• Field Case Manager -Sign-On…

    Sedgwick (Nashville, TN)
    …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Field Case Manager -Sign-On Bonus Eligible **We are growing all across ... the US and are looking for experienced Workers Comp Field Case Managers! Required to have a...the client and the reimbursement source **EDUCATION AND LICENSING** RN licensure preferred; or bachelor's degree in health or… more
    Sedgwick (08/27/25)
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  • RN Case Manager field

    Molina Healthcare (Bowling Green, KY)
    …behavioral health setting, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... We are looking for a candidate with a MA RN licensure. Candidates with case management and...navigate online portals and databases. **Preferred Qualifications** * Certified Case Manager (CCM). To all current Molina… more
    Molina Healthcare (10/29/25)
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  • RN Case Manager - Home Health

    Maxim Healthcare (Bowling Green, KY)
    Maxim Healthcare is hiring for a REMOTE RN Case Manager in or close to the Bowling Green, KY area to oversee the clinical care of homecare clients around ... development through education, training, and ongoing support + Perform both in-office and field duties, including patient home visits Qualifications: + Active RN more
    Maxim Healthcare (10/24/25)
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  • Care Manager RN - (Remote)

    Highmark Health (Nashville, TN)
    …resource utilization, identification of opportunities for referral to a Health Coach/ case management, and identification and resolution of quality issues. Monitors ... with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable state, federal… more
    Highmark Health (10/22/25)
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  • LTSS Service Coordinator - RN

    Elevance Health (Lafayette, TN)
    …**LTSS Service Coordinator- RN ** is responsible for overall management of member's case within the scope of licensure; provides supervision and direction to non- ... Sumner, Trousdale, Smith, Macon, or Robertson Counties in Tennessee. ** Field ** : This field -based role enables associates...RN clinicians participating in the member's case more
    Elevance Health (09/24/25)
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  • Lead Trainer - Clinical Services (Remote in GA)

    Molina Healthcare (Bowling Green, KY)
    … Nursing ( RN ) or State Clinical Social Worker/Counseling (or related field ) License Certified Case Manager (CCM), Utilization Management Certification ... Job Qualifications **REQUIRED EDUCATION** : Completion of an accredited Registered Nurse ( RN ) Program and...RN ) or State Clinical Social Worker/Counseling (or related field ) License Certified Case Manager more
    Molina Healthcare (10/30/25)
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  • Medical Claim Review Nurse ( RN )

    Molina Healthcare (Bowling Green, KY)
    …ASSOCIATION:** Certified Clinical Coder, Certified Medical Audit Specialists, Certified Case Manager , Certified Professional Healthcare Management, Certified ... state/federal regulations **REQUIRED LICENSE, CERTIFICATION, ASSOCIATION:** Active, unrestricted State Registered Nursing ( RN ) license in good standing.… more
    Molina Healthcare (09/06/25)
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  • Government Programs Care Manager III

    Health Care Service Corporation (Nashville, TN)
    …and/or facilities to support complex and specialty populations **Required Job Qualifications:** + Registered Nurse ( RN ) with 2 years direct clinical care ... to provide care coordination to members via telephonic and/or field -based care management to inform and educate them on...to state of operations, you must obtain active, unrestricted RN licensure in the state of operations within 90… more
    Health Care Service Corporation (10/30/25)
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  • Education Innovation Manager

    Philips (Nashville, TN)
    **Education Innovation Manager ** The Hospital Patient Monitoring (HPM) Education Innovation Manager is responsible for architecting the education services within ... years experience with a Bachelor's degree in an HPM field -based role that includes experience delivering education to HPM...have experience working in a customer environment, such as RN or biomedical engineer in a hospital. **How we… more
    Philips (08/08/25)
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  • Behavioral Health Care Manager II…

    Elevance Health (Nashville, TN)
    **Behavioral Health Care Manager II - Licensed Behavioral Analyst** **Candidates must be located in Tennessee, or be willing to relocate to Tennessee to be ... Hours:** Monday - Friday, 8:00AM-5:00PM The **Behavioral Health Care Manager II - Licensed Behavioral Analyst,** is responsible for...in social work counseling or a related behavioral health field or a degree in nursing, and minimum of… more
    Elevance Health (10/13/25)
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  • LTSS Service Coordinator - Clinician

    Elevance Health (Nashville, TN)
    …Service Coordinator-Clinician** is responsible for working under the direction/supervision of an RN , with overall responsibility for the member's case . As ... The location for this position will be Williamson, Davidson, or Montgomery Counties. ** Field ** : This field -based role enables associates to primarily operate in… more
    Elevance Health (09/24/25)
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  • Transplant Care Nurse - Remote

    Highmark Health (Nashville, TN)
    …industry, corporate, state, and federal law standards and are within the care manager 's professional discipline. + For assigned case load, create care plans ... in addressing targeted populations **LICENSES or CERTIFICATIONS** **Required** + RN license in PA or WV or DE or...**Preferred** + Certification in utilization management or a related field + Certification in Case Management **SKILLS**… more
    Highmark Health (10/10/25)
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  • Staff Vice President (VP), Special Investigations…

    Elevance Health (Nashville, TN)
    …teams across the national SIU. + Functions within the SIU include investigations, case intake and assignment, and data analysis. + Hires, trains, coaches, counsels, ... health care administration, criminal justice, nursing, contract administration, or related field and minimum of 10 years investigation, prosecution, or healthcare… more
    Elevance Health (10/29/25)
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