Top 252 Care manager Jobs in Union City, Tn

Care Management Case Managers
West Tennessee Healthcare —Martin, TN
- 8 hour shift
- Nursing
- RN License
- Hospital
7d
CDL A Truck Driver Southcentral Regional
Heartland Express —Union City, TN
- $52,000 - $84,000 a year
- Full-time
- No touch freight
- Dry van
- CDL A
- Paid training
- AD&D insurance
Quick Apply
Mental Health RN / Home Health / PRN
Adoration Health —Martin, TN
- Weekends as needed
- CPR Certification
- Nursing
- Psychiatry
- Health insurance
- Dental insurance
OTR CDL A Truck Driver, 2 weeks out
TCSI-TransLand, Inc —Tennessee
- $1,400 a week
- No touch freight
- Dry van
- CDL A
- Passenger ride along program
- Pet rider program
Quick Apply
14d
LPN / Licensed Practical Nurse - Private Duty (Days)
Adoration Health —Greenfield, TN
- Full-time
- CPR Certification
- Nursing
- Clean driving record
- Mileage reimbursement
- Health insurance
14d
LPN / Licensed Practical Nurse - Private Duty (Days)
Adoration Health —Newbern, TN
- Full-time
- CPR Certification
- Nursing
- Clean driving record
- Mileage reimbursement
- Health insurance
14d
LPN / Licensed Practical Nurse - Private Duty (Overnight)
Adoration Health —Rutherford, TN
- Overnight shift
- CPR Certification
- Nursing
- Clean driving record
- Mileage reimbursement
- Health insurance
1d
Regional Marketing Liaison
Hudson View Network —Tennessee
- $100,000 - $125,000 a year
- Full-time
- Mid-level
- Travel
- Marketing
- Health insurance
- Dental insurance
Quick Apply
14d
Care Manager
GENERATIONS HEALTH ASSOCIATION INC —Dresden, TN
- $18 - $20 an hour
- Nursing
- Mid-level
- Bachelor's degree
- Health insurance
- Dental insurance
Quick Apply
RN (Quality Outcomes)
West Tennessee Healthcare —Martin, TN
- 8 hour shift
- Nursing
- RN License
- Hospital
- On-the-job training
Clinical Case Manager
University of Tennessee Health Science Center —Martin, TN
- $50,185.38 a year
- Weekends as needed
- Addiction Medicine
- Writing skills
- Public speaking
RN BSN II (Med/Surg)
West Tennessee Healthcare —Martin, TN
- Full-time
- Nursing
- RN License
- Hospital
RN II (Med/Surg)
West Tennessee Healthcare —Martin, TN
- Part-time
- Nursing
- RN License
- PALS Certification
Clinical Case Manager
University of Tennessee - Knoxville —Martin, TN
- $50,185.38 a year
- Weekends as needed
- Addiction Medicine
- Writing skills
- Public speaking
Retail Assistant Manager - Full-Time
maurices —Union City, TN
- Full-time
- 18 years or older
- Customer service
- Computer literacy
- Health savings account
- Paid holidays
Registered Nurse
Tennessee Quality Care – an Addus family company —Martin, TN
- Full-time
- CPR Certification
- Nursing
- RN License
- Mileage reimbursement
- Paid holidays
Quick Apply
Ops Manager Landfill
Republic Services —Union City, TN
- Full-time
- High school diploma or GED
- Supervising experience
- Senior level
- AD&D insurance
- Employee stock purchase plan
1d
Overstaff Financial Services Representative
World Finance Corporation of Tennessee —Union City, TN
- $17 - $20 an hour
- Extended hours
- Computer literacy
- Office
- Driver's License
- Mileage reimbursement
- Paid holidays
Quick Apply
Certified Surgical Technologist
West Tennessee Healthcare —Martin, TN
- 8 hour shift
- Hospital
- Computer literacy
- Basic math
LPN / Home Health / Part-time
Adoration Health —Union City, TN
- Part-time
- CPR Certification
- Nursing
- Clean driving record
- Mileage reimbursement
- Health insurance

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Care Management Case Managers

West Tennessee Healthcare -
Martin, TN

Apply Now

Job Details

Full-time
7 days ago

Qualifications

Customer communication
RN License

Full Job Description

Category:

RN Professional

City:

Martin

State:

Tennessee

Shift:

8 - Day (United States of America)

Job Description Summary:

Provides leadership in the coordination of patient-centered care across the continuum, develops a safe discharge plan through collaboration with the patients / caregivers and multidisciplinary healthcare team to arrange appropriate post discharge services and optimal transitions in care. Facilitates appropriate LOS, patient satisfaction, and reimbursement for all patients. Develops and maintains collaborative relationships with all members of the healthcare team. Through clinical care coordination drives efficient utilization of resources to reduce length of stay, improve patient flow and throughput, limits variation by applying innovative and evidence based practice, and to reduce the risk of readmission.

ESSENTIAL JOB FUNCTIONS:

Obtains or ensures acquisition of appropriate pre-certifications authorizations from third party payers and placement to appropriate level of care prior to hospitalization utilizing medical necessity criteria and third party payer guidelines
Obtains or facilitates acquisitions of urgent/emergent authorizations, continued stay authorizations, and authorizations for post-acute services as needed and with compliance with all regulatory and contractual requirements
Documents, monitors, intervenes/resolves, and reports clinical denials/appeals and supports retrospective payer audit denials; collaboratively formulates plans of action for denial trends with the care coordination teams, performance improvement teams, physicians/physician advisor, and third party payers, etc.
Maintains a working knowledge of care management, care coordination changes, utilization review changes, authorization changes, contract changes, regulatory requirements, etc.; serves as an educational resource to all WTH staff regarding utilization review
Assumes roles in assessment physical, psychosocial, & economic needs for transition of care planning to a variety of levels of care; delegates to others as appropriate
Documents, verifies, and validates specific data required to monitor and evaluate interventions and outcomes
Interviews and collects patient specified data and chart review related to readmission and appropriately notifies care team
Communicates telephonically and electronically with outpatient providers in an effort to enhance the continuum of care
Integrates performance improvement principles and customer service excellence principles into all aspects of job responsibilities; practice and governmental commercial payer guidelines
Adheres to the policies, procedures, rules, regulations, and laws of the hospital and all federal and state regulatory bodies
Assumes responsibility for WTH required continued education and owns professional growth
Performs other duties as assigned or required

JOB SPECIFICATIONS:

EDUCATION:

Bachelor of Science in Nursing preferred.
Associate or Diploma of Nursing required

LICENSURE, REGISTRATION, CERTIFICATION:

Current licensure as Registered Nurse in the state of Tennessee.
AHA Basic Cardiac Life Support preferred.
ACM, CCM or other certification applicable to Case Management within 3 years of hire preferred

EXPERIENCE:

Minimum 3 years of recent acute clinical care experience preferred
Preferred experience in care facilitation and management and utilization review

KNOWLEDGE, SKILLS AND ABILITIES:

Strong communication skills
Ability to develop and maintain positive relationships with customers internal and external to WTH Enterprise
Care coordination / discharge and transition planning and community resource knowledge preferred

NONDISCRIMINATION NOTICE STATEMENT

We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, ethnicity, disability, religion, national origin, gender, gender identity, gender expression, marital status, sexual orientation, age, protected veteran status, or any other characteristic protected by law.

Apply Now

Refine Your Search

care manager jobs in union city, tn

Care Management Case Managers

CDL A Truck Driver Southcentral Regional

Mental Health RN / Home Health / PRN

OTR CDL A Truck Driver, 2 weeks out

LPN / Licensed Practical Nurse - Private Duty (Days)

LPN / Licensed Practical Nurse - Private Duty (Days)

LPN / Licensed Practical Nurse - Private Duty (Overnight)

Regional Marketing Liaison

Care Manager

RN (Quality Outcomes)

Clinical Case Manager

RN BSN II (Med/Surg)

RN II (Med/Surg)

Clinical Case Manager

Retail Assistant Manager - Full-Time

Registered Nurse

Ops Manager Landfill

Overstaff Financial Services Representative

Certified Surgical Technologist

LPN / Home Health / Part-time

I want to receive the latest job alert for care manager in union city, tn

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