- CVS Health (Nashville, TN)
- …Health Counselor) Preferred Qualifications + Crisis intervention skills preferred managed care/ utilization review experience preferred + Case management and ... thinking skills to facilitate appropriate member physical health and behavioral healthcare through assessment and care planning, direct provider… more
- Humana (Nashville, TN)
- …us put health first** This is a non-exempt position with responsibility for utilization management and clinical decision-making as outlined in the Autism Care ... Responsibilities** Tasks include, but are not limited to: **70%** : Performing utilization management activities for assigned areas. Ensures full compliance with… more
- HCA Healthcare (Nashville, TN)
- …Do you want to join an organization that invests in you as a Case Management Manager Reporting Analytics? At HCA Healthcare, you come first. HCA Healthcare has ... a difference. We are looking for a dedicated Case Management Manager Reporting Analytics like you to...satisfaction goals within a deadline + Knowledge of case management and/or utilization review preferred + Ability… more
- HCA Healthcare (Nashville, TN)
- …a work environment where diversity and inclusion thrive? Submit your application for our Manager Case Management opening with HCA Healthcare today and find out ... benefits may vary by location._** We are seeking a Manager Case Management for our team to...facilitate process standardization to promote improved outcomes, maximize resource utilization , and achieve organizational goals. The Manager … more
- HCA Healthcare (Nashville, TN)
- …confirm with NCBON. **Preferred Certification:** Nationally accepted certification in Case Management , Utilization Review, Coding, or other denial management ... Work from Home team is looking for a Remote Manager Division Denials. HCA Healthcare is an advanced healthcare...management . + Requires professional level of knowledge of utilization review, care management , InterQual and/or medical… more
- HCA Healthcare (Nashville, TN)
- …design to manage and maintain data security and integrity + Ensures the utilization of software release management + Deliver software, infrastructure and ... We care like family! Jump-start your career as a Manager Automation today with HCA Healthcare. **Benefits** HCA Healthcare...for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services… more
- CenterWell (Nashville, TN)
- …Coordinate quality improvement activities to address high risk, high-utilizers/high-cost patient management through the utilization of the 5M's framework as ... ER visits, readmissions, total cost of care, and reducing acute care utilization ). * Familiarity in integrated care management programs with primary… more
- HCA Healthcare (Nashville, TN)
- …testing plans and events, go live activities, support, and optimization. + Management of resource utilization and project assignments, prioritization of task ... over 156,000 hours volunteering in our communities. As a Manager Consulting Service WFH with CereCore you can be...for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services… more
- HCA Healthcare (Nashville, TN)
- …you want to join an organization that invests in you as a Technical Product Manager ? At HCA Healthcare, you come first. HCA Healthcare has committed up to $300 ... for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services...difference. We are looking for a dedicated Technical Product Manager like you to be a part of our… more
- Ford Motor Company (Nashville, TN)
- …is best-in-class. **In this position ** The Accessories eCommerce Merchandising Manager is responsible for deeply understanding customer needs and optimizing the ... business value daily by pulling, analyzing, and translating web analytics and behavioral data into actionable insights to enhance sales, conversion, and customer… more
- HCA Healthcare (Nashville, TN)
- …colleagues in their positions. Join our Team as a(an) Home Health RN Clinical Manager and access programs to assist with every stage of your career. **Benefits** ... for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services...skills. Apply today for our Home Health RN Clinical Manager opening and continue to learn! **Job Summary and… more
- Mindoula Health (Nashville, TN)
- …basis + Develop and coordinate community resources with emphasis on medical, behavioral , violence prevention, and social services. + Assess members for risk, make ... continuously with members, family, physician(s), and other providers to lower over- utilization of unnecessary resources. + Report critical incidents and information… more
- Universal Health Services (Brentwood, TN)
- …Treatment Services Division for Universal Health Services." Position Summary: The Account Manager (FRN Sales) is responsible for achieving the desired utilization ... customer and ask for business. + Develops individual sales plans, territory management and routing schedules for review with supervisor. Adjusts plans as directed… more
- Highmark Health (Nashville, TN)
- …actions (promotions, hiring, terminations, etc.) Develops talent, Addresses resource management , cultivates capabilities of staff, planning and coordination of work, ... in first-line resolution of complex technical problems 2. Provides Staff Management oversight * Hires, promotes, separates or makes recommendations regarding same… more
- CenterWell (Nashville, TN)
- …health and full-risk frameworks, including patient engagement, clinical professional skillsets, utilization management , care management , clinical information ... the complex needs of seniors and improve health outcomes and avoidable utilization (eg, palliative care, post-acute care, transitions of care) at a population… more
- HCA Healthcare (Nashville, TN)
- …standards, contract compliance, patient satisfaction, employee engagement, retail margin management , patient service utilization and complimentary service ... at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical… more
- HCA Healthcare (Nashville, TN)
- …labor management , including position control, scheduling excellence, productivity management , and premium pay utilization ; Maintain staffing to ensure ... with TriStar Centennial Medical Center, you can be a manager in an organization that is devoted to giving!...for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services… more
- HCA Healthcare (Nashville, TN)
- …and routing + Expertise in managing and configuring Sonatype Nexus Repository Manager , including repository setup, user management , permissions, and integration ... management and optimization techniques to ensure efficient resource utilization and scalability. + Familiarity with Kubernetes networking concepts, including… more
- Elevance Health (Nashville, TN)
- …The Medical Director is responsible for the administration of physical and/or behavioral health medical services, to ensure the appropriate and most cost-effective ... to Medical Director Associates. + Works independently with oversight from immediate manager . + May be responsible for an entire clinical program and/or independently… more
- CenterWell (Nashville, TN)
- …optimal patient care, high quality health outcomes, and improved cost and utilization in pharmacy-related care, and serve as a national clinical program leader ... This role reports to the National Director, High Risk Patient Management . Responsibilities will include: + Lead comprehensive clinical pharmacy service development,… more