- Humana (Nashville, TN)
- … or discharge planner in an acute care setting + Previous experience in utilization management/ utilization review for a health plan or acute care ... our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination,… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Registered Nurse Care Coordinator , Quality Management Full Time, 80 Hours Per Pay Period, Day Shift About Us Covenant Medical Group employs or manages ... We're a proud member of Covenant Health! Position Summary: The RN Care Coordinator II is responsible for integrating evidenced based clinical practice into the… more
- Manchester Center for Rehabilitation and Healing (Manchester, TN)
- …trends on a monthly basis + Responsible for timely and accurate completion of Utilization Review and Triple Check + Serves on, participates in, and attends ... and as directed by their supervisor and Administrator MDS Coordinator Qualifications: + Licensed Nurse with current, active license in state of practice. +… more
- Highmark Health (Nashville, TN)
- …requirements. Documents, processes and routes requests for services to the nurse reviewer and other departments based on documentation procedures, including ... review type, clinical information, and decision timeframes. Follows policies...and notification requirements are met. + Communicate effectively with Utilization Management Staff, providers, other internal and external customers… more
- CVS Health (Nashville, TN)
- …with transferring patients to lower levels of care. + 1+ years' experience in Utilization Review . + CCM and/or other URAC recognized accreditation preferred. + ... **Preferred Qualifications** + 1+ years' Case Management experience or discharge planning, nurse navigator or nurse care coordinator experience as… more
- Quality 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 ... communications within the facility with the director of nursing, nurse managers, and admissions coordinator to assist...director of nursing, nurse managers, and admissions coordinator to assist in development of the respiratory therapy… 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. May rotate weekend and minor holidays. Parkwest ... Continuum of Care: The Continuum of Care Department is staffed by a Manager, Coordinator , RN Care Managers, and Masters Level Social Workers. They are involved in… more
- Covenant Health Inc. (Lenoir City, TN)
- Overview Registered Nurse Care Manager, Quality Management PRN/OCC,Hours and Shifts Vary Fort Loudoun Medical Center Overview: Fort Loudoun Medical Center is ... the Leadership team on the nursing unit and reports directly to the Manager/ Coordinator of Quality and Care Management at the facility level. Recruiter: Sandra… more
- Trevecca Center for Rehabilitation and Healing (Nashville, TN)
- …meaningful contributions to the rehab team conferences, patient care conferences, utilization review meetings, family conferences, and caregiver training ... others. Maintaining close communications within the facility with the director of nursing, nurse managers, and admissions coordinator to assist in development of… more
- Covenant Health Inc. (Harriman, TN)
- …Leadership team on the nursing unit and reports directly to the Manager/ Coordinator of Quality and Care Management at the facility level. Recruiter:Sandra Simmons ... the patient that will meet identified needs. + Facilitates timely documentation review with the Clinical Documentation Improvement (CDI) specialist, as necessary to… more