• Nurse Audit Manager

    Humana (Nashville, TN)
    …where your clinical expertise and passion for accuracy will make a meaningful impact. As the Nurse Audit Manager , you will spearhead audit and validation ... relevant coding. + Identifies the root cause analysis of audit findings and submits recommendations for appropriate change management....skills to make an impact** **Required Qualifications** + Registered nurse (RN). + 5 or more years of clinical… more
    Humana (10/18/25)
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  • Telephonic Nurse Case Manager Senior

    Elevance Health (Nashville, TN)
    **Telephonic Nurse Case Manager Senior** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person ... in different states; therefore, Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager Senior** is responsible for care management within… more
    Elevance Health (10/18/25)
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  • Nurse Case Manager Lead

    Elevance Health (TN)
    The ** Nurse Case Manager ** **Lead** is responsible for care management within the scope of licensure for members with complex and chronic care needs by ... and functions as preceptor for new care management staff. + Participates in audit activities and assists supervisor with management of day-to-day activities, such as… more
    Elevance Health (10/16/25)
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  • Clin Research Nurse Coord

    Covenant Health Inc. (Knoxville, TN)
    Overview Registered Nurse Coordinator, Cardiology Clinical Research Full Time, 80 Hours Per Pay Period, Day Shift Thompson Cancer Survival Center Overview: Thompson ... treat - and beat - the disease. Position Summary: The Clinical Research Nurse Coordinator promotes good clinical practices in the conduct of oncology clinical trials… more
    Covenant Health Inc. (09/01/25)
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  • Manager , Research Projects - RN - Onsite

    Vanderbilt University Medical Center (Nashville, TN)
    …education, and research. **Organization:** VICC- Clinical Trials 100 **Job Summary:** The Manager , Research Projects RN serves as project manager for clinical ... internal departments + Report findings that occur as part of the audit process and incidental discoveries to the director/administrator for auditing, correction… more
    Vanderbilt University Medical Center (10/17/25)
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  • Pharmacy Program Manager

    CVS Health (Nashville, TN)
    …travel if a plan sponsor requests pharmacist attendance for an onsite visit/assessment/ audit . The Pharmacy Program Manager role includes: -Collaborate with an ... with heart, each and every day. The Pharmacy Program Manager is an individual contributor (non-people manager )...interdisciplinary care management team ( nurse case managers, medical directors, dietitians, social workers) to… more
    CVS Health (10/18/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Nashville, TN)
    …coding principles, clinical guidelines, and objectivity in the performance of medical audit activities. + Draws on advanced ICD-10 coding expertise, mastery of ... clinical guidelines, and industry knowledge to substantiate conclusions. + Utilizes audit tools, auditing workflow systems and reference information to generate … more
    Elevance Health (09/23/25)
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  • Clin Supv-HC

    Covenant Health Inc. (Knoxville, TN)
    Overview Registered Nurse Clinical Supervisor, Hospice Administration $1,500 Sign-on Bonus for Candidates with Relevant HomeCare Homebase Experience Full Time, 80 ... Notes if no visit was made. Ensures the Clinical Manager approved the non-admission. + Reviews and processes vital...on-call when required as a support to the on-call nurse and provides software management related to processing intakes,… more
    Covenant Health Inc. (08/14/25)
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