- Baptist Memorial (Memphis, TN)
- …Five years clinical experience and 3-5 years case management or denial management experience. Minimum: RN , 5 years clinical experience in a clinical care ... assistance/continuing education + Employee referral program Job Summary: Position: 3484 - Specialist -Denial II RN Facility: BMHCC Corporate Office Department: HS… more
- Covenant Health Inc. (Sevierville, TN)
- 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 ... services within the scope of practice as a registered nurse meeting all required standards both...in area of assigned responsibility. Licensure Requirement: Current Tennessee RN License. Current certification in Case Management ,… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Registered Nurse Care Manager, Social Services PRN/OCC, Variable Hours & Shifts Fort Sanders Regional Medical Center is an award-winning, certified, and ... services within the scope of practice as a registered nurse meeting all required standards both...in area of assigned responsibility. Licensure Requirements: Current Tennessee RN License. Current certification in Case Management ,… more
- Covenant Health Inc. (Oak Ridge, TN)
- Overview Registered Nurse , Care Manager Full Time, 80 Hours Per Pay Period, Day Shift With more than 30 specialties from Cardiology and Neurosurgery to ... services within the scope of practice as a registered nurse meeting all required standards both...in area of assigned responsibility. Licensure Requirement: Current Tennessee RN License. Current certification in Case Management ,… more
- Community Health Systems (Franklin, TN)
- …+ Demonstrated proficiency in computer and web-based applications. **Licenses and Certifications** + RN - Registered Nurse - State Licensure and/or Compact ... **Job Summary** Utilization management is the analysis of...denials and appeals activities, and readmission reduction initiatives. The nurse specialist will use technology resources to… 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
- 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 (Hermitage, TN)
- …include: 1) implementation and support of division wide standardization, utilization , integration, and optimization activities related to advanced clinical ... resources. The Consulting EHR Support Analyst coordinates division-wide parameter management , develops education/training materials for new applications, manages validation… more
- Covenant Health Inc. (Knoxville, TN)
- …+ Takes administrative on-call when required as a support to the on-call nurse and provides software management related to processing intakes, reviewing ... status for homecare and eligibility guidelines for hospice. + Ensures service utilization correlates with assessment data. + Processes the OASIS/HIS and 485/POC, and… 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