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
- ...Reporting to the Director of Utilization Management, the Utilization Management... ...appropriate, cost-effective care by reviewing and evaluating... ...opportunities to educate on value-based care, resolve specialty gaps... ...valid, active Registered Nurse (RN) license in state(s) of...Suggested
- UnitedHealth Group is seeking a Licensed Field Care Coordinator in Brentwood, TN. This role... ...strategies. The position requires active RN licensure, 2+ years RN experience, and 1+... ...experience with MS Office. You will work field-based, with day shifts, and must live within...SuggestedDay shift
- ...Overview Collaboration with Managed Care Organizations (MCO) and care... ...care givers, and external Utilization Management Nurses. Coordinate... ...Negotiate appropriate levels based on services provided and... ...Qualifications Registered Nurse (RN) in good standing with...Suggested
$60.2k - $107.4k
...Strategic Outpatient Engagement & Management (STEM) Care Advocate Optum is a global organization that... ...Outpatient psychotherapy and community-based treatment setting. ***This... ...~ Telephone queue experience ~ Utilization review/management experience *All...SuggestedRemote jobMinimum wageFull timeWork experience placementLocal areaHome officeMonday to Friday- ...crossroads of teaching, discovery, and patient care, VUMC is a community of individuals who... ...a place where your expertise will be valued, your knowledge expanded, and your... ...education, and research. Organization Utilization Management Job Summary Manager within the...Remote jobTemporary workWork experience placementFlexible hours
$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...Remote jobFull time- ...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... ...care pathways.Evidence-Based Practice (Novice): Possesses...Full timeTemporary workFlexible hoursShift workDay shift
- ...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): Possesses...Temporary workFlexible hours
- TriStar Centennial Medical Center in Nashville, Tennessee is seeking a compassionate Acute Care Nurse. In this role, you’ll deliver patient-centered care and collaborate closely with medical providers to ensure high-quality outcomes. Responsibilities include assessing...
$19 - $23 per hour
...Solutions as a Hospital Based Patient Advocate and help guide individuals... ...and grow with a company that values your impact. In 2024, our... ...with hospital staff, case managers, social workers, financial... ...Proficient experience utilizing Microsoft Office Suite with...Hourly payFull timeWork at officeRemote workWork from homeShift work- ...providing world‑class care to the people of... ...your expertise is valued, your knowledge expanded... ...patient’s care and management to determine... ...diagnosis. Continually utilizes the nursing process... ...resolved. Evidence-Based Practice (Novice):... ...home setting. The RN Home Care works autonomously...Temporary workWork experience placementLive outWorldwideFlexible hoursWeekend work
- Signature HealthCARE is a family-based healthcare company offering integrated services across multiple states. Our continuum of care includes skilled nursing, rehabilitation, assisted... ...census, quality mix, and bed management needs of the building. Maintian a working...Work at officeLocal areaFlexible hours
- ...RN Case Manager – TriStar Skyline Medical Center Do you want... ...promoting patient-centered care by coordinating the... ...appropriate resource utilization. What you will do in... ...education, and community based resources. Coordinates... ...” and “Mission and Value Statement”. What qualifications...Temporary workFlexible 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... ...government reimbursement programs and value based care initiatives....Full time
- ...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 in... ..., and community based resources. ~ Coordinates... ..." and "Mission and Value Statement" What...Temporary workFlexible hours
- ...discovery, and patient care, VUMC is a... ...expertise will be valued, your knowledge expanded... ...care. Develops case management plan that includes... ...variances, and intervenes utilizing process improvement... ...while on the job. RN Access Patient... ...from others. Evidence-Based Practice (...Temporary workWork experience placementFlexible hoursShift workWeekend work
- ...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): Possesses...Temporary workFlexible hours
- Monogram Health is seeking an Assistant General Counsel to join their legal team in Tennessee. This role requires a J.D. and a focus on legal issues affecting healthcare regulations. You will negotiate contracts, provide legal counsel, and work with executives on strategic...Flexible hours
$45 per hour
...concerns, and other duties as assigned. Pay: Based off experience, up to $45 an hour.... ...certification. Preferred Ventilator Unit/Critical care/Special Care experience. Job... ...for a leader in senior care and share NHC's values of honesty and integrity, please apply...Full timeWeekend work$10k
...Difference as a Registered Nurse (RN)- Your Next Rewarding Career... ...Here! Salary : Up to $40 per hr base +$10,000 Sign on Bonus + Shift... ...are ready to deliver top-tier care while growing in a supportive,... ...Working With Us as RN: Bonuses - We value your time and expertise and...Hourly payFull timePart timeLocal areaRelocation packageFlexible hoursShift work- ...Support Families. Elevate After-Hours Care. We are seeking a dedicated Afterhours RN Care Manager to provide high-quality,... ...missed, or reassigned visit requests based on triage direction.... ...Promote the organization's core values and maintain a culture of compassion...Daily paidFull timePart timeWork at officeLocal areaRelocation packageShift workNight shiftWeekend workDay shift
- ...discovery, and patient care, VUMC is a community of... ...your expertise will be valued, your knowledge expanded... ...in self-care management; promote warm handovers... ...a collaborative, team-based approach, our multidisciplinary... ...of 5 years of clinical RN experience Spine or...Temporary workWork experience placementWork at officeMonday to FridayFlexible hours
$20.77 - $23.84 per hour
...Job Description The Care Advocate is an integral part of... ...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- ...RN Care ManagerThe RN Care Manager serves as a liaison among Brookdale teams, residents, families, and healthcare... ...care plans. Serving as a resident advocate, they actively contribute to... ...while working with providers to attain value-based outcomes for our residents. This...Shift workNight shiftAfternoon shift
- Signature HealthCARE seeks candidates to coordinate admissions and transitional care, liaising with care teams to meet census and bed management targets. The role requires understanding state and federal regulations, referrals, and reimbursement processes across managed...Work at office
- ...Center in Nashville is seeking a Progressive Care Registered Nurse who coordinates and... ...high-quality, patient-centered care. The RN collaborates with medical providers to provide... ...post-operative nursing care and acts as an advocate to ensure an unparalleled patient...Shift work
- ...Support Families. Elevate After-Hours Care. We are seeking a dedicated Afterhours RN Care Manager to provide high-quality,... ...missed, or reassigned visit requests based on triage direction. Participate... ...Promote the organization’s core values and maintain a culture of...Daily paidFull timePart timeWork at officeLocal areaShift workNight shiftWeekend workDay shift
- ...Lead Clinician RN/LPN TN - Nashville Sono Bello... ...Bello supports the Practice Manager in ensuring excellent patient care, efficient daily clinical... ...maintaining core responsibilities based on licensure (e.g., RN,... ...Bello's mission and core values. Maintain high...Full timeWork at office
- ...Director to support the management and daily operations of... ...excellent client care, driving client retention... ...performance through relationship-based selling and client... ...● Active Tennessee RN License required ● Current... ...goals ● Someone who values structure,...Full timePart timeWork at officeLocal areaMonday to FridayShift workWeekend work
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