Utilization Management jobs in Nashville, TN

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Case Manager/Exempt (Case Management) PRN 5 yrs. RN exp in M...
Minimum of three years clinical experience, with acute care experience.At least one year of acceptable Utilization/Case Management, Quality Management or Home...
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Division Clinical Specialist
HCA Corporate - 698 reviews - Nashville, TN
Actively supports and promotes systems standardization, utilization, and best practices. Coordinates the implementation of division-wide standardization,...
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Patient Centered Medical Home (PCMH) Coordinator - Nashville...
2 years experience in Utilization Management, Case Management or Care/Disease Management. Document findings in BCBST Population Health Management tool....
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Clinical Quality Improvement Analyst

naviHealth - Nashville, TN
1-3 years managed care or utilization management experience preferred. Project management experience a plus. Management of clinical Quality Improvement Projects...

Utilization Management/RN Care Manager II (Level 2)

myNEXUS - Brentwood, TN
Utilization Management Nurse/Care Manager II (Level 2). The case management component of the UM program is designed to identify and monitor delivery of home...
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Nurse Appeals - Inpatient Utilization Review - TN Medicaid -...

Anthem, Inc. - 1,775 reviews - Nashville, TN
Utilization Management and/or Case Management preferred. At Amerigroup , a proud member of the Anthem, Inc....

Clinical Supply Specialist II

Vanderbilt University Medical Center - 10 reviews - Nashville, TN 37232
Utilization of various Materials Management programs is required to research products. Utilize the appropriate materials management systems to receive supplies...

Utilization Management Nurse/LPN Care Manager I (Level 1)

myNEXUS - Brentwood, TN
Utilization Management Nurse/Care Manager LPN (Level 1). Utilization Management/Home Health Care:. Perform pre-certification, certification and/or authorization...
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Clinical Quality Nurse

myNEXUS - Brentwood, TN
Experience preferred in Utilization Management. Generate reports /findings of reviews for the Clinical Management Teams:....
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LOGISTICS COORDINATOR

Louisiana-Pacific Corporation (LP building Product... - 25 reviews - Nashville, TN
OFFSITE INVENTORY MANAGEMENT FOCUSED:. Demonstrated knowledge of Inventory Management methods. Assist with Planning and maintenance of Risk Management policies....

Clinical Quality Analyst - Brentwood, TN

UnitedHealth Group - 4,308 reviews - Brentwood, TN
Some proficiency in understanding of basic process management and total quality management principles and methodologies (e.g., Six Sigma;...

Clinical Team Manager

naviHealth - Nashville, TN
Utilization Management Care Coordinators. Familiarity with managed care, utilization management or case management required....

Nurse Navigator

Southern Hills Medical Center - 11 reviews - Nashville, TN 37211
Evaluates and provides input regarding the utilization of resources to meet the needs of the target population....
Administrative Director of Care Coordination / Transition Ma...
Ensuring optimal utilization management and resource allocation. Accountable for Transition Management program, including Case Management, Utilization...
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Clinical Manager (32) - South Nashville - $5000 bonus for qu...
Maintains current knowledge of disease management software and systems as pertinent. Communicates changes in patient status regarding clinical, insurance,...
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