Williamson HealthRegistered 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.
Incredible HealthNurse Manager - Case Management Incredible HealthNurse Manager - Case ManagementMemphis, TN$48,920–$94,690Nurses with experience in any of the following areas are strongly encouraged to apply: Assistant Nurse Manager, CNO, Charge, Clinical Nurse Coordinator, Clinical pathway, Director, Manager, Navigator, Supervisor, Utilization Review, or VP. Hospitals on Incredible Health are actively hiring and accepting applications in the Memphis, TN area for the following position: Nurse Manager - Case Management.
Incredible HealthNewRegistered Nurse - Case Management Director Incredible HealthRegistered Nurse - Case Management DirectorMemphis, TN$48,920–$94,690Nurses with experience in any of the following areas are strongly encouraged to apply: Assistant Nurse Manager, CNO, Charge, Clinical Nurse Coordinator, Clinical pathway, Director, Manager, Navigator, Supervisor, Utilization Review, or VP. Hospitals on Incredible Health are actively hiring and accepting applications in the Memphis, TN area for the following position: Registered Nurse - Case Management Director.
Fresenius Medical CareNewDialysis Clinical Manager Registered Nurse - RN Fresenius Medical CareDialysis Clinical Manager Registered Nurse - RNMc Minnville, TNCollaborates closely with, providing oversight as needed to, the Clinical Coordinator/Charge RN or Nurse Supervisor acting as nurse manager, the Medical Director, and the physicians regarding the direct patient care responsibilities within the facility to ensure the provision of outstanding quality of patient care, as defined by the FMS quality goals, and compliance with the pertinent company policies and procedures. Demonstrated leadership competencies and management skills for the position, including excellent communication, customer service, continuous quality improvement, relationship development, results orientation, team building, motivating employees, performance management and decision making.
OptumNewRegistered Nurse - Deaconess Homecare OptumRegistered Nurse - Deaconess HomecareLawrenceburg, TN$64,132–$96,198 / yearQualityMakes initial and/or comprehensive nursing evaluation visits, ensures patients meet home health eligibility and medical necessity guidelines, determines primary focus of care, develops the plan of care within State guidelines with the physician, and submits accurate documentation. Actively participates in survey/survey readiness activities and performance improvement plans, works to reduce unnecessary patient hospitalizations, improve patient safety, and implements processes and best practices to ensure positive patient outcomes.
OptumNew7 on / 7 off Registered Nurse - Cordova, TN Optum7 on / 7 off Registered Nurse - Cordova, TNCordova, TN$28.27–$50.48 / hourQualityMakes initial and/or comprehensive nursing evaluation visits, ensures patients meet home health eligibility and medical necessity guidelines, determines primary focus of care, develops the plan of care within State guidelines with the physician, and submits accurate documentation. Actively participates in survey/survey readiness activities and performance improvement plans, works to reduce unnecessary patient hospitalizations, improve patient safety, and implements processes and best practices to ensure positive patient outcomes.
OptumNewRegistered Nurse OptumRegistered NurseBrentwood, TN$71,677–$107,516 / yearQualityMakes initial and/or comprehensive nursing evaluation visits, ensures patients meet home health eligibility and medical necessity guidelines, determines primary focus of care, develops the plan of care within State guidelines with the physician, and submits accurate documentation. Actively participates in survey/survey readiness activities and performance improvement plans, works to reduce unnecessary patient hospitalizations, improve patient safety, and implements processes and best practices to ensure positive patient outcomes.
Baptist Memorial HealthNewRN-Nurse Practitioner Neurocritical Care Baptist Memorial HealthRN-Nurse Practitioner Neurocritical CareMemphis, TNWork directly with the neurocritical care intensivist and existing NSICU staff to independently conduct and document comprehensive initial and ongoing physical examinations based on age and diagnosis, including psychological status timely for all patients under the NSICU service which include post-operative neurosurgical patients, patients with cerebrovascular disease, seizures, neuromuscular disease with complex medical conditions. See Baptist Memorial Health Care Privacy Policy at https://careers.baptistonline.org/system/production/assets/460316/original/bmhcc-privacy-policy__2024-12.pdf and SonicJobs Privacy Policy at https://www.sonicjobs.com/us/privacy-policy and Terms of Use at https://www.sonicjobs.com/us/terms-conditions.
Unity HuntsvilleRegistered Nurse (RN) Nights $7k Sign On Bonus! Unity HuntsvilleRegistered Nurse (RN) Nights $7k Sign On Bonus!Flintville, TNPromotes, monitors, and utilizes hand washing hygiene among staff and employees including utilization of alcohol based sanitizers, measures specific prevention of infections that are antibiotic resistant, prevention of device associated bloodstream infections or other device associated infections (central venous catheters, tube feedings, indwelling catheters); isolation procedures for highly immune-suppressed patients, care techniques (burns and other situations) utilizing disinfectants, antiseptics, germicides used in accordance with manufacturers instruction. The purpose of this position is to provide clinical oversight for the day-to-day operations of the hospital, work with patients in a therapeutic setting, follow and carry out physician orders, complete assessments, initiate and update treatment plans, direct patient care, group and individual therapy/education, referral for intake and continuum of care, application of treatment and restraints or seclusion interventions.
TriStar Horizon Medical CenterHospital Laboratory Director TriStar Horizon Medical CenterHospital Laboratory DirectorDickson, TNOur infrastructure includes a fully automated esoteric core laboratory in Fort Lauderdale, a histology and microbiology operation in Largo, Florida, and a network of hospital-based rapid-response laboratories present in four HCA Healthcare divisions in Florida. HCA Healthcare Laboratory Services is a full-service provider of clinical laboratory and anatomic pathology services, providing hospitals, physicians, and clients with timely diagnostic information for patient care.
TeamHealthNewMedical Director of Hospital Medicine in Kentucky TeamHealthMedical Director of Hospital Medicine in KentuckyKnoxville, TNFull timeThis physician leader will balance direct patient care responsibilities with strategic oversight of the hospital medicine program, working closely with hospital administration, nursing leadership, specialty physicians, and other stakeholders to achieve organizational goals related to quality, safety, patient satisfaction, and physician engagement. The successful candidate will be a collaborative physician leader who is passionate about advancing hospital medicine, improving patient outcomes, supporting provider engagement, and partnering with hospital leadership to achieve excellence in clinical care and operational performance.
CVS Health CorpNewUtilization Management Nurse Consultant CVS Health CorpUtilization Management Nurse ConsultantWork At Home, TN$29.10–$62.32 / hourUtilizes clinical experience and skills in a collaborative process to assess, plan, implement, coordinate, monitor and evaluate options to facilitate appropriate healthcare services/benefits for members. At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do.
MindlanceNurse Case Management Senior Analyst MindlanceNurse Case Management Senior AnalystNashville, TNRemoteUtilizes clinical skills to assess, plan, implement, coordinate, monitor and evaluate options and services in order to facilitate appropriate healthcare outcomes for members. Ensures that case management program objectives are met by evaluating the effectiveness of alternative care services and that cost effective, quality care is maintained.
Healthcare Recruitment PartnersRN Director Case Management Healthcare Recruitment PartnersRN Director Case ManagementNashville, TNThe Director of Case Management oversees all departmental activities, ensuring compliance with organizational policies and regulatory agencies while leading the integration of patient care and discharge planning processes with hospital departments and external agencies for continuity of care and optimal Resource Utilization. The Director serves as a subject matter expert in Case Management, demonstrating solid leadership, trust-building, team building, and Change Management abilities to drive departmental success and initiatives.
Baptist Memorial Health CareRN-Utilization Review PRN Baptist Memorial Health CareRN-Utilization Review PRNMemphis, TNManages the care for a specific population; facilitates the safe transition of patients throughout the continuum of care for appropriate utilization of resources, service delivery and compliance with federal and other payer requirements. Provides early assessment of transitional needs identified during their hospitalization, illness, and/or life situation.
Baptist Memorial Health CareRN-Utilization Review Baptist Memorial Health CareRN-Utilization ReviewMemphis, TNManages the care for a specific population; facilitates the safe transition of patients throughout the continuum of care for appropriate utilization of resources, service delivery and compliance with federal and other payer requirements. Provides early assessment of transitional needs identified during their hospitalization, illness, and/or life situation.
University Health Services IncUTILIZATION MANAGMENT (UM) COORDINATOR - PRN University Health Services IncUTILIZATION MANAGMENT (UM) COORDINATOR - PRNFranklin, TNExperience: • Experience in a psychiatric setting as a counselor or nurse preferred • Reading, writing, and mathematical skills at the masters degree level • Skills in application of DSM methodology • Excellent telephone etiquette and tact • Audible speech, with good enunciation • Ability to interact effectively with persons of widely diverse roles, backgrounds, cultures, and socio-economic classes • Effective oral and written communication skills • Skills in analyzing and evaluating information • Ability to concentrate on tasks and meet deadlines • Basic data entry skills preferred • Organizational, time management, problem solving, meet deadlines • Crisis management skills necessary • Flexibility, creativity, and the ability to manage stress are necessary. To the extent any reference to UHS or UHS facilities on this website including any statements, articles or other publications contained herein relates to our healthcare or management operations it is referring to Universal Health Services subsidiaries including UHS of Delaware.
TriWest Healthcare AllianceUtilization Clinical Reviewer TriWest Healthcare AllianceUtilization Clinical ReviewerNashville, TNRemoteFull timeApplies clinical knowledge to make determinations for preauthorization, inpatient and continued stay reviews for Behavioral Health and Medical/Surgical requests to establish medical necessity, benefit coverage, appropriateness of quality of care, and length of stay or care plan. The Utilization Management Clinical Review nurse reviews and makes decisions about the appropriateness and level of beneficiary care being provided in an effort to provide cost effective care and ensure proper utilization of resources.
Mirror Lake Recovery CenterUtilization Specialist Mirror Lake Recovery CenterUtilization SpecialistBurns, Tennessee
Acadia Healthcare Co IncUtilization Specialist Acadia Healthcare Co IncUtilization SpecialistLouisville, TNLICENSES/DESIGNATIONS/CERTIFICATIONS: Preferred Licensure: LPN, RN, LMSW, LCSW, LPC, LPC-I within the state where the facility provides services; or current clinical professional license or certification, as required, within the state where the facility provides services. Gather and develop statistical and narrative information to report on utilization, non-certified days (including identified causes and appeal information), discharges and quality of services, as required by the facility leadership or corporate office.
Saint Francis Hospital - MemphisRegistered Nurse (RN) Manager – Case Management Saint Francis Hospital - MemphisRegistered Nurse (RN) Manager – Case ManagementMemphis, TNSaint Francis Hospital-Memphis is a 479-bed full-service hospital located at 5959 Park Avenue in Memphis, TN.Offering a wide array of medical services, Saint Francis is noted for its many Centers of Excellence, including its Center for Surgical Weight Loss, Joint & Spine Center, Heart & Vascular Center, Chest Pain Emergency Center, and Surgical Services including its Center for Robotic Surgery, Diabetes Center, and Cancer Center. The individual in this position is responsible to facilitate care along a continuum through effective resource coordination to help patients achieve optimal health, access to care and appropriate utilization of resources, balanced with the patient’s resources and right to self-determination.
University Health Services IncUTILIZATION COORDINATOR University Health Services IncUTILIZATION COORDINATORMEMPHIS, TNOur operating philosophy is as effective today as it was 40 years ago: Build or acquire high quality hospitals in rapidly growing markets, invest in the people and equipment needed to allow each facility to thrive, and become the leading healthcare provider in each community we serve. Headquartered in King of Prussia, PA, UHS has more than 81,000 employees and through its subsidiaries operates more than 320 acute care hospitals, behavioral health facilities and ambulatory centers in the United States, Puerto Rico, the U.S. Virgin Islands and the United Kingdom.
Vanderbilt University Medical CenterRegistered Nurse Discharge Planner, Peds Case Management, PRN Vanderbilt University Medical CenterRegistered Nurse Discharge Planner, Peds Case Management, PRNNashville, TNDiscover Vanderbilt University Medical Center : Located in Nashville, Tennessee, and operating at a global crossroads of teaching, discovery, and patient care, VUMC is a community of individuals who come to work each day with the simple aim of changing the world. + Consistently demonstrates a sense of urgency in their work, especially related to escalation/removal of barriers, facilitating an appropriate (timely) LOS and reduction in inappropriate and unnecessary admissions and readmissions.
Ascension St. Thomas Behavioral Health HospitalUtilization Specialist - Part Time Ascension St. Thomas Behavioral Health HospitalUtilization Specialist - Part TimeNashville, Tennessee
Tenet Healthcare CorpRegistered Nurse (RN) Manager - Case Management Tenet Healthcare CorpRegistered Nurse (RN) Manager - Case ManagementMemphis, TNBalances clinical and financial requirements and resources in advocating for patient needs with judicious resource management • Promotes prudent utilization of all resources (fiscal, human, environmental, equipment and services) by evaluating resources available to the patient and balancing cost and quality to assure optimal clinical and financial outcomes • Integrates key elements of patient assessment, patient choice and available resources to develop and implement a successful transition plan • Identifies patients at risk for readmission and applies appropriate intervention including risk assessment and referral to Social Work (SW) and/or Complex Case Review • Screens patients for factors that may affect the progression of care and intervenes as needed to promote timely and appropriate throughput • Performs related duties as required. Required: • Education: Graduate of an accredited school of nursing • Experience: 2 years of acute hospital case management or healthcare experience • Licensure/Certification: Must be currently licensed, certified or registered to practice profession as required by law or regulation in state of practice or policy.
Covenant HealthRN CARE COORDINATOR Covenant HealthRN CARE COORDINATORKnoxville, TennesseeReviews and assesses the member’s available data, including clinical history, outpatient/inpatient treatments, emergency room visits, medications, chart reviews, or other information, to assist in monitoring and facilitation of adherence to prescribed care plans. With more than 300 physicians and advanced practice providers in 20 communities, our team delivers expertise across a broad spectrum of specialties from primary care and walk-in clinics to preventive medicine and advanced surgical and subspecialty services.
United Neighborhood Health Services IncNurse Practitioner - FNP United Neighborhood Health Services IncNurse Practitioner - FNPnashville, TNThe Nurse Practitioner supports the UNHS mission to assure access of the underserved to healthcare, to engage patients in a meaningful healthcare experience through the patient-centered health home model, to provide high quality healthcare and to participate in controlling the cost of such care. The Nurse Practitioner is responsible for the provision of health care services to patients who receive their care at UNHS health centers pursuant to protocols established with the Chief Clinical Officer.
Wheeler Staffing PartnersDirector of Case Management Wheeler Staffing PartnersDirector of Case ManagementMemphis, TNOur team specializes in placing top talent within healthcare leadership, clinical operations, case management, revenue cycle, nursing leadership, and hospital administration roles. This role is responsible for overseeing hospital utilization management, care coordination, transition planning, patient throughput, and operational leadership of the Case Management Department.
Hamilton County, TNNurse Specialist #1628 - Homeless Health Services - Health & Social Services Division Hamilton County, TNNurse Specialist #1628 - Homeless Health Services - Health & Social Services DivisionChattanooga, TN$59,493–$74,366 / yearPHYSICAL REQUIREMENTS: Work requires long periods of standing, walking, lifting medical supplies or patients weighing up to 50 pounds, assisting patients in transfers to examination tables, performing routine lab work such as blood draws and specimen collection, extensive contact with infectious diseases, mentally ill or combative patients, home visits, case management and attention to detail. Parental Leave: Hamilton County provides eight (8) weeks of paid maternity leave and two (2) weeks of paid paternity leave following the birth of a child or placement of a child with an employee in connection with adoption (age 13 or younger) or foster care.
Hamilton County, TNNurse Specialist #1628 - Nursing Administration - Health & Social Services Division Hamilton County, TNNurse Specialist #1628 - Nursing Administration - Health & Social Services DivisionChattanooga, TN$59,493–$74,366 / yearPHYSICAL REQUIREMENTS: Work requires long periods of standing, walking, lifting supplies weighing up to ten (10) pounds, assisting patients in transfers to examination tables, performing routine lab work such as blood draws and specimen collection; and extended periods of extensive contact with infectious diseases; ability to drive an automobile. This includes maintenance, disease prevention, psychosocial and physical assessment; investigation, treatment, education and prevention of infectious diseases, family planning, fetal-infant mortality review/prevention, prenatal care, quality assessment and improvement, pediatrics, immunizations, sexual and reproductive wellness, and other public health programs and services.
Texas Nursing ServicesDirector of Case Management Texas Nursing ServicesDirector of Case ManagementNashville, Tennessee$109,762–$135,000 / yearDirector of Case Management, Case Management Leadership, Care Coordination Director, Utilization Management Leadership, Hospital Case Management, Throughput Operations, Acute Care Leadership, RN Case Management Director, Hospital Operations Leadership, Nashville Healthcare Leadership. #CaseManagement #DirectorCaseManagement #CareCoordination #HospitalLeadership #UtilizationManagement #HealthcareOperations #NashvilleHealthcare #RNLeadership #PatientThroughput #AcuteCareLeadership.
HCA HealthcareDirector Case Management HCA HealthcareDirector Case ManagementNashville, TNThe Director ensures staff compliance with organizational policies and external regulatory agencies and takes leadership responsibility to coordinate the integration of the department's patient care and discharge planning processes with related hospital departments and external agencies to ensure continuity of care and optimal clinical resource utilization. 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.
Veracity Software IncDirector Case Management Veracity Software IncDirector Case ManagementMemphis, TNThe Director of Case Management is responsible for the overall leadership and operational management of hospital case management services, including utilization management, transition management, patient throughput, denial prevention, and compliance oversight. The ideal candidate will bring strong acute care hospital case management leadership experience with expertise in utilization review, care coordination, and interdisciplinary collaboration.
TriWest Healthcare AllianceProgram Integrity Clinical Specialist (RN or PA Req'd) TriWest Healthcare AllianceProgram Integrity Clinical Specialist (RN or PA Req'd)Nashville, TNRemoteFull timeTechnical Skills: Knowledge of TRICARE policies and procedures, knowledge of Case Management, Utilization Management, and Quality Management practices and principles, and knowledge of Managed Care concepts, alternative care treatments, and community resources. • Research and investigate medical issues as they relate to potential fraud and abuse cases, to include perform anti-fraud and abuse pre-payment reviews or post-payment reviews.
The Kroger CoNURSE PRACTITIONER The Kroger CoNURSE PRACTITIONERLakeland, TNOur clinics are staffed by board-certified nurse practitioners or physician assistants, licensed practical nurses, and patient care technicians who all work as a team to supply high-quality, affordable healthcare found in convenient retail settings. Active license, American Association of Nurse Practitioners (AANP) or American Nurses Credentialing Center (ANCC) certification and all necessary state credentials.
The Kroger CoNURSE PRACTITIONER FLOAT The Kroger CoNURSE PRACTITIONER FLOATGoodlettsville, TNOur clinics are staffed by board-certified nurse practitioners or physician assistants, licensed practical nurses, and patient care technicians who all work as a team to supply high-quality, affordable healthcare found in convenient retail settings. Active license, American Association of Nurse Practitioners (AANP) or American Nurses Credentialing Center (ANCC) certification and all necessary state credentials.
CVS Health CorpCase Manager, Registered Nurse - Fully Remote CVS Health CorpCase Manager, Registered Nurse - Fully RemoteTNRemote$54,095–$155,538 / yearBenefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. Applies clinical judgment to the incorporation of strategies designed to reduce risk factors and barriers and address complex health and social indicators which impact care planning and resolution of member issues.
Acadia Healthcare Co IncAdmissions RN (Full-time and PRN) Acadia Healthcare Co IncAdmissions RN (Full-time and PRN)Murfreesboro, TNPURPOSE STATEMENT: Clinical professional is responsible for facilitating admissions, clinical intake assessments, and utilization review processes to assure continuity for the most appropriate level of care for patients and their benefit/resource utilization. TrustPoint is a state-of-the-art hospital that provides rehabilitation services, medical psychiatry, and inpatient and outpatient behavioral health services for adolescents, adults, and seniors.
Methodist Le Bonheur HealthcareCase Management PRN Methodist Le Bonheur HealthcareCase Management PRNMemphis, TNThe Case Manager III is responsible for coordination of care and service delivery for an assigned group of patients and promoting inter-dependent communication and collaboration with the patient, caregiver, physician and other members of the health care management team. The Case Manager will assess, implement, coordinate, monitor and evaluate available services and resources to promote quality, cost effective outcomes appropriate to patient''s needs and resources.
HonorVet TechnologiesRegistered Nurse/Case Manager HonorVet TechnologiesRegistered Nurse/Case ManagerKnoxville, TNThe ideal candidate will have a minimum of 5 years of hospital case management experience and proficiency in Cerner/PowerChart and discharge planning platforms. We are seeking an experienced Registered Nurse (RN) Case Manager with strong hospital-based case management experience.
HiredFirstDirector Case Management HiredFirstDirector Case ManagementNashville, TN$109,000–$135,000Reporting to senior clinical and financial leadership, this director sets the strategic and operational direction for the case management department, including staffing models, skill mix, FTE allocation, and staff competencies. This leadership role oversees all operational aspects of hospital case management, bringing executive-level direction to care coordination, discharge planning, and clinical resource utilization across the department.
GRANDVIEWCase Manager/ Business Office Assistant (RN or LPN) GRANDVIEWCase Manager/ Business Office Assistant (RN or LPN)Cookeville, TNFull timeUtilize clinical expertise and critical thinking skills to work collaboratively with residents, resident family/significant other, healthcare providers, insurers, community resources and other involved parties to develop and implement a plan of care that provides extraordinary care for the patient while being sensitive to costs and resources. Must be able to effectively communicate with, and promote cooperation and collaboration between individuals including residents/families/caretakers, physicians, nurses and other ancillary partners.
LHC Group IncPsychiatric Registered Nurse LHC Group IncPsychiatric Registered NurseMount Juliet, TNCommunicates relevant information timely and effectively with appropriate agency staff including but not limited to: any patient care issues or needs, visit assignments, dates of scheduled visits, and schedule changes to scheduler, orders and OASIS data sets, coding requests, schedule home visits, to coordinate care with other clinicians, Communicates timely and effectively with physicians, patients, and family members to ensure quality care and service excellence. 3. Quality Makes the initial and/or comprehensive nursing evaluation visit, ensures patients meet home health eligibility and medical necessity guidelines as defined by payer source, accurately determines primary focus of care, develops the plan of care within State specific guidelines with the physician, and submits accurate documentation.
TrustPoint HospitalAdmissions RN (Full-time and PRN) TrustPoint HospitalAdmissions RN (Full-time and PRN)Murfreesboro, Tennessee
HCA HealthcareNewVP of Quality and Risk Management HCA HealthcareVP of Quality and Risk ManagementSpringfield, TNThe Vice President of Quality promotes high quality, patient-centered care by overseeing aspects of the Quality Management/Patient Safety Program(s) and Performance Improvement programs across complex organizations (multi-site campus, service lines). 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.
Saint Francis Hospital - MemphisDirector of Case Management Saint Francis Hospital - MemphisDirector of Case ManagementMemphis, TNSaint Francis Hospital-Memphis is a 479-bed full-service hospital located at 5959 Park Avenue in Memphis, TN.Offering a wide array of medical services, Saint Francis is noted for its many Centers of Excellence, including its Center for Surgical Weight Loss, Joint & Spine Center, Heart & Vascular Center, Chest Pain Emergency Center, and Surgical Services including its Center for Robotic Surgery, Diabetes Center, and Cancer Center. The individual in this position has overall responsibility for hospital utilization management, transition management, and operational management of the Case Management Department in order to promote effective utilization of hospital resources, timely and accurate revenue cycle processes, denial prevention, safe and timely patient throughput, and compliance with all state and federal regulations related to case management services.
All Med SearchDirector Case Management All Med SearchDirector Case ManagementNashville, TN$109,762–$135,000 / yearThe Director ensures the integrity of care coordination and discharge planning processes with a focus on timeliness, documentation quality, and regulatory compliance while actively engaging interdisciplinary teams that include the CMO, CNO, ancillary service leaders, and external agencies to support continuity of care. Reporting to facility and division leadership, the Director holds full operational accountability for the case management department, including staffing model design, skill mix, onboarding, and staff competency development.
Select Specialty Hospital - NashvilleCase Manager / PRN ( RN / RT / SW / LPN ) Select Specialty Hospital - NashvilleCase Manager / PRN ( RN / RT / SW / LPN )Nashville, TennesseeResponsibilities: We are looking for valued employees who will be Champions of the Select Medical Way, which includes putting the patient first, helping to improve quality of life for the community in which you live and work, continuing to develop and explore new ideas, providing high-quality care and doing well by doing what is right. Our hospital is a critical illness recovery hospital committed to providing world-class inpatient post-ICU services to chronic, critically ill patients who require extended healing and recovery.
Saint Francis Hospital - MemphisRegistered Nurse (RN) Case Manager Saint Francis Hospital - MemphisRegistered Nurse (RN) Case ManagerMemphis, TNSaint Francis Hospital-Memphis is a 479-bed full-service hospital located at 5959 Park Avenue in Memphis, TN.Offering a wide array of medical services, Saint Francis is noted for its many Centers of Excellence, including its Center for Surgical Weight Loss, Joint & Spine Center, Heart & Vascular Center, Chest Pain Emergency Center, and Surgical Services including its Center for Robotic Surgery, Diabetes Center, and Cancer Center. The RN Case Manager is responsible to facilitate care along a continuum through effective resource coordination to help patients achieve optimal health, access to care and appropriate utilization of resources, balanced with the patient’s resources and right to self-determination.
HCA HealthcareCase Manager Nurse HCA HealthcareCase 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.