- BlueCross BlueShield of Tennessee (Chattanooga, TN)
- ** Clinical Review Manager ** - The BlueAdvantage Inpatient Utilization Management department is looking for an RN with at least 3 years of clinical ... experience to join our team\. This position reviews clinical for hospital and post\-acute admissions for the adult population\. A strong nursing background working a… more
- CenterWell (Kingsport, TN)
- …you to sit on-site at our Kingsport, TN branch location.** The **RN Clinical Manager ** coordinates and oversees all direct care patient services provided ... + Assesses staff education needs based on own the review of clinical documentation in addition to...of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing… more
- Fresenius Medical Center (Smyrna, TN)
- **About this role:** As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical ... functions, leading your business, and advanced leadership. As a Clinical Manager , you may advance your career...+ Accountable for completion of the Annual Standing Order Review and Internal Classification of Disease (ICD) coding. +… more
- Cardinal Health (Nashville, TN)
- **_What Rheumatology (Rheum) Customer Success contributes to Cardinal Health_** The Clinical Manager for our Rheumatology (Rheum) Customer Success team is ... responsible for leading the Customer Success Clinical function of PPS Analytics. This individual will be...the EVP of Provider Solutions. In this role, the Manager will be held primarily accountable for the overall… more
- Fresenius Medical Center (Knoxville, TN)
- …or federal surveys. + Participates in the completion of the FMS Administrative Clinical Review . **PHYSICAL DEMANDS AND WORKING CONDITIONS:** + The physical ... + Accountable for completion of the Annual Standing Order Review and ICD coding. + Checks correspondence whether electronic,...maximum quality care to all patients. + Must complete Clinical Manager training modules and ongoing developmental… more
- Cardinal Health (Crossville, TN)
- …Pharmacy within the Cumberland Medical Center and we are hiring for a full time Clinical Pharmacy Manager . The Clinical Pharmacy Manager creates ... to improve cost containment. In accordance with regulations, the Clinical Pharmacy Manager , collaborates with other members...other status protected by federal, state or local law._ _To read and review this privacy notice click_ here… more
- Intellatriage (Brentwood, TN)
- …in a rapidly growing, patient-focused business. We are actively recruiting a talented Clinical Care Manager to join our team of energetic, compassionate ... is responsible for managing a team who focuses on distinguishing between clinical and non- clinical issues, managing communication, reducing unnecessary hospital… more
- CenterWell (Kingsport, TN)
- …from the field staff and assisting with weekly case conferences. Refers clinical questions to Branch Director as necessary. + Maintains the client hospitalization ... Visits Done on Paper Report. + Prepares weekly Agent Schedules. Performs initial review of weekly schedule for productivity / geographic issues and forwards schedule… more
- Prime Therapeutics (Nashville, TN)
- …It fuels our passion and drives every decision we make. **Job Posting Title** Clinical Account Manager - Georgia PDL - Remote **Job Description** Innovative ... with pharmacy department or designated customer contacts. + Directs operations account manager in resolving customer service issues and actions supportive of the… more
- Community Health Systems (Franklin, TN)
- **Job Summary** The Clinical Utilization Review Specialist is responsible for evaluating the necessity, appropriateness, and efficiency of hospital services to ... with healthcare providers to facilitate efficient patient care. The Clinical Utilization Review Specialist monitors adherence to...Compact State Licensure required + CCM - Certified Case Manager preferred or + Accredited Case Manager … more
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