NewHome Health Clinical Manager CenterWell Home HealthHome Health Clinical ManagerNashville, TN$77,200–$106,200 / yearOur care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers - all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives. As the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients.
NewCommercial lease manager JobotCommercial lease managerFranklin, TN$100,000–$130,000 / yearInformation collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. We are a healthcare-focused real estate investment platform dedicated to owning, managing, and developing high-quality medical office and outpatient facilities across the United States.
NewInpatient Rehab Nurse Manager TriStar Southern Hills Medical CenterInpatient Rehab Nurse ManagerMurfreesboro, TNAdditional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. HCA Healthcare is one of the nation’s leading providers of healthcare services, comprising of over 180 hospitals and about 2,000 sites of care in 21 states and the United Kingdom.
NewCritical Care Nurse Manager TriStar Southern Hills Medical CenterCritical Care Nurse ManagerFranklin, TNAdditional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. The Critical Care Nurse Manager ensures high quality, patient-centered care through oversight of the overall daily function and staffing of the unit/department.
NewClinical Nurse Coordinator ER TriStar Summit Medical CenterClinical Nurse Coordinator ERHermitage, TNIn collaboration with other members of the management team, the CNC directs, monitors, and evaluates nursing care in accordance with established policies/procedures, serves as a resource person for staff, and models a commitment to the organization’s vision/mission/values to support an unparalleled patient experience and clinical outcomes that contribute to overall departmental performance. As the nation’s largest private employer of Registered Nurses, we’re honored by the trust of over 100,000 nurses and committed to supporting safe, high-quality care for which they can practice.
NewClinical Nurse Coordinator Inpatient Rehab TriStar Summit Medical CenterClinical Nurse Coordinator Inpatient RehabHermitage, TNIn collaboration with other members of the management team, the CNC directs, monitors, and evaluates nursing care in accordance with established policies/procedures, serves as a resource person for staff, and models a commitment to the organization’s vision/mission/values to support an unparalleled patient experience and clinical outcomes that contribute to overall departmental performance. At HCA Healthcare, we are committed to equipping nurses with the tools and resources they need to deliver exceptional patient care, championing the profession, and supporting the advancement of nursing’s future.".
NewCase Manager Nurse TriStar StoneCrest Medical CenterCase Manager NurseSmyrna, TNThe Registered Nurse (RN) CM is responsible for promoting patient-centered care by coordinating the plan of care for the patient stay, managing the length of stay, ensuring appropriate resource management, and developing a safe appropriate discharge plan in collaboration with the multidisciplinary team. Considers patient’s readmission status or risk of readmission and develops strategies to mitigate including education on appropriately accessing healthcare resources, preventative education, and community-based resources.
NewRN Rehab Clinical Nurse Coordinator TriStar Skyline Medical CenterRN Rehab Clinical Nurse CoordinatorMurfreesboro, TNIn collaboration with other members of the management team, the CNC directs, monitors, and evaluates nursing care in accordance with established policies/procedures, serves as a resource person for staff, and models a commitment to the organization’s vision/mission/values to support an unparalleled patient experience and clinical outcomes that contribute to overall departmental performance. Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
NewClinical Nurse Coordinator ER Tristar Nollensville ERClinical Nurse Coordinator ERNolensville, TNIn collaboration with other members of the management team, the CNC directs, monitors, and evaluates nursing care in accordance with established policies/procedures, serves as a resource person for staff, and models a commitment to the organization’s vision/mission/values to support an unparalleled patient experience and clinical outcomes that contribute to overall departmental performance. As the nation’s largest private employer of Registered Nurses, we’re honored by the trust of over 100,000 nurses and committed to supporting safe, high-quality care for which they can practice.
NewMedical Surgical Nurse Manager TriStar Centennial Medical CenterMedical Surgical Nurse ManagerFranklin, TNAdditional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. Our campus includes The Children's Hospital at TriStar Centennial, Sarah Cannon Cancer Institute at TriStar Centennial Medical Center, TriStar Centennial Advanced Joint Replacement Institute and TriStar Centennial Parthenon Pavilion.
NewRN Case Manager TriStar Skyline Medical CenterRN Case ManagerNashville, TNThe RN Case Manager is responsible for promoting patient-centered care by coordinating the plan of care for the patient stay, managing the length of stay, ensuring appropriate resource management and developing a safe appropriate discharge plan in collaboration with the multidisciplinary team. Considers patient’s readmission status or risk of readmission and develops strategies to mitigate including education on appropriately accessing healthcare resources, preventative education, and community based resources. .
NewCase Manager RN TriStar Skyline Medical CenterCase Manager RNFranklin, TNThe RN Case Manager is responsible for promoting patient-centered care by coordinating the plan of care for the patient stay, managing the length of stay, ensuring appropriate resource management and developing a safe appropriate discharge plan in collaboration with the multidisciplinary team. Considers patient’s readmission status or risk of readmission and develops strategies to mitigate including education on appropriately accessing healthcare resources, preventative education, and community based resources. .
NewNICU Nurse Manager TriStar StoneCrest Medical CenterNICU Nurse ManagerSmyrna, TNAdditional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. The Neonatal ICU Nurse Manager ensures high quality, patient-centered care through oversight of the overall daily function and staffing of the unit/department.
NewEmergency Room Nurse Manager TriStar Summit Medical CenterEmergency Room Nurse ManagerHermitage, TNAdditional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. The Emergency Room Nurse Manager ensures high quality, patient-centered care through oversight of the overall daily function and staffing of the unit/department.
NewClinical Nurse Coordinator TriStar Southern Hills Medical CenterClinical Nurse CoordinatorMurfreesboro, TNIn collaboration with other members of the management team, the CNC directs, monitors, and evaluates nursing care in accordance with established policies/procedures, serves as a resource person for staff, and models a commitment to the organization’s vision/mission/values to support an unparalleled patient experience and clinical outcomes that contribute to overall departmental performance. Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
NewCase Manager RN TriStar Centennial Medical CenterCase Manager RNMurfreesboro, TNAdditional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. Our campus includes The Children's Hospital at TriStar Centennial, Sarah Cannon Cancer Institute at TriStar Centennial Medical Center, TriStar Centennial Advanced Joint Replacement Institute and TriStar Centennial Parthenon Pavilion.
NewClinical Nurse Coordinator ER TriStar Southern Hills Medical CenterClinical Nurse Coordinator ERLebanon, TNIn collaboration with other members of the management team, the CNC directs, monitors, and evaluates nursing care in accordance with established policies/procedures, serves as a resource person for staff, and models a commitment to the organization’s vision/mission/values to support an unparalleled patient experience and clinical outcomes that contribute to overall departmental performance. As a Clinical Nurse Coordinator ER, your voice to influence patient care is valued and empowered at every turn –whether through open, collaborative relationships with your direct manager or more formal opportunities through hospital councils and national nursing initiatives.
NewLabor and Delivery ER Clinical Nurse Coordinator TriStar Centennial Medical CenterLabor and Delivery ER Clinical Nurse CoordinatorLebanon, TNIn collaboration with other members of the management team, the CNC directs, monitors, and evaluates nursing care in accordance with established policies/procedures, serves as a resource person for staff, and models a commitment to the organization’s vision/mission/values to support an unparalleled patient experience and clinical outcomes that contribute to overall departmental performance. Our campus includes The Children's Hospital at TriStar Centennial, Sarah Cannon Cancer Institute at TriStar Centennial Medical Center, TriStar Centennial Advanced Joint Replacement Institute and TriStar Centennial Parthenon Pavilion.
NewClinical Nurse Coordinator TriStar StoneCrest Medical CenterClinical Nurse CoordinatorSmyrna, TNIn collaboration with other members of the management team, the CNC directs, monitors, and evaluates nursing care in accordance with established policies/procedures, serves as a resource person for staff, and models a commitment to the organization’s vision/mission/values to support an unparalleled patient experience and clinical outcomes that contribute to overall departmental performance. At HCA Healthcare, we are dedicated to ensuring nurses have necessary tools and resources to provide world-class patient care, advocating for the profession and helping to shape the future of nursing.".
NewPACU Clinical Nurse Coordinator TriStar StoneCrest Medical CenterPACU Clinical Nurse CoordinatorSmyrna, TNIn collaboration with other members of the management team, the CNC directs, monitors, and evaluates nursing care in accordance with established policies/procedures, serves as a resource person for staff, and models a commitment to the organization’s vision/mission/values to support an unparalleled patient experience and clinical outcomes that contribute to overall departmental performance. As a national learning health system, we're transforming care delivery, advancing clinical outcomes, and empowering our nursing teams in a collaborative effort to give people a healthier tomorrow.
NewClinical Nurse Coordinator FSER TriStar Century Farms ERClinical Nurse Coordinator FSERAntioch, TNIn collaboration with other members of the management team, the CNC directs, monitors, and evaluates nursing care in accordance with established policies/procedures, serves as a resource person for staff, and models a commitment to the organization’s vision/mission/values to support an unparalleled patient experience and clinical outcomes that contribute to overall departmental performance. At HCA Healthcare, we are committed to equipping nurses with the tools and resources they need to deliver exceptional patient care, championing the profession, and supporting the advancement of nursing’s future.".
Home Manager Volunteers of America Mid-StatesHome ManagerNashville, TN$43,000–$43,680 / yearFull timeThis will be done in conjunction with the Residential Coordinator.15.Monitor and evaluate staff performance and discuss with RSC.16.Recommend and administer disciplinary action for staff not meeting satisfactory performance or violation of company policies.17.Participate in interviewing and hiring process.18.Available for off-duty calls regarding staff or consumer needs.19.Submits weekly report on staff, consumers to Residential Coordinator and Program Director.20.Initiate purchase requests in a timely manner to meet the needs of the consumers served. POSITION TITLE: Home Manager LOCATION: Nashville, TN STATUS: Full Time, Salary, Exempt PROGRAM: Residential Services REPORTS TO: Residential Services Coordinator and Program Director INTRODUCTION:Volunteers of America Mid-States (VOA) is a non-profit organization spanning four states that creates positive change in the lives of individuals and communities through a ministry of service.
NewRegistered Nurse / Patient Care Manager, Home Health AccentCare, Inc.Registered Nurse / Patient Care Manager, Home HealthFranklin, TN$90,000–$100,000What You Need to Know: The Patient Care Manager plays a critical role in supporting both patients and the caregiving team, ensuring that every person receives compassionate, high‑quality home health services. By guiding and empowering clinical staff, the Patient Care Manager helps create a supportive environment where employees can grow, collaborate, and deliver their very best work, ultimately enriching the care experience for every patient.
Dialysis Nurse Manager Dialysis Clinic, Inc.Dialysis Nurse ManagerNashville, TN$90,000–$100,000 / yearDCI’s Differentiator:Since opening the first clinic 50 years ago in Nashville, Tenn., our Dialysis Clinic, Inc. family has grown to be the nation’s largest nonprofit dialysis provider with more than 270 locations in 30 states, serving nearly 14,000 patients each day. Join DCI today to build relationships and gain fulfillment serving individuals in our comfortable clinical setting with a lower caregiver-to-patient ratio than other providers.
Registered Nurse - Case Manager/Utilization Review - Part Time Days Williamson HealthRegistered Nurse - Case Manager/Utilization Review - Part Time DaysMurfreesboro, TNThe flagship facility, Williamson Medical Center, which recently opened its new Boyer-Bryan West Tower, offers extensive women's services, state-of-the-art cardiology services, advanced surgical technologies, an award-winning obstetrics and NICU, leading-edge orthopaedics, outpatient imaging services, and distinct comprehensive emergency and inpatient services for both adult and pediatric patients. Timely reviews patients within 24 hours or next business day after admission and at a minimum of every 2 days thereafter for continued stay, applying appropriate criteria (Interqual®) and facilitating reimbursement for services with third payer parties, obtaining and entering authorization number/approval status and notes in Meditech.
NewSenior Expanse Clinical Content HCA HealthcareSenior Expanse Clinical ContentNashville, TNCollaborate with ITG, Clinical Informatics and Expanse Product teams to refine problem definition, develop requirements, and validate proposed build of solutions • Integrate evidence-based practice, clinical informatics science, and human factors principles into Expanse clinical content . HCA Healthcare is seeking an experienced senior-level Clinical Informaticist to drive the development of clinical content and functions within Expanse, HCA Healthcare’s new electronic health record (EHR) platform.
NewSenior Clinical Analyst HCA HealthcareSenior Clinical AnalystFranklin, TNThe Senior Clinical Informaticist leverages an agile and refined process to prioritize solution needs, determine the problem to be solved while partnering with multi-disciplinary teams to use knowledge of current clinical workflows to identify solutions to address end user needs and meet stakeholder requirements. By leveraging the power of artificial intelligence, automation, and digital technologies, DT&I is helping drive meaningful improvements in clinical outcomes, reduce manual workload, and expand the reach of our care teams.
NewCharge Registered Nurse - RN Fresenius Medical CareCharge Registered Nurse - RNNashville, TNWith Clinical Manager conduct staff meetings at least monthly or as needed to keep patient care staff informed of changes in patient care needs or operations to improve delivery of care. RN charge nurses assuming responsibility for nursing and patient servicesin the absence of the Clinical Managermust have one-yearclinical experience and six months dialysis experience.
NewHome Health Registered Nurse TriStar Healthcare at HomeHome Health Registered NurseFranklin, TNWhat you will do in this role: Assesses home care patients identifying physical, psychosocial and environmental needs as evidenced by documentation, clinical records, case conferences, team reports, call-in logs and on-site evaluations. As a Home Health Registered Nurse, your voice to influence patient care is valued and empowered at every turn –whether through open, collaborative relationships with your direct manager or more formal opportunities through hospital councils and national nursing initiatives.
Clinical Account Manager Tennessee/North Carolina Cleerly IncClinical Account Manager Tennessee/North CarolinaNashville, TN$130,000–$140,000 / yearWhile we are mostly a remote company, travel is required for some team meetings and cross function projects typically once per month or once per quarter, for some roles like sales or external facing roles travel could be up to 90% of the time. Total Target Compensation (TTC): Total Cash Compensation (including base pay, variable pay, commission, bonuses, etc.) Additionally, stock options, paid benefits, and employee perks are part of your total rewards.
Senior Research Program Manager Nashville CARESSenior Research Program ManagerNashville, Tennessee$92,000–$105,000 / yearFull timeA leading nonprofit healthcare organization serving Middle Tennessee is seeking an experienced research professional to oversee a large-scale, patient-centered research initiative focused on improving health outcomes across communities in the Southern United States. This position offers the opportunity to lead complex research efforts that bring together healthcare providers, community stakeholders, researchers, and patient advocates to address critical public health challenges and advance evidence-based care.
Home Health Clinical Manager Humana IncHome Health Clinical ManagerNashville, TN$77,200–$106,200 / yearOur care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers - all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives. As the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients.
Payer STARS/Quality Clinical Consultant, Senior Manager PricewaterhouseCoopers LLPPayer STARS/Quality Clinical Consultant, Senior ManagerNashville, TN$124,000–$280,000 / yearExamples of the skills, knowledge, and experiences you need to lead and deliver value at this level include but are not limited to: • Craft and convey clear, impactful and engaging messages that tell a holistic story. PwC does not intend to hire experienced or entry level job seekers who will need, now or in the future, PwC sponsorship through the H-1B lottery, except as set forth within the following policy: https://pwc.to/H-1B-Lottery-Policy.
Clinical Manager National HealthCare CorpClinical ManagerTNIf you are interested in working for a leader in senior care and share NHCs values of honesty and integrity, please apply today and find out more about us at nhccare.com/locations/homecare-lewisburg/. Coordinating referrals and on-going care with patients, their caregivers and representatives, referral sources, physicians, clinicians, and internal agency staff.
Home Health - Clinical Manager National HealthCare CorpHome Health - Clinical ManagerFranklin, TNCoordinating referrals and on-going care with patients, their caregivers, hospitals and physicians, and our clinicians ; Helping NHC HomeCare meet our patients needs. If you are interested in working for a leader in senior care and share NHCs values of honesty and integrity, please apply today and find out more about us at nhccare.com/care-options/home-care/.
RN Clinical Manager / Home Health BrightSpring Health ServicesRN Clinical Manager / Home HealthMADISON, TNAdoration Home Health and Hospice, an affiliate of BrightSpring Health Services, provides quality and compassionate services in the comfort of home, providing support for patients, families, and caregivers in their time of need. As a Home Health Clinical Manager, You will: Conducts/participates in quarterly quality improvement meetings, reviews pertinent available data, identifies trends, and oversees the implementation of improvement plans.
RN Clinical Manager / $5000 Sign On BrightSpring Health ServicesRN Clinical Manager / $5000 Sign OnSPRING HILL, TNAdoration Home Health and Hospice, an affiliate of BrightSpring Health Services, provides quality and compassionate services in the comfort of home, providing support for patients, families, and caregivers in their time of need. Responsible for the oversight of and response to external and internal surveys and audits within the assigned area relating to the quality of care and clinically related KPIs in collaboration with operations leadership.
RN Clinical Manager Private Duty $1,000 Sign On BrightSpring Health ServicesRN Clinical Manager Private Duty $1,000 Sign OnMurfreesboro, TNAdoration Home Health and Hospice, an affiliate of BrightSpring Health Services, provides quality and compassionate services in the comfort of home, providing support for patients, families, and caregivers in their time of need. Responsible for the oversight of and response to external and internal surveys and audits within the assigned area relating to the quality of care and clinically related KPIs in collaboration with operations leadership.
RN Clinical Manager / $7500 Sign On BrightSpring Health ServicesRN Clinical Manager / $7500 Sign OnSPRING HILL, TNAdoration Home Health and Hospice, an affiliate of BrightSpring Health Services, provides quality and compassionate services in the comfort of home, providing support for patients, families, and caregivers in their time of need. Responsible for the oversight of and response to external and internal surveys and audits within the assigned area relating to the quality of care and clinically related KPIs in collaboration with operations leadership.
NewHome Health RN Clinical Manager Full Time Aveanna Healthcare Holdings IncHome Health RN Clinical Manager Full TimeFranklin, TN$85,000–$95,000 / yearThe RN Clinical Manager - Home Health works under the direction and guidance of the Branch Administrator to provide supervision of all clinical staff working with high medical acuity clients and/or clients receiving extended non‐licensed support services. As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all relevant jurisdictions, including required vaccinations and testing, subject to exemptions for medical or religious reasons as appropriate.
Manager Clinical Medical Device Management HCA HealthcareManager Clinical Medical Device ManagementNashville, TNThe MDM Clinical Manager plays a pivotal role in overseeing clinical operations within a healthcare organization, leveraging data analytics and clinical categorization to optimize patient outcomes and operational efficiency. The Clinical Manager will lead efforts to analyze clinical data, categorize treatment protocols, and engage with team members and stakeholders to drive quality care and cost-effective solutions.
Veterinary Clinical Staff Manager - Murfreesboro, TN Veterinary Emergency GroupVeterinary Clinical Staff Manager - Murfreesboro, TNMurfreesboro, TNDirectly responsible for interviewing, hiring and training a diverse group of new VEG Credentialed Veterinary Technicians and Veterinary Assistants in partnership with the other leadership team members, particularly the Medical Director and Regional Support Staff Director. CSMs provide their VEGgies with equitable support, tools, resources, and autonomy necessary to create an environment of high medical quality and care so that VEG is the best hospital for emergency professionals who will brag about their jobs and make their friends jealous.
Clinical Management Manager Accenture PlcClinical Management ManagerNashville, TNLead with the Best: Join an industry-recognized healthcare consulting leader with a global team of over 20,000 professionals, collaborating to drive large-scale healthcare transformation across the globe. Continuous Learning & Growth: Take advantage of unmatched professional development opportunities, including interactive courses, real-world client simulations, and ongoing mentoring, to expand your healthcare consulting expertise.
New\n Clinical Services Manager (RN) - Home Health\n Addus HomeCare Corp\n Clinical Services Manager (RN) - Home Health\nLebanon, TNReviews and evaluates each case by reviewing the services provided by clinicians, conferences, record review, discusses and verifies impressions, instructs and guides clinicians to promote more effective performance and delivery of quality home care services, and is available at all times during operating hours to assist clinicians as appropriate. We're seeking a strong RN leader with 1-3 years of home health leadership experience who thrives in a fast-paced environment and is passionate about developing teams and driving clinical excellence.
Epic Certified Clinical Applications Manager Accenture PlcEpic Certified Clinical Applications ManagerNashville, TNThe Work: Depending on the client engagement, the Epic Certified Clinical Manager will be responsible for overseeing the collaboration of multiple team with Accenture team, software vendor team, and client in the following areas, in addition to supporting the internal growth and development of the ATCs Epic Team: Experience with project plan creation a. The Advanced Technology Centers (ATCs) make tremendous impact in solving our clients business problems leveraging Innovation, Intelligence, Industry insights, new IT and new technology skills.
Clinical Account Manager (Tennessee/North Carolina) CleerlyClinical Account Manager (Tennessee/North Carolina)Nashville, TN$130,000–$140,000 / yearWhile we are mostly a remote company, travel is required for some team meetings and cross function projects typically once per month or once per quarter, for some roles like sales or external facing roles travel could be up to 90% of the time. *Total Target Compensation (TTC): Total Cash Compensation (including base pay, variable pay, commission, bonuses, etc.) Additionally, stock options, paid benefits, and employee perks are part of your total rewards.
Clinical Compliance Manager Monogram HealthClinical Compliance ManagerBrentwood, TennesseeMonogram Health employs a robust clinical team, leveraging specialists across multiple disciplines including nephrology, cardiology, endocrinology, pulmonology, behavioral health, and palliative care to diagnose and treat health issues; review and prescribe medication; provide guidance, education, and counselling on a patient’s healthcare options; as well as assist with daily needs such as access to food, eating healthy, transportation, financial assistance, and more. Minimum of five (5) years of experience in Medicare Managed Care, with preferred expertise in Special Needs Plan Model of Care (SNP MOC) requirements, including D-SNP and C-SNP with at least three (3) years of leadership or supervisory experience, with demonstrated ability to influence and guide cross-functional teams.
Mgr Clinical Appeals and Grievances HealthfirstMgr Clinical Appeals and GrievancesTN$103,400–$149,430 / yearPreferred Qualifications: • Experience in clinical practice with a focus in appeals & grievances, claims processing, utilization review or utilization management/case management • Demonstrated understanding of Utilization Review Guidelines (NYS ART 44 and 49 PHL), InterQual, Milliman or Medicare local coverage guidelines • Extensive experience in healthcare appeals • MBA or master's degree from an accredited institution with focus in training & development, education, business, or healthcare administration • Management experience in an operational department within the healthcare industry focused on clinical leadership • Leadership experience in a focus area of operational excellence or audit • Experience developing strategy and processes for a department or function • Experience managing vendors as an extension of a core team • Familiar with creating accountable ownership of a vendor team. Minimum Qualifications: • Bachelor's degree from an accredited institution or equivalent work experience • RN • Experience with utilization management or appeals and grievance processing and compliance • Working experience in a fast-paced environment overseeing multiple priorities, tasks and/or teams • Proven track record of exercising independent thinking, ability to problem solve, understand process flows and correlating platforms to recommend and implement solutions • Experience preparing and delivering written and verbal information to multiple types of audiences • Demonstrated ability to build and foster effective relationships.
NewRegional Manager, Clinical Imaging Operations Tennessee OncologyRegional Manager, Clinical Imaging OperationsNashville, TennesseeWorks withDirector of Imaging Services and Assistant Director to enhance operational effectiveness, emphasizing cost containment, high quality patient care and patient/employee satisfaction. Established 1976 in Nashville, Tennessee Oncology’s mission remains unchanged: To provide access to high-quality cancer care and the expertise of clinical research for all patients, at convenient locations within their community and close to their home.