11 jobs found in Rockvale, TN

Become a part of our caring community   Join a Team That's Redefining Senior Primary Care: Humana's Primary Care Organization is one of the largest and fastest-growing senior-focused, Value Base Care providers in the country. With more than 340 centers across 15 states operating under the CenterWell and Conviva brands, we're transforming healthcare by placing seniors at the center of everything we do. We are looking for an Associate Medical Director to join our team full-time. This role is ideal for you if your compassionate, experienced clinician who succeeds in a collaborative, patient-centered environment and is committed to improving outcomes for adult and geriatric populations. Area Medical Director Opportunity – Nashville, TN You will work fully onsite in Nashville, TN. You will be reporting directly to Dr. Anitha Mullangi, Chief Medical Officer of Tennessee. We offer a unique opportunity to combine clinical practice with medical leadership, supporting five clinics...

Provides timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria while located in a state or territory of the United States.Reviews appeals for denied services related to current relevant medical experience or knowledge in accordance with appeal policies, if so delegated.Provides timely peer-to-peer discussions with referring physicians to clarify clinical information and to explain review outcome decisions.Maintains necessary credentials and immediately informs eviCore of any adverse actions relating to medical licenses and/or board certifications.Participates in strategic planning for and evaluation of the Care ManagementThe successful candidate will be an M.D. or D.O. with a current, active, U.S. state medical license and board certified in Cardiology, recognized by the American Board of Medical Specialties (ABMS), with recent practice experience in direct patient care (within the past 18 months).Must...

Provides timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria while located in a state or territory of the United States.Reviews appeals for denied services related to current relevant medical experience or knowledge in accordance with appeal policies, if so delegated.Provides timely peer-to-peer discussions with referring physicians to clarify clinical information and to explain review outcome decisions.Maintains necessary credentials and immediately informs eviCore of any adverse actions relating to medical licenses and/or board certifications.Participates in strategic planning for and evaluation of the Care ManagementThe successful candidate will be an M.D. or D.O. with a current, active, U.S. state medical license and board certified in Neurology, recognized by the American Board of Medical Specialties (ABMS), with recent practice experience in direct patient care (within the past 18 months).Must...

Provides timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria while located in a state or territory of the United States.Reviews appeals for denied services related to current relevant medical experience or knowledge in accordance with appeal policies, if so delegated.Provides timely peer-to-peer discussions with referring physicians to clarify clinical information and to explain review outcome decisions.Maintains necessary credentials and immediately informs eviCore of any adverse actions relating to medical licenses and/or board certifications.Participates in strategic planning for and evaluation of the Care ManagementThe successful candidate will be an M.D. or D.O. with a current, active, U.S. state medical license and board certified in Surgery - Orthopedics, recognized by the American Board of Medical Specialties (ABMS), with recent practice experience in direct patient care (within the past 18...

Provides timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria while located in a state or territory of the United States.Reviews appeals for denied services related to current relevant medical experience or knowledge in accordance with appeal policies, if so delegated.Provides timely peer-to-peer discussions with referring physicians to clarify clinical information and to explain review outcome decisions.Maintains necessary credentials and immediately informs eviCore of any adverse actions relating to medical licenses and/or board certifications.Participates in strategic planning for and evaluation of the Care ManagementThe successful candidate will be an M.D. or D.O. with a current, active, U.S. state medical license and board certified in Gastroenterology, recognized by the American Board of Medical Specialties (ABMS), with recent practice experience in direct patient care (within the past 18...

Provides timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria while located in a state or territory of the United States.Reviews appeals for denied services related to current relevant medical experience or knowledge in accordance with appeal policies, if so delegated.Provides timely peer-to-peer discussions with referring physicians to clarify clinical information and to explain review outcome decisions.Maintains necessary credentials and immediately informs eviCore of any adverse actions relating to medical licenses and/or board certifications.Participates in strategic planning for and evaluation of the Care ManagementThe successful candidate will be an M.D. or D.O. with a current, active, U.S. state medical license and board certified in Oncology, recognized by the American Board of Medical Specialties (ABMS), with recent practice experience in direct patient care (within the past 18 months).Must have...

Provides timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria while located in a state or territory of the United States.Reviews appeals for denied services related to current relevant medical experience or knowledge in accordance with appeal policies, if so delegated.Provides timely peer-to-peer discussions with referring physicians to clarify clinical information and to explain review outcome decisions.Maintains necessary credentials and immediately informs eviCore of any adverse actions relating to medical licenses and/or board certifications.Participates in strategic planning for and evaluation of the Care ManagementThe successful candidate will be an M.D. or D.O. with a current, active, U.S. state medical license and board certified in Oncology Radiation, recognized by the American Board of Medical Specialties (ABMS), with recent practice experience in direct patient care (within the past 18...

Provides timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria while located in a state or territory of the United States.Reviews appeals for denied services related to current relevant medical experience or knowledge in accordance with appeal policies, if so delegated.Provides timely peer-to-peer discussions with referring physicians to clarify clinical information and to explain review outcome decisions.Maintains necessary credentials and immediately informs eviCore of any adverse actions relating to medical licenses and/or board certifications.Participates in strategic planning for and evaluation of the Care ManagementThe successful candidate will be an M.D. or D.O. with a current, active, U.S. state medical license and board certified in Maternal - Fetal Medicine, recognized by the American Board of Medical Specialties (ABMS), with recent practice experience in direct patient care (within the past 18...

Clinical Magnet, a division of ICON Medical Network , has a need for an Associate Dentist with a well-established, small DSO. Located in Copperhill, TN. Job Details: Need is for 2 full time Dentists- Be able to have colleague support but work independently 5 day work week Major PPO/FFS 3 month daily guarantee with 33% of adjusted production Prefer Dentist with 1-2 years experience Full benefits, 6% 401k match and Sign on Bonus! Steps away from the Blue Ridge Mountains!

A well established and growing law firm is seeking a Healthcare Law Associate with 3+ years of experience to join its established healthcare practice in the Greater Nashville area. This opportunity offers exposure to sophisticated healthcare regulatory and compliance matters supporting a broad range of healthcare provider clients within a collaborative and growth-oriented practice environment. The ideal candidate will have strong healthcare regulatory experience, excellent drafting skills, and the ability to communicate effectively with clients and internal legal teams. Responsibilities Advise healthcare clients on regulatory and compliance matters Assist with analysis of healthcare laws and provider regulations Draft legal memoranda, agreements, and compliance-related documents Conduct legal research and regulatory analysis Interface directly with clients on day-to-day healthcare matters Collaborate with attorneys across a sophisticated healthcare practice...

Do you have the PRN career opportunities as a(an) Nurse Extern PRN ED you want with your current employer? We have an exciting opportunity for you to join TriStar Hendersonville Medical Center which is part of the nation's leading provider of healthcare services, HCA Healthcare. Job Summary and Qualifications Nursing Extern  The Nurse Extern delivers high quality, patient-centered care by performing a variety of delegated basic patient care services related to common nursing functions and activities of daily living. Under the supervision of the registered nurse (RN), the Nurse Extern assists the nursing staff in providing patient care in accordance with the Nurse Extern’s skills/training and the needs of the Department, and consistently assists the patient care team with maintaining a clean, well-organized, and safe patient care environment. The Nurse Extern is currently enrolled and in good standing in an accredited school of nursing and can perform...