FULL_TIME

FEED

UNKNOWN

Our Sales Team is growing and seeking a full-time Regional Account Manager to strengthen existing client partnerships and drive new business opportunities across the Tennesse territory . Ethos Risk Services is a leading insurance claims investigation and medical management company committed to providing better data that translates into better decision-making for our clients.

YEAR

Ethos Risk Services

Regional Account Manager

Talent Acquisition

Identify significant disease conditions relevant to the PCC; Specifically engineer measurable clinical processes and establish appropriate clinical pathways across the continuum and implement cost improvement initiatives to improve value to the patient in the management of the specific disease conditions. Lead and provide feedback to direct reports with full responsibility for planning, coordinating, and controlling the work procedures; analyze and evaluate ongoing department programs to identify areas where adjustments/improvements are needed; provide advice/consultation to others regarding problems.

Vanderbilt Health

Associate Nursing Officer - Vanderbilt Heart And Vascular Institute

ea_via_bold

PART_TIME

Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. URAC recognized Case Management certification (ACM, CCM, CDMS, CMAC, CMC, CRC, CRRN, COHN, COHN-S, RN-BC) required to be obtained within 3 years of hire if no nationally recognized certification is present at time of hire.

CorVel Healthcare Corporation

Telephonic Case Manager I

This leader ensures that provider networks are adequate, efficient, financially sustainable, and aligned with the organization's strategic goals (e.g., value-based care, member access, cost containment). The Dir of Contracting & Network Management is a leadership role responsible for developing, negotiating, and managing provider contracts and networks for the health plan.

BrightSpring Health Services

Director of Contracting

linkup_via_bold

Hyperfine, Inc. (Nasdaq: HYPR) is the groundbreaking health technology company that has redefined brain imaging with the Swoop ® system—the first FDA-cleared, portable, ultra-low-field, magnetic resonance brain imaging system capable of providing imaging at multiple points of care in a healthcare facility. The Clinical Support Specialist is responsible for all aspects of the initial training and support for the customer team, including physicians, nurses, radiographers, MRI Technologists, and other relevant personnel in the use of Hyperfine's Swoop Portable MRI System.

Hyperfine

Clinical Support Specialist - Southeast

GreenHouseAPI

OTHER

The Transition of Care Coordinator provides clinical oversight and coordination for beneficiaries moving between levels of care, supports discharge planning, conducts post-discharge follow up, completes assessments and reassessments as needed, identifies barriers to care, and reviews and processes authorization and referral requests according to policy. Technical Skills: Thorough knowledge of internal policies and procedures, utilization management principles, managed care concepts, medical terminology, and medical management system, clinical decision support tools, International Classification of Diseases, and Current Procedural Terminology.

TriWest Healthcare Alliance

Transition of Care Coordinator RN/LCSW

equestftpin

Remains current from a knowledge base perspective regarding reimbursement modalities, community resources, case management, psychosocial and legal issues that affect patients and providers of care. Coordinates with interdisciplinary care team, physicians, patients, families, post-acute providers, payors, and others in the planning of the patients' care throughout the care continuum.

Knight Health Holdings LLC

Case Manager - Full Time Days

Assures that assigned department(s) are appropriately using and safeguarding all organizational resources to include proper use of materials, supplies, equipment, and furnishings, human and financial resources. Interacts with direct patient care staff to ensure appropriate feedback is received before product decisions are made (e.g., physicians, nurses, radiology technologists, medical technologists, and other ancillary staff).

Baptist Memorial Health Care Corp

Manager-Value Analysis & Spending

PURPOSE 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. LICENSES/DESIGNATIONS/CERTIFICATIONS: Current licensure, as preferred for the area of clinical specialty, as designated by the state in which the facility operates.

Acadia Healthcare Co Inc

Admissions Counselor

PURPOSE 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. EDUCATION/EXPERIENCE/SKILL REQUIREMENTS: Master''s degree in a social services field (psychology, counseling, social work, sociology, health administration, nursing) or RN preferred.

Admissions Counselor Full Time

Manages the care for a specific group of patients; facilitates the safe movement of patients through the continuum of care, ensures optimal utilization of resources, service delivery and compliance with external review agencies, local, state, and federal requirements. Build on the discharge planning assessment in developing, coordinating, implementing and revising a care plan to ensure good transition management and continuity of care (LOS, discharge delays), cost reduction and patient self-management (patient activation).

Social Worker LMSW

As one of the nation''s leaders in treating individuals with acute co-occurring mood, addiction, and trauma, Acadia Healthcare places a strong emphasis on our admissions & intake functions to allow us to help every possible person in need. Licensure, as required for the area of clinical specialty, i.e., RN license, CAC or other clinical counseling or therapy license, as designated by the state in which the facility operates.

Admissions Services Specialist Acute

Admissions Counselor PRN

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. The Manager of Cardiovascular Services oversees the administrative, operational, and clinical performance of the assigned areas, which include Cath Lab, Echo, and Non-Invasive Cardiology departments.

At its founding in 1968, Nashville-based HCA was one of the nation's first hospital companies. Today, we are the nation's leading provider of healthcare services, a company comprised of locally managed facilities that includes about 165 hospitals and 115 freestanding surgery centers in 20 states and England and employing approximately 204,000 people. Approximately four to five percent of all inpatient care delivered in the country today is provided by HCA facilities. Richard M. Bracken serves as Chairman of HCA and R. Milton Johnson is the company's President and Chief Executive Officer. HCA is committed to the care and improvement of human life and strives to deliver high quality, cost effective healthcare in the communities we serve. Building on the foundation provided by our Mission & Values, HCA puts patients first and works to constantly improve the care we give them by implementing measures that support our caregivers, help ensure patient safety and provide the highest possible quality. Investing in our communities is important to us. HCA typically invests about $1.5 billion annually to keep our facilities modern and up-to-date technologically and to expand and add services where needed. Focusing primarily on communities where the company is a leading healthcare provider, HCA selectively adds new facilities in order to better serve our communities. And because two HCA founders were physicians, we value highly the strong relationships we've created with local physicians. We endeavor to provide them with a wide array of services and modern facilities in order to help them deliver the best possible care.

HCA Healthcare

Cardiovascular Services Manager

Jobvite Talemetry Organic Easy Apply

Manages 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 Care

RN-Acute Care Case Manager

In coordination with nursing, ancillary departments, social work, and the physician, monitor and ensure the treatment plan and steps to prepare for transition or discharge are completed as planned, gaps in care are avoided as well as duplicative or unnecessary services. Case Managers will apply systems, science, incentives, and information to improve healthcare practice and assist patients and their support systems to become engaged in a collaborative process designed to manage medical/social/mental health conditions more effectively.

RN-Case Manager- Medical Alt - Memphis

Works in partnership with system and entity leaders, physician constituents, clinical leaders, and interdisciplinary care teams, and other key stakeholders to create and sustain a culture of quality and safety, performance transparency, teamwork, measurement, and accountability in order to implement clinical quality transformation throughout Baptist and within all care settings. ·Utilizes advanced methodologies to analyze clinical data, identify trends, and implement evidence-based interventions to drive improved patient outcomes and healthcare delivery efficiency in acute care, outpatient, ambulatory, and post-acute care settings.

Utilization Management Nurse Jobs in Tennessee

Regional Account Manager Ethos Risk Services

Associate Nursing Officer - Vanderbilt Heart And Vascular Institute Vanderbilt Health

Telephonic Case Manager I CorVel Healthcare Corporation

Director of Contracting BrightSpring Health Services

Clinical Support Specialist - Southeast Hyperfine

Transition of Care Coordinator RN/LCSW TriWest Healthcare Alliance

Case Manager - Full Time Days Knight Health Holdings LLC

Manager-Value Analysis & Spending Baptist Memorial Health Care Corp

Admissions Counselor Acadia Healthcare Co Inc

Admissions Counselor Full Time Acadia Healthcare Co Inc

Social Worker LMSW Baptist Memorial Health Care Corp

Admissions Services Specialist Acute Acadia Healthcare Co Inc

Admissions Counselor PRN Acadia Healthcare Co Inc

Cardiovascular Services Manager HCA Healthcare

RN-Acute Care Case Manager Baptist Memorial Health Care

Social Worker LMSW Baptist Memorial Health Care

RN-Case Manager- Medical Alt - Memphis Baptist Memorial Health Care

System Director-Quality Baptist Memorial Health Care

RN-Case Manager Baptist Memorial Health Care

RN-Acute Care Case Manager PRN Weekends Baptist Memorial Health Care

Similar Job Searches

Stand out to leading employers.