Utilization Management RN - Value-Based Care Advocate
ArchWell Health, LLC
ArchWell Health, LLC is seeking an Utilization Management Nurse to ensure patients receive appropriate, cost-effective care by reviewing medical services, treatments, and procedures. Reporting to the Director of Utilization Management, you will assess medical records and treatment plans to support care decisions. The role requires active RN licensure, 3 years in utilization management, and comfort with CMS guidelines. Travel up to 20% is expected to collaborate across markets and providers. #J-18808-Ljbffr ArchWell Health, LLC
- ArchWell Health in Nashville is seeking an Utilization Management Nurse to review and evaluate medical services, treatments, and procedures to ensure appropriate, cost-effective care. This role reports to the Director of Utilization Management and partners with providers...Suggested
$26.01 - $68.55 per hour
...passionate colleagues who care deeply, innovate with... ...community at a time. Utilization Management is a 24/7 operation... ...current and unrestricted RN licensure in state of... ...range represents the base hourly rate or base annual... ...every colleague feels valued and that they belong....SuggestedHourly payFull timeTemporary workWork at officeLocal areaAfternoon shift- ...Utilization Management Nurse Reporting to the Director of Utilization Management... ...appropriate, cost-effective care by reviewing and evaluating... ...opportunities to educate on value-based care, resolve specialty gaps... ..., active Registered Nurse (RN) license in state(s) of...Suggested
- ...Registered Nurse for a role focused on Utilization Management. Candidates should have at least 2... ...experience in acute or critical care settings and possess a valid RN license. This full-time position... ...service delivery. The position is based in Tennessee and available...SuggestedFull timeImmediate start
$21 - $28 per hour
...Licensed Practical Nurse to work 100% remote. The role involves managing patient care, providing education, and coordinating resources for chronic... ...offers competitive pay ranging from $21/hr to $28/hr based on production, along with benefits including health insurance...SuggestedFull timeRemote work$20.77 - $23.84 per hour
...The Care Advocate is an integral part of the member’s care... ...reduce inappropriate utilization and has been... ...is to integrate Case Management, Care Navigation, and... ...services and community-based resources. Establish... ...empowering people and valuing their differences. We...Hourly payCasual workLocal areaRemote workFlexible hours- ...communities. As a Medicaid Eligibility Advocate with TriStar Centennial... ...in all areas of case management. In this role you will:... ...0% match on 3% to 9% of pay (based on years of service), Employee... ...for the delivery of charitable care, uninsured discounts, and other...Temporary workWork at officeMonday to FridayFlexible hours
- ...to provide high-quality, patient-centered care at TriStar Skyline Medical Center in... ...involves pre-operative and post-operative care, advocating for patients to ensure an unparalleled... ...The ideal candidate will have a current RN license in Tennessee, communication skills...
- ...Southern Hills Medical Center in Nashville, TN is hiring a Medical Surgical RN to deliver high-quality, patient-centered care. You will collaborate with medical providers and act as an advocate for patients, following established nursing models. This role involves assessing...
- ..., we deliver state-of-the-art diagnostic care conveniently. Our mission is clear: providing... ...teammates who embody our practice values and believe in our bold mission to transform... ...Background with Eclinical Works Practice Management System Preferred * Strong organizational...Local areaWork from homeFlexible hours
- ...subsidiaries, Ardent delivers care through a system of 30 acute... ...legal services. Requests and utilizes interdepartmental services as... ..., creating form agreements, managing legal resources, and providing... ...reimbursement programs and value based care initiatives. Previous law...
$71.1k - $97.8k
...Become a part of our caring community The Utilization Management Registered Nurse uses clinical nursing skills to... ...criteria, you will make determinations based on information provided by the... ...Must hold Compact Registered Nurse (RN) license in your state of residence...Bi-weekly payFull timeTemporary workApprenticeshipWork at officeRemote workHome office$73k - $80k
Nhccare is seeking a Registered Nurse (RN) in Nashville, TN, to provide comprehensive nursing care following physician’s orders.... ...care teams, and serving as patient advocates. The role offers a salary of $73,000 to $80,000 yearly based on experience, with benefits such...Flexible hours- ...discovery, and patient care, VUMC is a community of... ...your expertise will be valued, your knowledge expanded... ...the patient’s care and management to determine nursing diagnosis. Continually utilizes the nursing process to... ...are resolved. Evidence-Based Practice (Novice):...Temporary workWork experience placementReliefFlexible hours
- ...Type: Weekend Warrior RN Mt. Pleasant is more... ...providing exceptional care to residents and creating... ...where everyone feels valued and supported. But don... ...‑saving situations based upon nursing standards... ...discharge planning. Utilizes time management skills. Records all care...Daily paidFull timeLocal areaShift workWeekend work
- ...seeking an experienced Registered Nurse for the Utilization Review position. You will telephonically... ...excellent benefits. Interested candidates with an RN license in TN and at least 2 years of experience in Utilization Management are encouraged to apply. #J-18808-Ljbffr...
- ...discovery, and patient care, VUMC is a... ...expertise will be valued, your knowledge expanded... ...patient’s care and management to determine nursing... ...diagnosis. Continually utilizes the nursing process... ...home setting. The RN Home Care works... ...resolved. Evidence‑based nutrition practice...Full timeTemporary workWork experience placement10 hours per weekFlexible hoursShift workWeekend work
- ...invests in you as a(an) RN Case Manager? At TriStar Skyline... ...promoting patient-centered care by coordinating the... ...appropriate resource utilization. What you will do... ...education, and community based resources. ~... ...Conduct” and “Mission and Value Statement” What...Temporary workFlexible hours
$26.01 - $68.55 per hour
...is seeking a full-time Registered Nurse with a focus on Utilization Management in Tennessee. This role requires coordinating healthcare... .... Applicants should have 2+ years of experience in acute care and active RN licensure. This role requires the ability to work on a flexible...Hourly payFull timeFlexible hours- ...teaching, discovery, and patient care, VUMC is a community of... ...where your expertise will be valued, your knowledge expanded, and... ...misconduct, conflict-of-interest management, and research security.* Advise... ...Demonstrates in-depth knowledge of broad-based issues and considers the...Work experience placementWork at officeImmediate startRemote workShift workDay shift
- ...various clinics/providers based on business needs and must... ...HMA’s mission, vision and values and commitment to high standards... ..., via direct care and/or telephone encounters... ...applicable sourcesAccurately utilizes the Appointment Management in PM including working bump...Work at officeImmediate start
- ...Service Coordinator- RN Clinician This... ...Location : This field-based role enables... ...responsible for overall management of member's case... ...the member's care plan to meet the member... ...and efficient utilization of health benefits... ...our associates. Our values and behaviors are...Contract workTemporary workWork at officeLocal area1 day per week
$25k
...Overview The Clinical Care Nurse (RN) is a clinic-based nursing role focused on improving... ...), reduce avoidable ED utilization, and drive Medicare... ...quality performance across value‑based population. Population... ...in chronic disease self‑management, particularly in DM, HTN,...Temporary workWork at officeMonday to Friday- ...Description Senior Client Advocate provides strategic relationship management, taking advantage of our... ...for you! Employment based non-immigrant visa sponsorship... ...with Broking to ensure utilization of appropriate... ...Commuter Account, Health Care and Dependent Care Flexible...Temporary workLocal areaVisa sponsorshipWork visaFlexible hours
$24 per hour
...tremendous growth! GENESIS PATIENT CARE ADVOCATE JOB DESCRIPTION Genesis... ...a comprehensive knowledge base, sell them the Genesis... ...treatment processes. When needed, manage front desk duties such as... ...and demonstrated potential. Values-built Workplace: Experience...Hourly payWork at office- ...experienced Registered Nurse with Utilization Review experience professional... ...: As the Utilization Review RN, you would be responsible for... ...salary, negotiable based on experience Benefits offered... ...planning Identifies quality of care issues Qualifications What We...Private practiceMonday to Friday
- ...discovery, and patient care, VUMC is a... ...expertise will be valued, your knowledge expanded... ...:**Case Management**Job Summary:**JOB... ...with cost-effective utilization of resources..KEY... ...experienced peers.• RN Access Patient Education... ...others.• Evidence-Based Practice (...Temporary workWork experience placementReliefFlexible hours
- ...enrollment into our program. The Patient Care Center is open and staffed seven (7)... ...communicates and sells the value of Monogram Health based on the needs of our patients to increase... ...terminology • Previous home health and care management experience preferred. About Monogram...Monday to FridayWeekend work
- ...impact patient care is recognized and... ...healthcare team, the RN provides... ...compassionate care utilizing established nursing... ..., Teach, and Manage.” The RN acts as an advocate for patients, families... ..., mission, and values to ensure an... ...discriminate based on race, religion...Temporary workFlexible hours
- ...Manufacturing Co is seeking a Registered Nurse (RN) - Case Manager to provide high-quality patient care in a field-based setting across Tennessee. You will manage patient assessments, deliver skilled care, and advocate for patients and families within a home health model...Full time
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