RN Utilization Review & Care Management Leader

Cookeville Regional Medical Center

Cookeville (TN)

On-site

USD 70,000 - 110,000

Full time

2 days ago
Be an early applicant
Application generator

Get a reply from this employer — a resume and cover letter tailored to exactly what they’re hiring for.

Get past ATS filters

Job summary

Cookeville Regional Medical Center in Cookeville, TN seeks a Utilization Review professional with nursing leadership experience. The role directs quality improvement, case management, clinical pathway development and discharge planning within the Pathways System.

RN licensure is required, with 3–5 years in healthcare management and a background in utilization review. Ideal candidates also have knowledge of nursing procedures, accounting and statistical concepts, and proficiency with computer

Qualifications

  • Associates or Bachelors Degree in Nursing required.
  • State RN License required.
  • Three to five years of health care management experience preferred.
  • Background in Case Management/Utilization Review with knowledge of nursing procedures.

Responsibilities

  • Direction, management and monitoring of Quality and Process Improvement activities.
  • Discharge planning for the Pathways System for Case Management.

Skills

Nursing
Case Management
Quality Improvement
Healthcare Management
RN Licensure

Education

Associates or Bachelors in Nursing

Tools

Microsoft Excel
EMR Systems
Statistical Software

Job description

Cookeville Regional Medical Center in Cookeville, TN seeks a Utilization Review professional with nursing leadership experience. The role directs quality improvement, case management, clinical pathway development and discharge planning within the Pathways System.

RN licensure is required, with 3–5 years in healthcare management and a background in utilization review. Ideal candidates also have knowledge of nursing procedures, accounting and statistical concepts, and proficiency with computer

Get your free, confidential resume review.

or drag and drop your file here.

Similar jobs

Similar jobs worth comparing

Utilization Review Care Manager (RN)- Care Management
Utilization Review Care Manager (RN)- Care Management

Cookeville Regional Medical Center • Cookeville (TN)

On-site
USD 70,000 - 110,000
RN Utilization Review Specialist - Case Management
RN Utilization Review Specialist - Case Management

Gateway Regional Medical Center, Inc. • Granite City (IL)

On-site
USD 44,083 - 66,124
Competitive salary and performance‑based incentives
Comprehensive health, dental, and vision insurance
Retirement savings plan with employer matching
+2
RN Utilization Reviewer: Health Plan & Care Management
RN Utilization Reviewer: Health Plan & Care Management

Cook Children's • Fort Worth (TX), Northern (KY)

Hybrid
USD 80,000 - 105,000
Regional Care Manager: Care Coordination & Utilization
Regional Care Manager: Care Coordination & Utilization

Wellpath / Correct Care Solutions • Franklin (TN)

On-site
USD 70,000 - 95,000
Comprehensive medical, dental, and vision benefits
Paid time off
401k
+4
Regional Care Manager: Utilization & Care Coordination
Regional Care Manager: Utilization & Care Coordination

Wellpath / Correct Care Solutions • Franklin (TN)

On-site
USD 75,000 - 90,000
RN Utilization Manager — Care Optimization Leader
RN Utilization Manager — Care Optimization Leader

St. Tammany Health System • Covington (LA)

On-site
USD 85,000 - 105,000
RN Utilization Manager: Clinical Care & Case Coordination
RN Utilization Manager: Clinical Care & Case Coordination

Talented Medical Solutions • Cleveland (OH)

On-site
Utilization Review Nurse
Utilization Review Nurse

Health Business Solutions LLC • Town of Florida (NY)

On-site
USD 85,000 - 120,000
RN Utilization Management Lead
RN Utilization Management Lead

Wellstar Health System • Marietta (GA)

On-site
USD 85,000 - 110,000
RN Utilization Review Manager - Health Plan Leadership
RN Utilization Review Manager - Health Plan Leadership

Contra Costa County • Martinez (CA)

On-site
USD 85,000 - 105,000