UNKNOWN

FEED

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 Case Manager

Jobvite Talemetry Organic Easy Apply

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).

Manager-Value Analysis & Spending

Develops and maintains an ongoing consultative relationship with the customer through regular engagement with key stakeholders to review satisfaction and utilization of products/solutions, share best practices, determine progress to organizational goals, and identify ongoing customer needs. Applies to Revenue Cycle, abaqis, and Competency Success Managers: For Revenue Cycle Success Manager only: KNOWLEDGE/EDUCATION AND EXPERIENCE REQUIRED: Minimum 3 years in a customer service/sales or related role.

HealthStream, Inc.

Success Manager, Clinical

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Success Manager

PART_TIME

In addition, Medical Case Managers are eligible for bonus and will be provided state-of-the-art technological devices to ensure ready access to CorVel’s proprietary Case Management application, enabling staff to retrieve documents on the go and log activities as they occur. 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.

YEAR

CorVel Healthcare Corporation

Field Case Manager I

Field Case Manager II

OTHER

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. ​ Master's degree in a social services field (psychology, counseling, social work, sociology, health administration, nursing) or RN preferred.

Delta Specialty Hospital

Admissions Counselor

[AW]-iCims

You will conduct face-to-face visits with members in area hospitals, collaborate with hospital care teams on discharge planning, and coordinate services that promote a smooth and informed transition from acute care settings to home and community-based care. You'll partner closely with members, hospital staff, physicians, specialists, and internal care teams to identify needs, remove barriers to care, and connect members with the resources necessary to achieve better health outcomes.

BlueCross BlueShield of Tennessee

Care Transition Case Manager- Memphis, TN

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You will conduct face-to-face visits with members in area hospitals, collaborate with hospital care teams on discharge planning, and coordinate services that promote a smooth and informed transition from acute care settings to home and community-based care. This includes, maintaining a valid driver’s license, auto insurance compliance with minimum liability requirements; as defined in the “Use of Non BCBST-Owned Vehicle” Policy (for employees driving personal or rental vehicles only); and maintaining an acceptable motor vehicle record (MVR).

Care Transition Case Manager- Nashville, TN

About Us We are a confidential healthcare organization providing managed-care and pharmacy review services across the U.S. Our pharmacists ensure the right medication reaches the right patient at the right time. Remote Clinical Review Pharmacist – Work From Home | Evidence-Based Decisions | Flexible Schedule Leverage your clinical knowledge in a fully remote Clinical Review Pharmacist role.

Pharmacy Careers

Remote Clinical Review Pharmacist

Ascension St. Thomas Behavioral Health Hospital

Admissions Counselor PRN

Admissions Counselor Full Time

FULL_TIME

Ensures clinicians are assigned and scheduled in most efficient geography, maximizing clinician efficiency, utilizing the lowest possible discipline, matching skill with required care, and optimizing clinician capacity. Qualifications: Required- Current, unencumbered license to practice as a Licensed Practical Nurse/Licensed Vocational Nurse or Registered Nurse specific to that state the employee is assigned to work by the company.

Amedisys, Inc.

Patient Services Coordinator - Clinical

The LTSS Service Coordinator RN Clinician is responsible for overall management of member's case within the scope of licensure; provides supervision and direction to non-RN clinicians participating in the member's case in accordance with applicable state law and contract; develops, monitors, evaluates, and revises the member's care plan to meet the member's needs, with the goal of optimizing member health care across the care continuum. Requires an RN and minimum of 3 years of experience in working with individuals with chronic illnesses, co-morbidities, and/or disabilities in a Service Coordinator, Case Management, or similar role; or any combination of education and experience, which would provide an equivalent background.

Elevance Health

LTSS Service Coordinator-RN Clinician

The LTSS Service Coordinator RN Clinician is responsible for overall management of member's case within the scope of licensure; provides supervision and direction to non-RN clinicians participating in the member's case in accordance with applicable state law and contract; develops, monitors, evaluates, and revises the member's care plan to meet the member's needs, with the goal of optimizing member health care across the care continuum. Minimum Requirements: Requires an RN and minimum of 3 years of experience in working with individuals with chronic illnesses, co-morbidities, and/or disabilities in a Service Coordinator, Case Management, or similar role; or any combination of education and experience, which would provide an equivalent background.

Elevance Health Inc

Referral services for child, elder and pet care, home and auto repair, event planning and more Consumer discounts through Abenity and Consumer Discounts Retirement readiness, rollover assistance services and preferred banking partnerships Education assistance (tuition, student loan, certification support, dependent scholarships) Colleague recognition program Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence) Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income. The Trauma Program Manager continually strives to achieve successful outcomes for all care and programs associated with the trauma service, serves as operational director for all internal/external program initiatives and hospital, local, state and American College of Surgeons (ACS) requirements.

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 Inc

Trauma Program Manager

Working alongside account teams and other internal specialty partners, the clinical consultant leverages their specialized knowledge base while reviewing claims and utilization data to identify patterns in health trends, large claimant treatments, quality of care, population health and cost. Supports account team preparation for carrier conversations by identifying clinical patterns in carrier and vendor program data; may participate directly in carrier discussions as directed.

Hub International Ltd

Employee Benefits Clinical Consultant

As required by applicable state law and contract, the Clinician contributes to the LTSS care coordination process by performing activities within the scope of licensure including, for example, assisting the responsible RN with telephonic or face-to-face assessments for the identification, evaluation, coordination and management of member's needs, including physical health, behavioral health, social services and long term services and supports. Minimum Requirements: Requires an LPN/LVN, LSW, LCSW, or LMSW or license other than RN in accordance with applicable state law and Nursing Diploma or AS in Nursing or a related field and minimum of 2 years of experience in working with individuals with chronic illnesses, co-morbidities, and/or disabilities in a Service Coordinator or similar role; or any combination of education and experience, which would provide an equivalent background.

Ltss Svc Coord-Clinician (Us)

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Ltss Svc Coord-Clinician

As required by applicable state law and contract, the Clinician contributes to the LTSS care coordination process by performing activities within the scope of licensure including, for example, assisting the responsible RN with telephonic or face-to-face assessments for the identification, evaluation, coordination and management of member's needs, including physical health, behavioral health, social services and long term services and supports. Requires an LPN/LVN, LSW, LCSW, or LMSW or license other than RN in accordance with applicable state law and Nursing Diploma or AS in Nursing or a related field and minimum of 2 years of experience in working with individuals with chronic illnesses, co-morbidities, and/or disabilities in a Service Coordinator or similar role; or any combination of education and experience, which would provide an equivalent background.

Utilization Management Nurse Jobs in Tennessee

RN-Acute Case Manager Baptist Memorial Health Care

Manager-Value Analysis & Spending Baptist Memorial Health Care

Success Manager, Clinical HealthStream, Inc.

Success Manager HealthStream, Inc.

Field Case Manager I CorVel Healthcare Corporation

Field Case Manager II CorVel Healthcare Corporation

Admissions Counselor Delta Specialty Hospital

Care Transition Case Manager- Memphis, TN BlueCross BlueShield of Tennessee

Care Transition Case Manager- Nashville, TN BlueCross BlueShield of Tennessee

Remote Clinical Review Pharmacist Pharmacy Careers

Admissions Counselor PRN Ascension St. Thomas Behavioral Health Hospital

Admissions Counselor Full Time Ascension St. Thomas Behavioral Health Hospital

Patient Services Coordinator - Clinical Amedisys, Inc.

LTSS Service Coordinator-RN Clinician Elevance Health

LTSS Service Coordinator-RN Clinician Elevance Health Inc

Trauma Program Manager HCA Healthcare Inc

Employee Benefits Clinical Consultant Hub International Ltd

Ltss Svc Coord-Clinician (Us) Elevance Health

Ltss Svc Coord-Clinician Elevance Health

LTSS Service Coordinator – Clinician (LSW, LCSW, LPN) East and West TN Elevance Health

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