Chart Utilization Review Jobs in Tennessee (NOW HIRING)

Registered Nurse (RN) Case Manager Director

Job Type: Full-Time | Day

Your experience matters

Southern Tennessee Regional Health System - Pulaski is part of Lifepoint Health, a diversified healthcare delivery network with facilities coast to coast. We are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to others. As a Case Manager Director RN joining our team, you're embracing a vital mission dedicated to making communities healthier . Join us on this meaningful journey where your skills, compassion and dedication will make a remarkable difference in the lives of those we serve.

How you'll contribute

A House Supervisor RN who excels in this role:

• Responsible for the coordination and daily operations of the quality management process. Monitors care of patients within case groups to ensure high quality and cost effective care is provided. Works with other hospital personnel to assure appropriate and timely discharge planning.
• Consults with nursing staff and multidisciplinary team regularly to evaluate patient's status and
  appropriateness of medical care, including admission, length of stay, transfer and discharge.
• Monitors patient and family satisfaction. 
• Responds to questions and complaints from patients, family members, and payors regarding care.
• Participates in discharge planning including coordinating patient transfers to other facilities and coordinating community resources. 
• Provides discharge education and resource referrals to patients.
• Performs chart review to identify actual or potential issues with service delivery, patient outcomes and satisfaction, compliance, cost, and reimbursement. 

Why join us

We believe that investing in our employees is the first step to providing excellent patient care. In addition to your base compensation, this position also offers:

• Comprehensive Benefits: Multiple levels of medical, dental and vision coverage for full-time and part-time employees.
• Financial Protection & PTO: Life, accident, critical illness, hospital indemnity insurance, short- and long-term disability, paid family leave and paid time off.
• Financial & Career Growth: Higher education and certification tuition assistance, loan assistance and 401(k) retirement package and company match.
• Employee Well-being: Mental, physical, and financial wellness programs (free gym memberships, virtual care appointments, mental health services and discount programs).
• Professional Development: Ongoing learning and career advancement opportunities.

What we're looking for

Applicants should have a current Tennessee or compact state RN license and possess an associate's degree from an accredited nursing school. Additional requirements include:

• Certifications: Basic Life Support (BLS) - to be obtained within 30 days

• Required Skills: Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision. Must be able to work in a stressful environment and take appropriate action.

• Experience: Two years recent related clinical experience preferred in Utilization Review, Quality Improvement and Case Management preferred.

• Required Skills: Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision. Must be able to work in a stressful environment and take appropriate action. 

• Licenses: Must have a current Tennessee or compact state RN license.

• Education: Graduate of a Program in Discipline Required; Graduate from an accredited school of nursing BSN Preferred

More about Southern Tennessee Regional Health System - Pulaski

Situated among the rolling, green hills of southern Middle Tennessee, the historic town of Pulaski combines old-fashioned southern charm with warm hospitality to create a family-friendly community.

The Hospital

STRHS - Pulaski is part of the Southern Tennessee Regional Health System, a regional network of hospitals and healthcare services serving communities in southern Tennessee. The Pulaski campus provides inpatient and outpatient services to Giles County and the surrounding area at its 95-bed, Joint Commission-accredited acute care facility and physician practices.

The Community

Conveniently located just 60 miles south of Nashville and 50 miles north of Huntsville, Pulaski and Giles County have become the location of choice for many major business and industrial interests, including six Fortune 500 companies and two Fortune 100 companies. The area is also home to University of Tennessee Southern and the Here's the Beef Festival. Nearby Lynnville has a large historic district, including an old-fashioned soda shoppe, general store, gift shop, and craft and antique shops. And Milky Way Farm - built by the founder of the Mars Candy Company - is a Tudor Revival home listed on the National Register of Historic Places.

Seven community parks offer a variety of recreational opportunities. Sharewood Park features a community playground and an outdoor amphitheater for concerts, family movie nights, theater productions and more. Sam Davis Park boasts one of the best non-college football and baseball facilities in the state. And a wealth of water sports, hiking, camping, lodging and more can be found at nearby David Crockett Park and Joe Wheeler State Park and Resort.

EEOC Statement

"Southern Tennessee Regional Health System - Pulaski is an Equal Opportunity Employer. Southern Tennessee Regional Health System - Lawrenceburg is committed to Equal Employment Opportunity for all applicants and employees and complies with all applicable laws prohibiting discrimination and harassment in employment."

Lifepoint Health is a leader in community-based care and driven by a mission of Making Communities Healthier. Our diversified healthcare delivery network spans 29 states and includes 63 community hospital campuses, 32 rehabilitation and behavioral health hospitals, and more than 170 additional sites of care across the healthcare continuum, such as acute rehabilitation units, outpatient centers and post-acute care facilities. We believe that success is achieved through talented people. We want to create places where employees want to work, with opportunities to pursue meaningful and satisfying careers that truly make a difference in communities across the country.We employ and provide care to people from all walks of life. We are committed to promoting healing, providing hope, preserving dignity and producing value with an inclusive workforce in which diversity is leveraged, respected, and reflective of the patients, family members, customers and team members we serve.