• Clinical Review Manager

    BlueCross BlueShield of Tennessee (Chattanooga, TN)
    **Join our team as a Clinical Review Manager \!** We are seeking a quick learner who is self\-motivated and capable of working independently\. The ideal ... candidate will be able to efficiently navigate and disseminate clinical information in a timely manner\. Proficiency in Microsoft products \(Word, Excel, Outlook,… more
    BlueCross BlueShield of Tennessee (10/07/25)
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  • Quality Control Senior Manager

    HCA Healthcare (Nashville, TN)
    …knowledge and expertise! **Job Summary** We are seeking a diligent and experienced Senior Manager , Clinical Review , Quality Control to ensure the quality and ... compliance team, and enhancing the overall quality of our clinical processes. The Senior Manager will analyze...encourage you to apply for our Quality Control Senior Manager opening. We promptly review all applications.… more
    HCA Healthcare (09/04/25)
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  • Clinical Operations Manager - VBC

    Somatus (Nashville, TN)
    …physical and mental well-being + Community engagement opportunities + And more! The Clinical Operations Manager - VBC is responsible for managing an ... patients with kidney disease and congestive heart failure. The Clinical Operations Manager - VBC also supports...progress to goals for engagement, quality, SLAs, etc. . Review , manage, and coordinate case assignments with care teams… more
    Somatus (10/04/25)
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  • Dialysis Clinical Manager Registered…

    Fresenius Medical Center (Bristol, 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
    Fresenius Medical Center (08/12/25)
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  • Dialysis Clinical Manager Registered…

    Fresenius Medical Center (Memphis, 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
    Fresenius Medical Center (10/04/25)
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  • Clinical Pharmacy Manager

    Cardinal Health (Morristown, TN)
    …pharma-economic initiatives to improve cost containment. In accordance with regulations, the Manager Clinical , collaborates with other members of the health care ... team on prescribed medications, supplies and related processes. **_Job Summary_** The Clinical Pharmacy Manager creates continuing education programs for the… more
    Cardinal Health (09/19/25)
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  • Clinical Manager Surgical Services

    HCA Healthcare (Nashville, TN)
    …**Introduction** Do you want to join an organization that invests in you as a(an) Clinical Manager of Surgical Services? At HCA Healthcare, you come first. HCA ... make a difference. We are looking for a dedicated Clinical Manager of Surgical Services like you...and effective care delivery and provide efficient through put. * Review and trend data to identify and resolve potential… more
    HCA Healthcare (09/27/25)
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  • Associate Manager Clinical Support,…

    Elevance Health (Nashville, TN)
    …of life through home-care and community based services. **CareBridge - Associate Manager Clinical Support** Location: **Virtual** - This role enables associates ... 5:00 pm either during CST or EST** The **Associate Manager Clinical Support** under general guidance and...phone inquiries. + Oversees out of network and chart review administrative processes. + Works to streamline processes to… more
    Elevance Health (10/08/25)
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  • PRN UR Clinical Specialist

    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
    Community Health Systems (09/18/25)
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  • Health Technician (Telehealth Clinical )

    Veterans Affairs, Veterans Health Administration (Johnson City, TN)
    …such as capturing images, collecting data and transmitting them electronically for clinical review in accordance with VHA national guidelines. The incumbent ... refer to Required Documents below. The Health Technician (Telehealth Clinical ) serves in a generalist role to support and...encounter. The incumbent serves as an imager and data manager for store and forward telehealth (SFT) clinical… more
    Veterans Affairs, Veterans Health Administration (10/08/25)
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