- Humana (Nashville, TN)
- **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work...skills to make an impact** **Required Qualifications** + Licensed Registered Nurse ( RN ) Compact license… more
- Evolent Health (Nashville, TN)
- …direct oversight of centralized telephonic review process of all necessary utilization management components. + Partner with leadership to mentor staff. ... - Required and Preferred:** + Active clinical license such as Registered Nurse ( RN ), Physical/Occupational/Speech/Radiation Therapist or Chiro,… more
- The Cigna Group (Nashville, TN)
- …Nursing + Three to Five (3-5) years recent experience in an acute-care environment, case- management or utilization management position (experience can be a ... provider practices + Identifies high-risk/high-cost patients for possible case management intervention. + Interfaces with providers of medical services and… more
- Marriott (Nashville, TN)
- …with supervisor keeping him/her informed **Education or Certification** + Must be a licensed registered nurse + Certification as an occupational health nurse ... States **Schedule** Full-Time **Located Remotely?** Y **Relocation?** N **Position Type** Management **JOB SUMMARY** The Nurse CARE Manager coordinates timely,… more
- Sharecare, Inc. (Nashville, TN)
- …for supporting goals and objectives of the care enhancement program by providing telephonic care and resource utilization for members in an appropriate, ... the health care team to support appropriate total healthcare management . RD colleague is supervised by an Operations Manager....will follow company policy to transfer call to an RN or appropriate colleague when member needs are outside… more