacy Member Support strategic management plan for multiple non- acute /AdvantageTrust facilities. This position is ... alliances with key stakeholders as it relates to a successful pharmacy expense management program. **What you will do in this role includes:** Leadership +… more
- The Cigna Group (Nashville, TN)
- …and documents provided by health plan to prep weekly rounds of documentation ** Post - Acute Management and Coordination** 1. Participation in weekly care ... education including possible side effects, plan of care, and individualized care goals management in a culturally sensitive and acceptable manner for the patient or… more
- Humana (Nashville, TN)
- …and interpretation skills with 5+ years of experience focusing on quality management , utilization management , discharge planning, rehabilitation services, ... attend Fair Hearings. The clinical scenarios arise from outpatient, post - acute care; acute inpatient; LTC...Clinical Integration, Long Term Services & Supports, and Case Management . The Medical Director, as indicated, could need to… more
- Select Medical (Nashville, TN)
- …division of Select Medical, we care for chronically and critically ill or post -ICU patients who require extended hospital care. Select Medical employs over 48,000 ... with the multidisciplinary health care team, providing continuity in the care management of chronically critically ill patients. You will improve patient outcomes by… more
- Lebanon Center for Rehabilitation and Healing (Lebanon, TN)
- …can be for you. The position is within a Skilled Nursing facility. As a Post Acute and Long Term Care respiratory therapist, your role would involve providing ... meaningful contributions to the rehab team conferences, patient care conferences, utilization review meetings, family conferences, and caregiver training sessions. +… more
- Compass Group, North America (Nashville, TN)
- …services. As specialists, we perform services including healthcare housekeeping, management in laundry processing, patient transportation, and food service. ... Thomas West. This is a 541 bed (average 350-387), acute care, Level II trauma hospital featuring bed side...is available when needed + Makes all decisions regarding utilization of leftover food products staying within Company guidelines… more
- Sharecare (Nashville, TN)
- …of the care enhancement program by providing telephonic care and resource utilization for members in an appropriate, efficient, and cost-effective manner while ... the health care team to support appropriate total healthcare management . RD colleague is supervised by an Operations Manager....in the orientation and to take the pre and post -test to review competency during orientation. Yearly competency test… more