Utilization Review Jobs in Nashville
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Search Results - Utilization Review Jobs in Nashville
NCH Healthcare System-Nashville
Actively collaborates with utilization review team to facilitate and meet organizational and department goals. · Recognizes situations that require referral to quality or risk management and makes a timely referral. EDUCATION, EXPERIENCE AND QUALIFICATIONS...
Ascension-Nashville
initiatives.
• Develop systems and processes for prospective, concurrent and retrospective utilization review for all
self-funded and fully insured clients to implement and manage comprehensive outpatient and inpatient
utilization management programs...
Murfreesboro, 31 mi from Nashville
the late nights and sacrifices worth it." - Current RN
PURPOSE STATEMENT:
Clinical professional responsible for facilitating admissions, clinical intake assessments and utilization review processes to assure continuity for the most appropriate level...
icims.com -
TriStar Centennial Medical Center-Nashville
with 2 years case management experience preferred.
• Certification in case management, nursing, or utilization review preferred.
• InterQual experience, preferred.
• Ability to establish and maintain collaborative and effective working relationships...
TriStar Centennial Medical Center-Nashville
supporting a balance of optimal care and appropriate resource utilization.
II.POSITION QUALIFICATIONS:
1. Bachelor’s prepared RN with current state licensure. In lieu of BSN, RN must have 5 years case management experience and complete a bachelor’s...
TriStar Southern Hills Medical Center-Nashville
preferred
• Three years nursing experience in acute care setting, Case Management experience preferred
• Certification in Case Management, Nursing, or Utilization Review, preferred
• Ability to establish and maintain collaborative and effective working...
CenterWell Home Health-Murfreesboro, 31 mi from Nashville
and standards.
• Assesses staff education needs based on own the review of clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates and conducts regular staff education as needed...
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