- Evolent Health (Nashville, TN)
- …contractual agreements. **Collaboration Opportunities** : The Coordinator, Intake Utilization Management reports directly to the Manager , Client Services. In ... the culture. **What You'll Be Doing:** The **Coordinator, Intake Utilization Management ** at Evolent will serve as...proprietary system generates cases for both the medical and behavioral health reviewers. These requests may be submitted via… more
- Highmark Health (Nashville, TN)
- …Inc. **Job Description :** **JOB SUMMARY** This job implements the effective utilization management strategies including: review of appropriateness of health ... years of post licensure experience in a combination of Behavioral Health Clinical, Case Management and/or Condition...Experience in a clinical setting **Preferred** + Certification in utilization management or a related field +… more
- HCA Healthcare (Nashville, TN)
- **Description** **Introduction** Do you have the career opportunities as a Manager Case Management you want with your current employer? We have an exciting ... for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services...of colleagues. Do you want to work as a Manager Case Management where your passion for… more
- HCA Healthcare (Nashville, TN)
- …states and the United Kingdom. We are looking for a Clinical Pharmacy Manager for our TriStar Centennial Medical Center team where excellence creates excellence. ... 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)
- …Do you want to join an organization that invests in you as an Associate Manager Contracts? At HealthTrust, 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...a difference. We are looking for a dedicated Associate Manager Contracts like you to be a part of… more
- HCA Healthcare (Brentwood, TN)
- …environment where diversity and inclusion thrive? Submit your application for our Manager Performance Improvement Labor opening with Tristar Health today and find ... for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services...benefits may vary by location._** We are seeking a(an) Manager Performance Improvement Labor for our team to ensure… more
- HCA Healthcare (Nashville, TN)
- …and values at the forefront of decision-making and action. + Develop custom utilization management strategies to enhance clinical reviews + Review claims data ... for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services...Degree required + Minimum 3+ years of strategic account management experience with a pharmacy benefit manager … more
- HCA Healthcare (Nashville, TN)
- …labor management , including position control, scheduling excellence, productivity management , and premium pay utilization . Maintains staffing to ensure ... join an organization that invests in you as a Manager Simulation and Technology? At Work from Home, you...for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services… more
- HCA Healthcare (Nashville, TN)
- …**Responsibilities:** + Develops processes to support improved operations (such as sitter utilization , use of various pay codes, overtime management , etc.) in ... join an organization that invests in you as a(an) Manager Labor Performance Improvement? At HCA Healthcare, you come...for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services… more
- The Cigna Group (Nashville, TN)
- …and specialist appointment scheduling. . Provide clinical assessments, health education, and utilization management to customers, as needed. . Initiate contact ... to facilitate appropriate health care outcomes for customers. Ensures that case management program objectives are met by evaluating the effectiveness of alternative… more
- HCA Healthcare (Nashville, TN)
- …want to join an organization that invests in you as a(an) Medication Compliance 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 Medication Compliance Manager like you to be a part of our… 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 ... for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services...vary by location._** Come join our team as a Manager Meditech Consulting Service. We care for our community!… more
- Highmark Health (Nashville, TN)
- …includes leveraging cutting-edge customer experience platforms, implementing robust data management solutions, and optimizing marketing automation tools to drive ... department. This role will be responsible for managing our MarTech ecosystem, including management and delivery of agreed upon road maps and platform integrations to… more
- Ford Motor Company (Nashville, TN)
- …are as smart as you are. The Merchandise eCommerce Merchandising & Product Manager is responsible for deeply understanding customer needs, managing the day-to day ... day by pulling, analyzing, and translating web analytics and behavioral data into actionable insights to enhance sales, conversion,...experience + 3+ years of eCommerce Merchandising AND Product Management experience + 1+ years of Shopify Site … 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
- Elevance Health (Spring Hill, TN)
- …associates, and may be involved in process improvement initiatives. + Submits utilization /authorization requests to utilization management with documentation ... integrated care plan, engaging the member's circle of support and overall management of the individuals physical health (PH)/ behavioral health (BH)/LTSS needs,… more
- Elevance Health (Nashville, TN)
- **Telephonic Nurse Disease Management II** **$2000 Sign on Bonus** At **Federal Health Products and Services - FHPS** , a proud member of the Elevance Health, Inc. ... pm, or 2:30 pm - 11 pm EST.** The **Telephonic** **N** **urse Disease Management II** will be responsible for telephonic outreach, enrollment, and management of… more
- HCA Healthcare (Nashville, TN)
- …clinical education and staff development, operational optimization of drug products, management of appropriate drug utilization through clinical pathway ... 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)
- …deployment of new technology, enhancements of the products within the Case Management , Utilization Review, Clinical Document Integrity areas, and participate in ... 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)
- …capital equipment requests + You will be responsible for the fiscal management of department; assures proper utilization of organization's financial resources ... 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