- Humana (Nashville, TN)
- **Become a part of our caring community and help us put health first** The Care Manager , Telephonic Nurse 2 employs a variety of strategies, approaches and ... business there is limited day to day flexibility in care manager 's schedule. **Duties:** + Telephonically assess...skills to make an impact** **Required Qualifications** + Active Registered Nurse ( RN ) license with… more
- Sharecare (Nashville, TN)
- … more accessible and affordable for everyone. To learn more, visit www.Sharecare.com. The Care Manager supports the implementation of the Value Based Care ... telephonic Case or Care Management with CareFirst members. The Care Manager partners with members, caregivers, providers, and the interdisciplinary… more
- Molina Healthcare (Bowling Green, KY)
- …health, pharmacy, etc.), or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... **JOB DESCRIPTION** **Job Summary** The Clinical Appeals Nurse ( RN ) provides support for internal...appropriateness of services, length of stay and level of care provided to members. Contributes to overarching strategy to… more
- Health Care Service Corporation (Nashville, TN)
- …complex and specialty populations **Required Job Qualifications:** + Registered Nurse ( RN ) with 2 years direct clinical care to the consumer in a ... development. **Job Summary** This position is responsible to provide care coordination to members via telephonic and/or field-based ...to state of operations, you must obtain active, unrestricted RN licensure in the state of operations within 90… more
- Molina Healthcare (Bowling Green, KY)
- …transitions, behavioral health, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ), Licensed Vocational Nurse (LVN), ... Contributes to overarching strategy to provide quality and cost-effective member care . Essential Job Duties* Collaboratively plans and executes internal healthcare… more
- Sharecare (Nashville, TN)
- …to enable individuals with disabilities to perform the essential functions. + Current Registered Nurse multi-state compact license in the state in which they ... support in an appropriate, efficient and cost-effective manner while ensuring high quality care . The Disease Management Nurse works with participating members to… more
- Highmark Health (Nashville, TN)
- …established industry, corporate, state, and federal law standards and are within the care manager 's professional discipline. + For assigned case load, create ... in case management including but is not limited to: developing a care plan, encouraging behavior changes, identifying and addressing barriers, helping members to… more
- HCA Healthcare (Nashville, TN)
- …you want to join an organization that invests in you as a Senior Manager Clinical Compliance and Regulatory Accreditation? At HCA Healthcare, you come first. HCA ... auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. + Free counseling… more
- Sedgwick (Nashville, TN)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Field Case Manager -Sign-On Bonus Eligible **_This Field Case Manager will cover our ... on the health and lives of others, and a remote work environment that allows face to face interaction...more. + Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs.… more
- CenterWell (Nashville, TN)
- **Become a part of our caring community and help us put health first** Conviva Care Solutions is seeking a RN who will collaborate with other health care ... Nursing License + A minimum of three years clinical RN experience; + Prior clinical experience, managed care...+ Career development opportunities Travel: While this is a remote position, occasional travel to Humana's offices for training… more