- Highmark Health (Nashville, TN)
- …+ 3 - 5 years of post licensure experience in a combination of Behavioral Health Clinical , Case Management and/or Condition Management + Experience ... resource utilization, identification of opportunities for referral to a Health Coach/ case management, and identification and resolution of quality issues. Monitors… more
- Highmark Health (Nashville, TN)
- …Required + 5 years of Post licensure experience in any combination of behavioral health clinical , case management and/or condition management Preferred ... through behavior change. **ESSENTIAL RESPONSIBILITIES** + Function as a primary integrated case manager for members with mental health/substance use and… more
- CAI (Nashville, TN)
- …Type** Full time **Worksite Flexibility** Remote **Job Summary** We are looking for a motivated RN Case Manager ready to take us to the next level! If you have ... career move, apply now. **Job Description** We are looking for a **RN Case Manager ** to provide community-based care coordination/management for our client's… more
- Highmark Health (Nashville, TN)
- …Nursing **EXPERIENCE** **Required** + 7 years of any combination of clinical , case management and/or disease/condition management experience, provider operations ... panel of members that range in health status/severity and clinical needs. The incumbent assesses health management needs of...interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are… more
- HCA Healthcare (Nashville, TN)
- …an organization that invests in you! We are reviewing applications for our Manager Case Management opening. Qualified candidates will be contacted for ... over 156,000 hours volunteering in our communities. As a Manager of Case Management with TriStar Skyline...quality of documentation and assessments by regularly auditing the case managers' documentation. + Participates in clinical … more
- The Cigna Group (Nashville, TN)
- …. Medicare and/or Medicaid experience with geriatric populations a plus . Certified Case Manager preferred . Experience with community resource organizations . ... care services to assist the customer throughout the continuum of care. Utilizes clinical skills to assess, coordinate, monitor and evaluate options and services in… 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 ... of colleagues. Do you want to work as a Manager Case Management where your passion for...web conference **Desired Qualifications** Previous direct people leader experience Clinical case management-implementation of a patient medical… more
- Insight Global (Smyrna, TN)
- …depending on experience. As an Unaccompanied Children (UC) Transitional Foster Care Case Manager , you will be primarily responsible for providing casework ... meetings with supervisor to consult on cases, to review case plan and direction and to evaluate client participation.... Skills and Requirements * Bachelor's level degree in Behavioral Sciences, Human Services, or a Social Services *… more
- Highmark Health (Nashville, TN)
- …Inc. **Job Description :** **JOB SUMMARY** This job is responsible for the overall clinical support of account and sales specific activities within the Clinical ... Services division. The incumbent works with leaders in clinical services and sales/account management as a liaison, developing...team to assure that there are clear expectations for Case Managers & Disease Managers as it relates to… more
- Sharecare, Inc. (Nashville, TN)
- …leadership for each year. + Direct questions from providers or members to the Clinical Advocate Manager or Director when he/she identifies an opportunity for ... college pre-requisites is required; BNS preferred. + Minimum of 3-5 years clinical experience; Telephonic Case Management experience and/or CCM certification… more
- HCA Healthcare (Nashville, TN)
- …to deliver clinical excellence behind the scenes in data science, case management or transfer centers. Unlock your potential at TriStar Centennial Medical ... about delivering patient-centered care?** Submit your application for Operating Room Clinical Nurse Coordinator position. $8k Sign on bonus for qualified candidates… more
- LifePoint Health (Brentwood, TN)
- …where employees find purpose and fulfillment. *What you'll do:* As a *CDI Manager *, you willdirect the activities of the Clinical Documentation Integrity (CDI) ... *CDI Manager * *Who we are:* At Lifepoint Health, we...healthcare delivery network.Our network includes 60 community hospitals, 60 rehabilitation/ behavioral health hospitals, and 250 additional sites of care… more
- Somatus (Brentwood, TN)
- …and mental well-being + Community engagement opportunities + And more! The RN Care Manager is a critical member of the care team consisting of nurses, dietitians, ... market.** Responsibilities + Conduct comprehensive assessments that include the medical, behavioral , pharmaceutical, and social needs of the patient, identify gaps… more
- HCA Healthcare (Nashville, TN)
- …the deployment of new technology, enhancements of the products within the Case Management, Utilization Review, Clinical Document Integrity areas, and participate ... 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
- Guardian Life (Nashville, TN)
- …Certified Rehabilitation Counselor (CRC),Certified Disability Management Specialist (CDMS), Certified Case Manager (CCM). + Excellent verbal and communications ... agencies to control costs and identify similar benefits. + Collaborate with Disability Clinical & Vocational Services staff and case managers to move toward… more
- Elevance Health (Nashville, TN)
- …programs for chronic diseases. **How you will make an Impact:** + Conducts behavioral or clinical assessments to identify individual member knowledge, skills, ... and behavioral needs. + Identifies and/or coordinates specific health coaching...coordinates coaching and/or care plans by educating members regarding clinical needs and facilitating referrals to health professionals for… more
- HCA Healthcare (Nashville, TN)
- …care. Performs in accordance with physician's orders and under the supervision of the Clinical Manager . **What you will do in this role:** + Assesses home ... and patient/family/caregiver. + Communicates significant findings, problems and changes to Clinical Manager and physician, and documents all findings,… more
- CenterWell (Nashville, TN)
- …patients on health maintenance and disease prevention or provide case management. Understands own work area professional concepts/standards, regulations, strategies ... histories in electronic medical records software + Phone Triage using critical clinical judgement. + Delivering results to patients as providers direct. + Performing… more
- HCA Healthcare (Nashville, TN)
- … case follow-up as required. + Attend educational activities as approved by Manager or Director. + Maintain clinical knowledge of various abstracted measures. ... 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)
- …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 ... + Obtains CPT and ICD-10 diagnosis codes and other clinical information as required for treatment of the patient...education. + Refers conflicts and procedural questions to Practice Manager or designee as they arise. + Attends required… more