Top 587 Quality improvement nurse Jobs in Franklin Tn

Manager, Large Case Management - Remote
Lucent Health Solutions LLC —Nashville, TN
- Nursing
- RN License
- 3 years
Quick Apply
5d
Registered Nurse - Main OR - Thoracic/Vascular - OR experience required
Vanderbilt Health —Nashville, TN
- Full-time
- Nursing
- RN License
- Primary Care
- Disability insurance
- Health insurance
Registered Nurse - Pediatric Cardiac First Assistant
Vanderbilt Health —Nashville, TN
- Full-time
- Nursing
- Surgery
- RN License
- Disability insurance
- Health insurance
Registered Nurse First Assist - Medical Center East OR Team
Vanderbilt Health —Nashville, TN
- Full-time
- Nursing
- Surgery
- RN License
- Disability insurance
- Health insurance
Neonatal Pediatric Transport Registered Nurse- Clarksville
Vanderbilt Health —Nashville, TN
- Full-time
- Nursing
- RN License
- Primary Care
- Disability insurance
- Health insurance
Registered Nurse, Full Time Nights, Adult ED Inpatient Holds, VUH
Vanderbilt Health —Nashville, TN
- Weekends as needed
- Nursing
- RN License
- Primary Care
- Disability insurance
- Health insurance
Registered Nurse 2- Pediatric Surgical, Trauma, Acute, Medicine and Safer Unit
Vanderbilt Health —Nashville, TN
- Acute care
- Nursing
- Surgery
- Disability insurance
- Health insurance
Neonatal Pediatric Transport Registered Nurse
Vanderbilt Health —Nashville, TN
- Full-time
- Nursing
- RN License
- Primary Care
- Disability insurance
- Health insurance
Registered Nurse, Medical Surgical, Nights - VUH
Vanderbilt Health —Nashville, TN
- 12 hour shift
- Nursing
- RN License
- Primary Care
- Loan repayment program
- Disability insurance
Registered Nurse OR - Open heart scrub experience required - VUH
Vanderbilt Health —Nashville, TN
- Full-time
- Acute care
- Nursing
- Surgery
- Disability insurance
- Health insurance
Certified Registered Nurse Anesthetist - $50k Signing Bonus/Relocation Available
Vanderbilt Health —Nashville, TN
- Online Application
- Nursing
- Surgery
- RN License
- Disability insurance
- Health insurance
Registered Nurse, Med-Surg/Stepdown Float Pool, Night Shift - VUH
Vanderbilt Health —Nashville, TN
- Full-time
- Nursing
- Float pool
- RN License
- Disability insurance
- Health insurance
Cardiac Certified Registered Nurse Anesthetist - $50k Signing Bonus/Relocation Available
Vanderbilt Health —Nashville, TN
- Online Application
- Nursing
- Surgery
- RN License
- Disability insurance
- Health insurance
Pediatric Cardiac Certified Registered Nurse Anesthetist - $50k Signing Bonus/Relocation Available
Vanderbilt Health —Nashville, TN
- Online Application
- Nursing
- Surgery
- RN License
- Disability insurance
- Health insurance
Registered Nurse, Critical Care Float Pool, Night Shift - VUH
Vanderbilt Health —Nashville, TN
- Full-time
- Nursing
- Float pool
- RN License
- Disability insurance
- Health insurance
In-Home Registered Nurse, Acute Care (Hybrid)
Imagine Pediatrics —Nashville, TN
- $44 - $48 an hour
- Monday to Friday
- Spanish
- Nursing
- Clean driving record
- Paid parental leave
- Employee stock purchase plan
Quick Apply
Registered Nurse / Day Shift / 6am-6pm
Heartland —Nashville, TN
- Up to $45 an hour
- Day shift
- CPR Certification
- Nursing
- RN License
- Disability insurance
- Health insurance
Quick Apply
Same Day Surgery Nurse
TriStar StoneCrest Medical Center —Smyrna, TN
- Full-time
- Surgery
- Adults
- Mid-level
- Employee stock purchase plan
- Disability insurance
Quick Apply
1d
Registered Nurse Labor & Delivery FT Nights - VUH
Vanderbilt Health —Nashville, TN
- 12 hour shift
- Nursing
- RN License
- Primary Care
- Disability insurance
- Health insurance
Registered Nurse, Acute Surgical Care Stepdown, Days - VUH
Vanderbilt Health —Nashville, TN
- 12 hour shift
- Acute care
- Nursing
- Surgery
- Disability insurance
- Health insurance

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Manager, Large Case Management - Remote

Lucent Health Solutions LLC -
Nashville, TN

Quick Apply

Job Details

5 days ago

Qualifications

Staff supervision
Team supervision
RN License
Bachelor's degree
Leading team collaboration initiatives
Clinical team leadership
Productivity software

Full Job Description

About Lucent Health

Lucent Health combines top-tier claims management with a compassionate, human-focused, data-driven care management solution. This approach helps self-insured employers provide care management that enables health plan participants to make smarter, cost-saving healthcare decisions. Continuous data analytics offer ongoing insights, ensuring participants receive the right care, at the right cost, at the right time. Join us as we build a company that aims to be a better health benefits partner for self-insured employers.

Company Culture

We believe that the success of Lucent Health relies on having employees who are honest, ethical and hardworking. These values are the foundation of Lucent Health.

Honest

Transparent Communication: be open and clear in all interactions without withholding crucial information
Integrity: ensure accuracy in reporting, work outputs and any tasks assigned
Truthfulness: provide honest feedback and report any issues or challenges as they arise
Trustworthiness: build andmaintaintrust by consistentlydemonstratingreliable behavior

Ethical

Fair Decision Making: ensure all actions and decisions respect company policies and values
Accountability: own up to mistakes and take responsibility for rectifying them
Respect: treat colleagues, clients and partners with fairness and dignity
Confidentiality: safeguard sensitive information and avoid conflicts of interest

Hardworking

Consistency: meet or exceed deadlines,maintaininghighproductivitylevels
Proactiveness: take initiative to tackle challenges without waiting to be asked
Willingness: voluntarily offer toassistinadditionalprojects or tasks when needed
Adaptability: work efficiently under pressure or in changing environments

Summary

The Manager of Large Case Management is responsible for the overall leadership, strategy, and performance of the Large Case Management (LCM) function. This role oversees clinical operations for high-cost and complex medical cases, ensuring quality member outcomes, regulatory compliance, and financial stewardship. The Manager leads Supervisors and case management staff, drives operational excellence, and partners cross-functionally to optimize care delivery and cost containment strategies. This role is accountable for program development, vendor strategy, reporting, and continuous improvement initiatives that enhance clinical and financial outcomes. The Manager reports to the Director of Case Management and may require intermittent travel.

Responsibilities

Provide strategic and operational leadership for the Large Case Management program, ensuring alignment with organizational goals and clinical best practices.
Oversee daily operations through direct leadership of Supervisors, ensuring productivity, quality, timeliness, and documentation standards are met.
Establish and monitor key performance indicators (KPIs),identifying trends and implementing action plans to improve outcomes and efficiency.
Lead the development and execution of case management strategies for high-cost and complex cases to optimize clinical outcomes and financial impact.
Support Case Management vendor strategy, performance monitoring, and evaluation ofreferral appropriateness and outcomes.
Ensure compliance with all accreditation, regulatory, and contractual requirements (e.g., state, federal, URAC, NCQA, HIPAA).
Partner with Finance and leadership to ensure accuracy, integrity, and insights within stop loss reporting and high-cost claim analysis.
Lead internal and external audits, quality assurance initiatives, and regulatory readiness efforts.
Collaborate cross-functionally with Utilization Management, Claims, Network, and Client Services to drive coordinated care and program effectiveness.
Identify and implement process improvements to enhance quality, efficiency, and scalability of the case management program.
Develop, implement, and maintain policies, procedures, and clinical guidelines for case management operations.
Provide leadership, mentorship, and development for Supervisors and team members, including performance management and career progression planning.
Oversee hiring, onboarding, training, and workforce planning to ensure appropriate staffing and capability development.
Communicate program performance, outcomes, and strategic insights to senior leadership.
Lead and support change management initiatives within scope of responsibility.
Performs other duties as assigned

Qualifications

Registered Nurse with a minimum of 3-5 years of clinical nursing experience.
Minimum of 3 years in a healthcare leadership role (e.g.team lead or higher)
Bachelor’s Degree from an accredited college or university required
Demonstrated ability to manage and lead a team of direct reports
Excellent written and oral communication skills
Strong analytical skills with attention to detail
Ability to identify areas of improvement and develop action plan to address findings
Positive, proactive team-oriented approach/attitude
Strong knowledge of Microsoft Office products
Holds a current, active, and unrestricted RN license that allows him/her to practice in a state or territory of the United States.
Relevant certifications such as Certified Case Manager (CCM) may be preferred.

Equal Employment Opportunity Policy Statement

Lucent Health is an Equal Opportunity Employer that does not discriminate based on actual or perceived race, color, creed, religion, alienage or national origin, ancestry, citizenship status, age, sex or gender (including pregnancy, childbirth and related medical conditions), gender identity, gender expression, transgender status, sexual orientation, marital status, military service and veteran status.

Quick Apply

Refine Your Search

quality improvement nurse jobs in franklin tn

Manager, Large Case Management - Remote

Registered Nurse - Main OR - Thoracic/Vascular - OR experience required

Registered Nurse - Pediatric Cardiac First Assistant

Registered Nurse First Assist - Medical Center East OR Team

Neonatal Pediatric Transport Registered Nurse- Clarksville

Registered Nurse, Full Time Nights, Adult ED Inpatient Holds, VUH

Registered Nurse 2- Pediatric Surgical, Trauma, Acute, Medicine and Safer Unit

Neonatal Pediatric Transport Registered Nurse

Registered Nurse, Medical Surgical, Nights - VUH

Registered Nurse OR - Open heart scrub experience required - VUH

Certified Registered Nurse Anesthetist - $50k Signing Bonus/Relocation Available

Registered Nurse, Med-Surg/Stepdown Float Pool, Night Shift - VUH

Cardiac Certified Registered Nurse Anesthetist - $50k Signing Bonus/Relocation Available

Pediatric Cardiac Certified Registered Nurse Anesthetist - $50k Signing Bonus/Relocation Available

Registered Nurse, Critical Care Float Pool, Night Shift - VUH

In-Home Registered Nurse, Acute Care (Hybrid)

Registered Nurse / Day Shift / 6am-6pm

Same Day Surgery Nurse

Registered Nurse Labor & Delivery FT Nights - VUH

Registered Nurse, Acute Surgical Care Stepdown, Days - VUH

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