- CVS Health (Nashville, TN)
- …of Care: - Application and/or interpretation of applicable criteria and clinical guidelines, standardized case management plans, policies, procedures, and ... Interviewing and good technological skills + Valid unrestricted independent professional behavioral health clinical license to practice per state regulations… 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 ... clinical and motivational interviewing skills to assess both behavioral and physical health needs, and social determinants of...Licensed Marriage and Family Therapist (LMFT) **Preferred** + Certified Case Manager + CAC - Certified Addiction… more
- The Cigna Group (Nashville, TN)
- **Role Summary** The Provider Contracting Senior Manager will have oversight of a region of facility networks and will be responsible for its contract performance. ... This Senior Manager will be responsible for directing a team of...+ Design innovative contract solutions such as measurement-based care, case rates or preferred provider networks, performance guarantees, as… 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 ... of oncology 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)
- …**Introduction** 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 ... for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services...make a difference. We are looking for a dedicated Case Management Manager Reporting Analytics like you… 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 ... 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 Manager Case Management for our team to… more
- Elevance Health (Nashville, TN)
- …and depression, and insightful analytics to improve the delivery of care. The BH Case Manager I is responsible for performing case management telephonically ... Carelon Behavioral Health, formerly Beacon Health Options, offers superior clinical mental health and substance use disorder management, a comprehensive employee… more
- Elevance Health (Nashville, TN)
- …office visits with providers and external physicians. + May conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering ... oversight from immediate manager . + May be responsible for an entire clinical program and/or independently performs clinical reviews. + The Medical Director… more
- HCA Healthcare (Nashville, TN)
- …Do you want to join an organization that invests in you as a Manager Data Engineer? At HCA Healthcare, you come first. HCA Healthcare has committed up ... for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services...make a difference. We are looking for a dedicated Manager Data Engineer like you to be a part… more
- Insight Global (Nashville, TN)
- Job Description As a Transitional Case Manager , you will be primarily responsible for providing casework and supportive services to children in foster care, ... 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 field… more
- Merck (Nashville, TN)
- …standards and adverse event reporting requirements internally and externally. The CRM ( Clinical Research Manager ) could be responsible for a particular study ... Visits Reports and escalates performance issues and training needs to CRA ( Clinical Research Associate) manager and/or functional vendor and internal management… more
- HCA Healthcare (Nashville, TN)
- …support our 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. ... for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services...job skills. Apply today for our Home Health RN Clinical Manager opening and continue to learn!… more
- Merck (Nashville, TN)
- …reporting requirements internally and externally. Acts as primary site contact and site manager throughout all phases of a clinical research study, taking ... in a country. Under the oversight of the CRA manager the person ensures compliance of study conduct with...allocated sites. Actively develops and expands the territory for clinical research, finding and developing new sites. Participates in… more
- HCA Healthcare (Nashville, TN)
- …purpose and integrity. We care like family! Jump-start your career as a Clinical Research Nurse today with HCA Healthcare. **Job Summary and Qualifications** The ... Clinical Research Nurse is responsible for coordinating multiple research...+ Ensures the integrity of the data submitted on Case Report Forms or other data collection tools by… more
- HCA Healthcare (Nashville, TN)
- …a part of our team. **Job Summary and Qualifications** This position serves as Manager , Enterprise Emergency Operations & Clinical Medical Transport within the ... operations and medical transport programs and other Enterprise initiatives. The Manager , Enterprise Emergency Operations and Clinical Medical Transport will… more
- HCA Healthcare (Hendersonville, TN)
- …admission (ie observation status or inpatient admission) placement on department in absence of case manager . + You will complete rounding on all therapy staff ... ready to manage in a new era as a Manager of Rehab Services where building a healthier tomorrow...for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services… more
- Maxim Healthcare Services (Brentwood, TN)
- …facilities, area healthcare programs, local insurance payers, physician groups, and case management groups. The Market Business Development Manager manages ... The Market Business Development Manager is responsible for the overall development and...referral opportunities in the area + Collaborates with the Clinical and Operational team to have understanding of customers… more
- Somatus (Gallatin, TN)
- …Community engagement opportunities + And more! **$2,000 SIGN ON BONUS!** 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)
- …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 ... as we do. We want you to apply! **Job Summary and Qualifications** The Manager of Accelerated Technologies and Innovation plays a crucial role in developing and… more
- HealthEdge Software Inc (Nashville, TN)
- …designed to fuel a digital transformation, reduce costs, and improve both clinical outcomes and the member experience. **Your impact** **:** + Maintain deep ... for effective delivery to the client **What you bring:** + ** Behavioral :** + Leadership skills + Mentorcross-functional teamson various technical and non-technical… more