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.
Case 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. .
Case 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.
Case Manager Registered Nurse Parkridge Medical CenterCase Manager Registered NurseChattanooga, TNYou will actively participate in continuous quality improvement activities by making suggestions for improvement and helping to make positive changes to include quality control, quality assurance, safety and inspection control practices. . You will actively participate in the team spirit of the department, helping to accomplish the department mission, and lending a helping hand to other members of the team as appropriate. .
Medical Surgical Nurse Director Parkridge Medical CenterMedical Surgical Nurse DirectorChattanooga, 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 Med/Surg Nurse Director ensures high quality, patient-centered care through oversight of the overall function and staffing of the unit(s)/department(s) in addition to forecasting, planning, and budget monitoring.
Utilization Management Nurse ArchWell Health LLCUtilization Management NurseNashville, TNJob Summary: Reporting to the Director of Utilization Management, the Utilization Management Nurse is responsible for ensuring that patients receive appropriate, cost-effective care by reviewing and evaluating medical services, treatments, and procedures. Collaborates with Network and specialists to identify opportunities to educate on value-based care, resolve specialty gaps by markets, improve cost-effectiveness and coordination of care to meet patient needs.
NewUtilization Management Nurse Consultant CVS Health CorpUtilization Management Nurse ConsultantTN$26.01–$62.32 / hourOur teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. 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.
Utilization Management Behavioral Health Professional Humana IncUtilization Management Behavioral Health ProfessionalTNRemote$65,000–$88,600 / yearWork at Home Requirements: To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Humana Healthy Horizons in Kentucky is looking for a Utilization Management Behavioral Health Professional 2 who uses behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services and/or benefit administration determinations.
Nurse 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.
RN-Utilization Review Baptist Memorial Health CareRN-Utilization ReviewMemphis, TNDescription Job Summary 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. Preferred/Desired RN with 3 years of clinical experience with Case Management experience in a hospital or payer setting .
RN-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.
NewRN-Utilization Review Baptist Memorial Health Care CorpRN-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.
Utilization Specialist - Addiction Recovery Summit Behavioral Healthcare LLCUtilization Specialist - Addiction RecoveryTNAbout the Job: PURPOSE STATEMENT: The Utilization Specialist is responsible for reviewing of assigned admissions, continued stays, utilization practices and discharge planning according to approved clinically valid criteria which meets the daily deadlines to obtain authorizations and complete other pertinent processes. Gathers and develops 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.
UTILIZATION 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.
NewPart Time Utilization Specialist Crestwyn Behavioral HealthPart Time Utilization SpecialistGermantown, TennesseePart timeGather 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. 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.
Utilization 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.
Manager, Medical Review (Medicare - Appeals; Utilization Review; Part A; HHH) BlueCross BlueShield of South CarolinaManager, Medical Review (Medicare - Appeals; Utilization Review; Part A; HHH)Nashville, TennesseeWe are committed to working with and providing reasonable accommodations to individuals with disabilities, pregnant individuals, individuals with pregnancy-related conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on the Company. Required Licenses and Certificates: Active RN licensure in state hired, OR, active compact multistate RN license as defined by the Nurse Licensure Compact (NLC).
Manager, Medical Review (Medicare - Appeals; Utilization Review; Part A; HHH) CGS AdministratorsManager, Medical Review (Medicare - Appeals; Utilization Review; Part A; HHH)Nashville, TennesseeWe are committed to working with and providing reasonable accommodations to individuals with disabilities, pregnant individuals, individuals with pregnancy-related conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on the Company. Required Licenses and Certificates: Active RN licensure in state hired, OR, active compact multistate RN license as defined by the Nurse Licensure Compact (NLC).
NewPart Time Utilization Specialist Acadia Healthcare Co IncPart Time Utilization SpecialistGermantown, 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.
Utilization Specialist - Part Time Acadia Healthcare Co IncUtilization Specialist - Part TimeNashville, 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.
Registered 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.
Registered 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. TECHNICAL CAPABILITIES Our Nursing Philosophy: We believe highly skilled and specialized nursing care is essential to Vanderbilt University Medical Centers mission of quality in patient care, education and research.
Utilization Specialist - Part Time Ascension St. Thomas Behavioral Health HospitalUtilization Specialist - Part TimeNashville, TennesseePart timeGather 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. 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.
Registered 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.
NewRN Manager-Case Management & Social Work Baptist Memorial Health Care CorpRN Manager-Case Management & Social WorkMemphis, TNManages the care for a specific population; facilitates the safe transition of patient 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.
LPN Case Manager ER - Full-Time | Days | Nights The Staff PadLPN Case Manager ER - Full-Time | Days | NightsManchester, TennesseeIf you're passionate about coordinating care, advocating for patients, and improving outcomes, join the collaborative, patient-focused team where you can make a meaningful impact every day while growing your career in a supportive community hospital. The Case Manager collaborates closely with physicians, nurses, and care teams to ensure appropriate level of care, efficient throughput, and safe patient transitions.
NewRN Care Coordinator Integrated Resources, IncRN Care CoordinatorChattanooga, TennesseeContractorResponsibilities:The care coordinator will perform the following essential activities of care coordination:· Assessment -The care coordinator will assess information about a members' medical care needs, social situation and functioning to identify individual needs in order to identify members medical needs and develop a plan of care that will address those needs.· Job DescriptionTitle: Care CoordinatorDuration: 3 months (Possible extension)Location: Chattanooga, TNQualifications:Registered Nurse with active license in the state of Tennessee or hold a license in the state of their residence if the state is participating in the Nurse Licensure Compact Law.
Nurse Practitioner / Physician Assistant - Palliative Care Prisma HealthNurse Practitioner / Physician Assistant - Palliative CareMaryville, TNGeneral Job Expectations: Maintain courteous and cooperative working relationships with all levels of management and employees, physicians, patients, guarantors and the general public. Engages in the diagnosis and treatment of disease, defects or injuries and recommend or prescribe treatments for the relief or cure of physical, mental or functional ailments or defects.
NewSenior Registered Nurse Integrated Resources, IncSenior Registered NurseChattanooga, TennesseeFull timeUtilizes the following system applications when performing reviews: FACETS, FileNet, Outlook, and Intranet, Internet Explorer to research and cross-reference diagnoses and treatment, Microsoft Office, Encoder Pro, Adobe Reader, Adobe Writer, and TRH Imaging software to review applications for potential misrepresentation referrals. IT Life Sciences Allied Healthcare CROCertified MBE |GSA - Schedule 66 I GSA - Schedule 621IDIRECT # - 732 -844-8721 | (W) # 732-549-2030 - Ext - 311 |(F) 732-549-5549
Director 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.
Bilingual Spanish, RN Care Manager Clover Health Investments CorpBilingual Spanish, RN Care ManagerNashville, TNRemote$86,000–$105,000 / yearAdditional Perks: Employee Stock Purchase Plan (ESPP) offering discounted equity opportunities Reimbursement for office setup expenses Monthly cell phone & internet stipend Remote-first culture, enabling collaboration with global teams Paid parental leave for all new parents. The Clover Care Services organization delivers proactive support and care to our members through our clinical Clover Home Care teams, and quality improvement services to our aligned providers through our practice engagement team.
NewManager Cardiovascular Device Management HCA HealthcareManager Cardiovascular 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.
Behavioral Health Nurse-RN Signature HealthCARE LLCBehavioral Health Nurse-RNTNSignature HealthCARE of Monteagle Rehab & Wellness Center is a 150-bed skilled and intermediate nursing facility provides a safe, secure environment for those in need of medical care, and specializes in customized dementia and behavioral care for cognitively impaired residents. Registered Nurse or Licensed Practical Nurse in good standing with state licensing board, or master's degree specializing in Social Work and/or Licensed Social Worker with training in behavior, dementia and/or psychiatric care.
NewBehavioral Health Nurse-RN Signature HealthCARE of Monteagle Rehab & Wellness CenterBehavioral Health Nurse-RNMonteagle, TennesseeFull timeAbout Us: Signature HealthCARE of Monteagle Rehab & Wellness Center is a 150-bed skilled and intermediate nursing facility provides a safe, secure environment for those in need of medical care, and specializes in customized dementia and behavioral care for cognitively impaired residents. What you Need to make a Difference: Registered Nurse or Licensed Practical Nurse in good standing with state licensing board, or master’s degree specializing in Social Work and/or Licensed Social Worker with training in behavior, dementia and/or psychiatric care.
Director 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.
Care Management Case Manager West Tennessee Healthcare System LLCCare Management Case ManagerTNDocuments, monitors, intervenes/resolves, and reports clinical denials/appeals and supports retrospective payer audit denials; collaboratively formulates plans of action for denial trends with the care coordination teams, performance improvement teams, physicians/physician advisor, and third party payers, etc. Provides leadership in the coordination of patient-centered care across the continuum, develops a safe discharge plan through collaboration with the patients / caregivers and multidisciplinary healthcare team to arrange appropriate post discharge services and optimal transitions in care.
Nurse 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.
Nurse Practitioner - Women''s Health United Neighborhood Health Services IncNurse Practitioner - Women''s HealthNashville, 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.
REGISTERED NURSE 3 - 07172026-79390 State of TennesseeREGISTERED NURSE 3 - 07172026-79390TNProvides nursing care and procedures according to physician orders and nursing protocol including administering medication, evaluating side effects and the overall effectiveness of medications, maintaining health care equipment and supplies, tracking drugs and instruments, performing basic life support, CPR, and participating in emergency response settings. This position reports to the Assistant Superintendent for Quality Management and will perform duties as Utilization Management Director by providing daily leadership, supervision, and operational oversight to Utilization Management staff to ensure efficient departmental operations, compliance with hospital policy, and adherence to regulatory and payer requirements.
Director 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.
Nurse Specialist #1628 - CHANT - Health & Social Services Division Hamilton County, TNNurse Specialist #1628 - CHANT - Health & Social Services DivisionChattanooga, TN$60,980–$76,225 / 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. Functions as a resource for and provides nursing consultation, support, and home visits with Department Managers and Care Coordinators regarding Maternal Child Health related issues (contraceptive care, prenatal and post-part care for uncomplicated pregnancies, childhood lead poisoning prevention, infant/child health and development).
Nurse Specialist #1628 - Homeless Health Services - Health & Social Services Division Hamilton County, TNNurse Specialist #1628 - Homeless Health Services - Health & Social Services DivisionChattanooga, TN$60,980–$76,225 / 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.
Hospice Nurse Practitioner Gentiva HospiceHospice Nurse PractitionerMurfreesboro, TennesseeComplete all visit types for patients on services, including Medicare-required hospice Face-to-Face (F2F) visits within CMS established regulatory timeframes, History & Physical/Initial Comprehensive visits, Problem-focused Symptom Management visits, Admission visits, Goals of Care discussions, and routine follow up visits. The Nurse Practitioner will deliver advanced clinical care, perform patient management visits and hospice Face-to-Face (F2F) encounters for eligibility certification and recertification, and partner closely with physicians and interdisciplinary teams to ensure high-quality, compliant, and compassionate care.
Program 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.
NewRN Appeals Analyst BlueCross BlueShield of South CarolinaRN Appeals AnalystNashville, TennesseeRemoteWe are committed to working with and providing reasonable accommodations to individuals with disabilities, pregnant individuals, individuals with pregnancy-related conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on the Company. 033) ONLY: 2 years clinical experience plus 2 years utilization/medical review, quality assurance, or home health experience or a combination of experience in clinical, utilization/medical review, quality assurance or home health experience totaling four years.
NewRN Appeals Analyst CGS AdministratorsRN Appeals AnalystNashville, TennesseeRemoteWe are committed to working with and providing reasonable accommodations to individuals with disabilities, pregnant individuals, individuals with pregnancy-related conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on the Company. 033) ONLY: 2 years clinical experience plus 2 years utilization/medical review, quality assurance, or home health experience or a combination of experience in clinical, utilization/medical review, quality assurance or home health experience totaling four years.
Case 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.
Nurse Specialist #1628 - Sexual and Reproductive Wellness Clinic - Health & Social Services Division Hamilton County, TNNurse Specialist #1628 - Sexual and Reproductive Wellness Clinic - Health & Social Services DivisionChattanooga, TN$60,980–$76,225 / 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.
Director of Health Information Management- VRM HCA Healthcare IncDirector of Health Information Management- VRMNashville, TNWhat you will do in this role: Provides guidance and leadership on quality outcomes to Production Coding vendors Accountable for overall vendor and operational performance outcomes, including productivity, service levels, and financial impact Provides oversight of day-to-day VRM operations, including workflow management, queue oversight, and production performance Ensures monitoring of operational metrics (e.g., TAT, volume, productivity, unbilled) and holds vendor teams accountable for results Oversees vendor relationships and performance, including SLA adherence, issue resolution, and performance improvement actions Holds vendors accountable for performance outcomes and drives improvement through structured follow-up and escalation when needed Partners with VRM leadership to facilitate corporate customer relations with other teams within HIM Coding and Abstraction Services and HCA Key Stakeholders associated with Production coders' quality and operational performance outcomes. Partners with vendors and internal stakeholders to drive sustained quality improvement Ensures quality expectations are achieved through operational accountability and performance management Provides leadership and oversight for enterprise initiatives impacting coding operations (e.g., workflow changes, system implementations) Identifies and drives operational and performance improvement initiatives based on data trends and business needs.
NURSE PRACTITIONER The Kroger CoNURSE PRACTITIONERHendersonville, 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.