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34 Jobs in Tennessee

  • UM Medical Director - Orthopedic Surgery

    Nashville, Tennessee
    ... independently with oversight from immediate manager. May be responsible for an entire clinical program and ... for developing and implementing programs to improve quality, cost, and outcomes. May provide clinical ...
  • UM Medical Director - Cardiology

    Nashville, Tennessee
    ... manager. May be responsible for an entire clinical program and/or independently performs clinical ... quality, cost, and outcomes. May provide clinical consultation and serve as clinical/strategic advisor to ...
  • UM Medical Director - Physical Medicine and Rehabilitation

    Nashville, Tennessee
    ... manager. May be responsible for an entire clinical program and/or independently performs clinical ... quality, cost, and outcomes. May provide clinical consultation and serve as clinical/strategic advisor to ...
  • UM Medical Director - Internal Medicine or Family Medicine

    Nashville, Tennessee
    ... independently with oversight from immediate manager. May be responsible for an entire clinical program and ... for developing and implementing programs to improve quality, cost, and outcomes. May provide clinical ...
  • BH Case Manager I

    Nashville, Tennessee
    ... Beacon Health Options, offers superior clinical mental health and substance use disorder management, a comprehensive employee assistance program, work/life support, specialty programs for autism and depression, and ...
  • Behavioral Health Medical Director - Child & Adolescent Psychiatry

    Nashville, Tennessee
    ... clinical program and/or independently performs clinical reviews. The Medical Director typically has program management responsibilities including clinical policy development, program development ...
  • Clinical Care Manager II (Union) - Michigan Licensed

    Nashville, Tennessee
    ... .** Training will be provided for 4 weeks during regular business hours. The Clinical Care Manager is ... Beacon Health Options, offers superior clinical mental health and substance use disorder management, a ...
  • Behavioral Health Case Manager I

    Nashville, Tennessee
    ... Beacon Health Options, offers superior clinical mental health and substance use disorder management, a comprehensive employee assistance program, work/life support, specialty programs for autism and depression, and ...
  • Medicare Medical Director Clinical Programs

    Nashville, Tennessee
    ... designs, analytics and reporting for clinical quality that drives improved healthcare outcomes ... , performance measurement, and quality improvement, and the clinical understanding for clinical quality programs ...
  • Behavioral Health HEDIS Quality Program Director

    NASHVILLE, Tennessee
    ... development, management, review and reporting of program outcomes for clinical quality programs. Assures ... Quality Program Director** This is an Individual Contributor Role. Location: **This ...
  • Nurse Reviewer I

    NASHVILLE, Tennessee
    ... treatment reviews for diagnostic imaging services by utilizing appropriate policies, clinical and department ... quality and effective use of diagnostic imaging to ensure quality member outcomes, and to optimize member ...
  • Nurse Reviewer I

    MEMPHIS, Tennessee
    ... treatment reviews for diagnostic imaging services by utilizing appropriate policies, clinical and department ... quality and effective use of diagnostic imaging to ensure quality member outcomes, and to optimize member ...
  • Nurse Reviewer I

    BRENTWOOD, Tennessee
    ... treatment reviews for diagnostic imaging services by utilizing appropriate policies, clinical and department ... quality and effective use of diagnostic imaging to ensure quality member outcomes, and to optimize member ...
  • Nurse Reviewer I

    KNOXVILLE, Tennessee
    ... treatment reviews for diagnostic imaging services by utilizing appropriate policies, clinical and department ... quality and effective use of diagnostic imaging to ensure quality member outcomes, and to optimize member ...
  • Nurse Practitioner – Virtual 24/7 Nurse Line

    NASHVILLE, Tennessee
    ... Carelon Health is a proud member of the Elevance Health family of brands, offering clinical ... (telephonically and/or video) in collaboration with the physician. Responsible for clinical escalations from the ...
  • Associate Medical Director - Neurosurgery

    Nashville, Tennessee
    ... Clinical Operations Associate Medical Director Neurosurgery **Carelon ... clinical domains, including radiology, cardiology and oncology._ The **Clinical Operations ...
  • National Medical Director - Total Cost of Care, Post Acute

    NASHVILLE, Tennessee
    ... development of Medical Management and Quality Management strategies. Develops and enhances relevant clinical ... significant cost-of-care savings across an expanding set of clinical domains, including radiology, cardiology ...
  • National Medical Director - Physiatry, Post Acute Solutions

    BRENTWOOD, Tennessee
    ... development of Medical Management and Quality Management strategies. Develops and enhances relevant clinical ... significant cost-of-care savings across an expanding set of clinical domains, including radiology, cardiology ...
  • Go to Market Director

    NASHVILLE, Tennessee
    ... Management, Marketing, Operations Product, Network, Clinical, Member Experience) to evaluate opportunities ... portfolio projects. Creates and presents extremely high quality presentations to executive levels ...
  • CMO MBM - Carelon

    BRENTWOOD, Tennessee
    ... approach, program design, and clinical underpinnings (clinical evidenced based guidelines that are the ... also responsible for leadership of the Clinical Program and Solution Authoring Organization which ...
  • National Solution Medical Director - Surgery

    NASHVILLE, Tennessee
    ... significant cost-of-care savings across an expanding set of clinical domains, including radiology, cardiology ... , influencing product strategy and design and medical management approaches that impact healthcare quality, cost ...
  • Pharmacy Quality Improvement Specialist

    NASHVILLE, Tennessee
    ... activities and quality management program activities. *Internal facing title: Process Improvement Consultant ... quality and operational processes as a result of opportunities identified through CAPA program ...
  • Nurse Reviewer I

    NASHVILLE, Tennessee
    ... diagnostic imaging services by utilizing appropriate policies, clinical and department guidelines. Collaborates with healthcare providers, and members to promote the most appropriate, highest quality and ...
  • Nurse Reviewer I

    BRENTWOOD, Tennessee
    ... diagnostic imaging services by utilizing appropriate policies, clinical and department guidelines. Collaborates with healthcare providers, and members to promote the most appropriate, highest quality and ...
  • Nurse Reviewer I

    MEMPHIS, Tennessee
    ... services by utilizing appropriate policies, clinical and department guidelines. Collaborates with healthcare providers, and members to promote the most appropriate, highest quality and effective use of ...
  • Nurse Reviewer I

    KNOXVILLE, Tennessee
    ... diagnostic imaging services by utilizing appropriate policies, clinical and department guidelines. Collaborates with healthcare providers, and members to promote the most appropriate, highest quality and ...
  • Nurse Reviewer I

    MEMPHIS, Tennessee
    ... diagnostic imaging services by utilizing appropriate policies, clinical and department guidelines. Collaborates with healthcare providers, and members to promote the most appropriate, highest quality and ...
  • Nurse Reviewer I

    NASHVILLE, Tennessee
    ... services by utilizing appropriate policies, clinical and department guidelines. Collaborates with healthcare providers, and members to promote the most appropriate, highest quality and effective use of ...
  • Nurse Reviewer I

    BRENTWOOD, Tennessee
    ... services by utilizing appropriate policies, clinical and department guidelines. Collaborates with healthcare providers, and members to promote the most appropriate, highest quality and effective use of ...
  • Nurse Reviewer I

    KNOXVILLE, Tennessee
    ... services by utilizing appropriate policies, clinical and department guidelines. Collaborates with healthcare providers, and members to promote the most appropriate, highest quality and effective use of ...
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