- CVS Health (Nashville, TN)
- …all with heart, each and every day. **Position Summary:** The ** Utilization Management Clinical Nurse Consultant - Prior Authorization** utilizes ... internal and external constituents in the coordination and administration of the utilization /benefit management function. + Gathers clinical information and… more
- CVS Health (Nashville, TN)
- …internal and external constituents in the coordination and administration of the utilization /benefit management function. + Gathers clinical information and ... skills to coordinate, document, and communicate all aspects of the utilization /benefit management program. + Applies critical thinking and knowledge in… more
- CVS Health (Nashville, TN)
- … solutions that promote high-quality healthcare for members. We are seeking a dedicated Utilization Management (UM) Nurse Consultant to join our remote team. ... listening, and use of a computer. + Flexibility to provide coverage for other Utilization Management (UM) Nurses across various UM specialty teams as needed,… more
- CVS Health (Nashville, TN)
- …Must have active current and unrestricted RN licensure in state of residence - Utilization Management is a 24/7 operation and work schedules will include ... in med surg or specialty area - Managed Care experience preferred, especially Utilization Management - Preference for those residing in EST zones **Education**… more
- Highmark Health (Nashville, TN)
- …**Job Description :** **JOB SUMMARY** Dynamic and results-oriented Pharmacy Benefit Consultant , serving as the client-facing expert, driving growth and retention of ... Consultation: Provide in-depth pharmacy benefit expertise, offering strategic guidance, clinical recommendations, and solutions tailored to individual client needs.… more
- Covenant Health Inc. (Knoxville, TN)
- …the patient care setting, coordinating education of staff and patients and serving as a clinical resource and consultant to the health care team. The RN Care ... Overview Registered Nurse Care Coordinator, Quality Management Full Time, 80 Hours Per Pay Period,...quality through the collaborative development of practice guidelines and clinical pathways that support quality improvement activities. The RN… more
- Covenant Health Inc. (Harriman, TN)
- …the patient care setting, coordinating education of staff and patients and serving as a clinical resource and consultant to the health care team. The RN Care ... and quality through the collaborative development of practice guidelines and clinical pathways that support quality improvement activities. The RN Care Manager… more
- Covenant Health Inc. (Harriman, TN)
- …the patient care setting, coordinating education of staff and patients and serving as a clinical resource and consultant to the health care team. The RN Care ... and quality through the collaborative development of practice guidelines and clinical pathways that support quality improvement activities. The RN Care Manager… more
- Covenant Health Inc. (Lenoir City, TN)
- …the patient care setting, coordinating education of staff and patients and serving as a clinical resource and consultant to the health care team. The RN Care ... or changes the plan as needed to meet the patient's needs. Outcomes/ Clinical /Fiscal/Resource Management : + Utilizes statistical analysis techniques to measure … more
- Covenant Health Inc. (Knoxville, TN)
- …the patient care setting, coordinating education of staff and patients and serving as a clinical resource and consultant to the health care team. The RN Care ... or changes the plan as needed to meet the patient's needs. Outcomes/ Clinical /Fiscal/Resource Management : + Utilizes statistical analysis techniques to measure … more