- Community Health Systems (Franklin, TN)
- …appropriateness, and efficiency of medical services and procedures in the hospital setting. Utilization review is the assessment for medical necessity, both for ... appropriate additional documentation from the physician(s). + Escalates cases to the Utilization Review Manager and/or Physician Advisor if physicians are unable… more
- HCA Healthcare (Nashville, TN)
- …encourage you to apply for our Clinical Pharmacist Specialist BMT Oncology PRN opening. We review all applications. Qualified candidates will be contacted ... **Description** **Introduction** Do you have the PRN career opportunities as a(an) Clinical ...multidisciplinary and bedside rounds + You will complete drug utilization reviews to promote rational drug therapy and implement… more
- Baptist Memorial (Memphis, TN)
- Summary The Utilization Review Nurse is responsible for evaluating the medical necessity and appropriateness of healthcare services and treatment as prescribed ... by utilization review standards. The UR Nurse works...HS Case Mgmt Administration Corporate Category: Nurse RN Type: Clinical Work Type: PRN Work Schedule: Days… more
- Baptist Memorial (Memphis, TN)
- …and/or life situation. Performs other duties as assigned. Responsibilities + Utilization Review + Discharge planning + Readmission Reduction Participation ... safe transition of patients throughout the continuum of care for appropriate utilization of resources, service delivery and compliance with federal and other payer… more
- HCA Healthcare (Nashville, TN)
- …step in your career path, we encourage you to apply for our Case Manager RN PRN opening. We review all applications. Qualified candidates will be contacted by a ... have the career opportunities as a(an) Case Manager RN PRN you want in your current role? We invest...supporting a balance of optimal care and appropriate resource utilization . . Provides case management services for both inpatient… more
- HCA Healthcare (Springfield, TN)
- …and integrity. We care like family! Jump-start your career as a **RN PRN Case Management** today with TriStar NorthCrest Medical Center. Benefits TriStar NorthCrest ... patient throughput while supporting a balance of optimal care and appropriate resource utilization . **What you will do in this role** . Provides case management… 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...fundamental proficiency to successfully search for evidence to answer clinical questions. Generally works under the direction of others… more
- Covenant Health Inc. (Knoxville, TN)
- …the patient that will meet identified needs. + Facilitates timely documentation review with the Clinical Documentation Improvement (CDI) specialist as necessary ... Overview Registered Nurse Care Manager, Social Services PRN /OCC, Variable Hours & Shifts Fort Sanders Regional Medical Center is an award-winning, certified, and… more
- Covenant Health Inc. (Sevierville, TN)
- …the patient that will meet identified needs. + Facilitates timely documentation review with the Clinical Documentation Improvement (CDI) specialist, as necessary ... Overview Registered Nurse Care Manager, Continuum of Care PRN /OCC, Variable Hours, Day Shift LeConte Medical Center Overview: LeConte Medical Center is a part of… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Certified MDS Coordinator, Transitional Care PRN /OCC, Variable Hours & Shifts The Transitional Care Unit (9 North / TCU) is a short-term care facility ... in a manner that accurately captures the RUG (Resource Utilization Group) category. + Will provide a schedule of...Date (V0200C2). + Will confirm the transmission file and review the printed initial and final validation report. +… more