- CVS Health (Nashville, TN)
- …care. + Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse ( RN ) with at least 1 year of experience ... in a hospital setting. + A Registered Nurse that holds an active, unrestricted...lower levels of care. + 1+ years' experience in Utilization Review . + CCM and/or other URAC… more
- Baptist Memorial (Memphis, TN)
- Overview Purpose of Position and Scope of Responsibility Job 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...clinical experience RN with Case Management or Utilization Review experience in a hospital or… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Registered Nurse Care Coordinator ,...a proud member of Covenant Health! Position Summary: The RN Care Coordinator II is responsible for ... resource and consultant to the health care team. The RN Care Coordinator II is responsible for...coordination services within the scope of practice as a registered nurse meeting all required standards both… more
- Lebanon Center for Rehabilitation and Healing (Lebanon, TN)
- …meaningful contributions to the rehab team conferences, patient care conferences, utilization review meetings, family conferences, and caregiver training ... a week 37.5 - 40 hours per week Respiratory Nurse ( RN ) We are searching for a...communications within the facility with the director of nursing, nurse managers, and admissions coordinator to assist… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Registered Nurse Care Manager, Continuum of Care Full Time, 80 Hours Per Pay Period , Day Shift M-F, occasional Saturdays and minor holidays Parkwest ... Continuum of Care Department is staffed by a Manager, Coordinator , RN Care Managers, and Masters Level...management services within the scope of practice as a registered nurse meeting all required standards both… more
- Covenant Health Inc. (Sevierville, TN)
- Overview Registered Nurse Care Manager, Continuum of Care Full Time, 80 Hours Per Pay Period, Day Shift LeConte Medical Center Overview: LeConte Medical Center ... + Provides care management services within the scope of practice as a registered nurse meeting all required standards both legal and regulatory. Education:… more
- Covenant Health Inc. (Harriman, TN)
- …duties + Provides care management services within the scope of practice as a registered nurse meeting all required standards both legal and regulatory + In ... Overview RN Care Manager, Continuum of Care PRN/OCC, Variable...on the nursing unit and reports directly to the Manager/ Coordinator of Quality and Care Management at the facility… more
- Covenant Health Inc. (Harriman, TN)
- …requested. + Provides care management services within the scope of practice as a registered nurse meeting all required standards both legal and regulatory. + In ... Overview RN Care Manager, Continuum of Care PRN/OCC, Variable...on the nursing unit and reports directly to the Manager/ Coordinator of Quality and Care Management at the facility… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Registered Nurse Coordinator , Oncology Clinical Research Full Time, 80 Hours Per Pay Period, Day Shift Thompson Cancer Survival Center Overview: ... to treat - and beat - the disease. Position Summary: The Clinical Research Nurse Coordinator promotes good clinical practices in the conduct of oncology clinical… more
- Covenant Health Inc. (Knoxville, TN)
- …patient liability is correctly managed. + Keeps abreast of current changes affecting Utilization Review as applicable. + Adjusts patient type changes and charges ... Overview Physician Advisor Operations Coordinator , Revenue Integrity and Utilization PRN/OCC,...applicable. Recruiter: Suzie McGuinn || ###@covhlth.com Responsibilities + Assists RN Physician Liaison in setting up communications with payors… more