- Vanderbilt University Medical Center (Nashville, TN)
- …through preeminent programs in patient care, education, and research. **Organization:** Utilization Management 10 **Job Summary:** JOB SUMMARY Facilitates ... instead of emphasizing negative elements. **Position Qualifications:** **Responsibilities:** **Certifications:** LIC- Registered Nurse - Licensure-Others **Work Experience:** Relevant… more
- Community Health Systems (Franklin, TN)
- …years Utilization review experience + Required License/Registration/Certification: Licensed Practical Nurse or Licensed Registered Nurse + Preferred ... imaging centers, cancer centers and ambulatory surgery centers. **Summary:** Utilization management is the analysis of the...management system by the UR Behavioral Health Review Specialist . + UR Clinical Specialist communicates with… more
- Community Health Systems (Franklin, TN)
- …Licenses:** Current RN license to practice in state **Preferred** + Utilization review and/or case management experience Equal Employment Opportunity This ... the essential functions. **Knowledge/Abilities** : **Required** + Understanding and utilization of medical necessity criteria for inpatient and outpatient services… more
- HCA Healthcare (Nashville, TN)
- …experience preferred + Certifications, Licenses, and other Special Requirements + Current/Active Registered Nurse ( RN ) License within practice state required ... their positions. Join our Team as a(an) Home Health RN Clinical Manager and access programs to assist with...of assigned home health care team(s) Supervises ongoing case management of all patients ensuring an accurate evaluation and… more
- Highmark Health (Nashville, TN)
- …Counselor (LPC) + Licensed Marriage and Family Therapist (LMFT) + Licensed Behavior Specialist + Registered Nurse . **Preferred** + None **SKILLS** + ... Remote - Part Time - Weekends Required.** This job implements the effective utilization management strategies including: review of appropriateness of health care… more
- Ascension Health (Nashville, TN)
- …/ Certification / Registration: One or more of the following required: + Registered Nurse credentialed from the Tennessee Board of Nursing obtained prior ... planning, and length of stay. + Serve as content specialist for staff in the areas of utilization...utilization criteria, appeal and review process, and case management system documentation. + Develop staff schedule and revises… more
- HCA Healthcare (Dickson, TN)
- …Specialist , your primary responsibilities will include Medication therapy management , including daily multidisciplinary rounds, for the inpatient specialty ... You role completes pharmacy consults/clinical interventions, stewardship of appropriate utilization of medications, integrated operational support, and departmental leadership… more