- BlueCross BlueShield of Tennessee (Nashville, TN)
- …this position\. + This job requires digital literacy assessment\. **Job Qualifications** _License_ + Registered Nurse \( RN \) with active license in the state ... utilization of benefits + Performing the essential activities of case management : assessment: planning, implementation, coordinating, monitoring, outcomes… more
- HCA Healthcare (Nashville, TN)
- …Master's degree in Nursing, Health Administration, or Business Administration, preferred + Either Registered Nurse ( RN ) licensure , Licensed Clinical Social ... an organization that invests in you as a Director Case Management ? At TriStar Skyline Medical Center,...interdisciplinary teams and external stakeholders. The Director is a registered nurse with responsibility for all operational… more
- Ascension Health (Nashville, TN)
- **Details** + **Department:** Case Management + **Schedule:** Full-Time, Days (8:00A - 4:30P) + **Hospital:** St Thomas West + **Location:** Nashville, TN ... joy in our ministry. **Requirements** Licensure / Certification / Registration: + Licensed Registered Nurse credentialed from the Tennessee Board of Nursing or… more
- Ascension Health (Nashville, TN)
- …options for post-discharge care. **Requirements** Licensure / Certification / Registration: + Registered Nurse obtained prior to hire date or job transfer ... of hire. **Additional Preferences** + One year of **recent** experience in Case Management required. + Local and national travel options are available depending… more
- CVS Health (Nashville, TN)
- …or Maternity/ Obstetrics experience. **Preferred Qualifications** + 1+ years' Case Management experience or discharge planning, nurse navigator or nurse ... Health. Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and...reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year… more
- Vanderbilt University Medical Center (Nashville, TN)
- …complex clinical needs that require a coordinated plan of care. * Develops case management plan that includes strategies or alternative interventions required to ... delivering treatment planning services without requiring support and instruction from others. * Case Management (Intermediate): Demonstrates mastery of case … more
- Highmark Health (Nashville, TN)
- …manage an active case load of members in his/her panel that are enrolled in case management . The incumbent conducts outreach to members enrolled in case ... regulatory agency requirements and applicable standards of practice for case management including those published by CMSA...in addressing targeted populations **LICENSES AND CERTIFICATIONS** **Required** + RN license in PA or WV or DE or… more
- HCA Healthcare (Nashville, TN)
- …**Job Summary and Qualifications** What you will do in this role: + Provides case management services for both inpatient and observation patients as assigned. + ... from any other healthcare provider. We are seeking a(an) Case Manager RN Part Time to join...appropriate referrals to third party payer and disease and case management programs for recurring patients and… more
- Select Medical (Nashville, TN)
- …completing medical record documentation. You will report directly to the Director of Case Management and provide social work services, as necessary, per state ... **Current licensure in a clinical discipline either as a Nurse ( RN /LPN/ LVN)or a Respiratory Therapist...surg, vents)** + Adequate experience in an acute medical case management setting and confidence to manage… more
- Select Medical (Nashville, TN)
- …completing medical record documentation. You will report directly to the Director of Case Management and provide social work services, as necessary, per state ... **Current licensure in a clinical discipline either as a Nurse ( RN /LPN/ LVN)or a Respiratory Therapist...surg, vents)** + Adequate experience in an acute medical case management setting and confidence to manage… more
- HCA Healthcare (Nashville, TN)
- …Summary and Qualifications** **What you will do in this role:** + Provides case management services for both inpatient and observation patients as assigned. ... in their positions. Join our Team as a(an) BMT Case Manager RN and access programs to...appropriate referrals to third party payer and disease and case management programs for recurring patients and… more
- Humana (Nashville, TN)
- …**Required Qualifications** + Bachelor's degree in Nurse (BSN). + Valid and unrestricted Registered Nurse ( RN ) license in the (appropriate state) with no ... community and help us put health first** The Telephonic Nurse Case Manager will be a member... Manager will be a member of the In-Home Case Management Team, providing a comprehensive, holistic… more
- HCA Healthcare (Nashville, TN)
- …our team. **Job Summary and Qualifications** The Case Manager SME of Hospital Case Management (HCM) will serve as a Subject Matter Advisor (SMA), applying ... their clinical and case management expertise to support HCA attorneys,...Legal Nurse Consultant Certified (LNCC) preferred + Registered Nurse - Currently licensed as a… more
- Select Medical (Nashville, TN)
- …completing medical record documentation. You will report directly to the Director of Case Management and provide social work services, as necessary, per state ... current licensure in a clinical discipline either as a Nurse ( RN /LPN/LVN) or a Respiratory Therapist (RT)...job **Job ID** _347139_ **Experience (Years)** _0_ **Category** _Case Management - Case Manager_ **Street Address** _2000… more
- Ascension Health (Nashville, TN)
- **Details** + **Department:** Case Management + **Schedule:** Full-Time, Mon-Fri 8:00AM - 4:30 PM + **Hospital:** St Thomas + **Location:** Nashville, TN ... **Requirements** **Licensure / Certification / Registration:** **Required Credential(s):** + Licensed Registered Nurse credentialed from the Tennessee Board of… more
- Elevance Health (Nashville, TN)
- …states; therefore, Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager Senior** is responsible for care management within the scope ... **Telephonic Nurse Case Manager Senior** **Location:** This...acute care setting preferred. + Minimum 2 years' "telephonic" Case Management experience with a Managed Care… more
- Elevance Health (Nashville, TN)
- …within 48 hours of receipt and meet the criteria._** The **Telephonic Nurse Case Manager II** is responsible for care management within the scope of ... **Telephonic Nurse Case Manager II** **Location:** This...acute care setting preferred. + Minimum 2 years' "telephonic" Case Management experience with a Managed Care… more
- Elevance Health (Nashville, TN)
- **Telephonic Nurse Case Manager II** **Location** : This role enables associates to work virtually full-time, with the exception of required in-person training ... states; therefore Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager II** is responsible for...ie ER, ICU, Critical Care preferred. + Prior "telephonic" Case Management experience with a Managed Care… more
- BlueCross BlueShield of Tennessee (Murfreesboro, TN)
- …utilization of benefits\. + Performing the essential activities of case management : assessment: planning, implementation, coordinating, monitoring, outcomes ... and evaluation\. + Perform case management activities in community settings including..._License_ + Current, active unrestricted Tennessee license in Nursing \( RN \) or behavioral health field \(Master's level or above\)… more
- Sedgwick (Nashville, TN)
- …While partnering with the injured worker, employer, and medical providers, create a case management strategy to facilitate medical recovery and a successful ... accredited college or university or equivalent work experience preferred. Certification in case management , rehabilitation nursing or a related specialty is… more
