- Highmark Health (Nashville, TN)
- …consistent with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable ... + Experience in a clinical setting **Preferred** + Experience in UM/CM/QA/Managed Care **LICENSES AND CERTIFICATIONS** **Required** + Current RN state licensure… more
- Sharecare (Nashville, TN)
- …September 8th, 2025** **Salary:** **$85,000 annually, plus comprehensive benefits package** The Care Manager supports the implementation of the Value Based ... telephonic Case or Care Management with CareFirst members. The Care Manager partners with members, caregivers, providers, and the interdisciplinary… more
- CenterWell (Nashville, TN)
- …or requested. **Use your skills to make an impact** **Required Experience/Skills:** + Registered Nurse or Physical Therapist. + Current state license as a ... Registered Nurse or Physical Therapist. + 5 years of professional experience in Home Care , 2 years of which are in an administrative, supervisory, quality… more
- Highmark Health (Nashville, TN)
- …in case management including but is not limited to: developing a care plan, encouraging behavior changes, identifying and addressing barriers, helping members to ... coordinate care , and identifying various resources to assist members in...in addressing targeted populations **LICENSES AND CERTIFICATIONS** **Required** + RN license in PA or WV or DE or… more
- CVS Health (Nashville, TN)
- …. + Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year of experience in a hospital ... position consists of working intensely as a telephonic case manager with patients and their care team...setting. + A Registered Nurse that holds an active, unrestricted… 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
- CenterWell (Nashville, TN)
- …it will allow for off-days during the week.** The **Clinical Care Coordinator/ Care Manager , Telephonic Nurse ** helps to ensure optimal continuity of ... The Clinical Care Coordinator is under the general supervision of the Manager of Care Coordination and under established performance criteria. This is a… more
- BlueCross BlueShield of Tennessee (Chattanooga, TN)
- …maintain accreditation standards\. + 40\-60 % travel required\. **Job Qualifications** _Licensure:_ + Registered nurse with an active license in the state of ... a pivotal role in ensuring an integrated model of care throughout the CHOICES program\. **In this role, you...their residence if the state is participating in the Nurse Licensure Compact Act; or Masters prepared licensed Social… more
- BlueCross BlueShield of Tennessee (Chattanooga, TN)
- The Behavioral Health Case Manager for Transitions of Care is dedicated to proactive engagement with members admitted to Acute Inpatient Psychiatric facilities\. ... This role involves coordinating care to address immediate behavioral health needs and overcoming..._License_ + Current, active unrestricted Tennessee license in Nursing \( RN \) or behavioral health field \(Master's level or above\)… more
- Cardinal Health (Nashville, TN)
- …Rheumatology (Rheum) Customer Success contributes to Cardinal Health_** The Clinical Manager for our Rheumatology (Rheum) Customer Success team is responsible for ... the EVP of Provider Solutions. In this role, the Manager will be held primarily accountable for the overall...that will lead our Rheum program. **Location** - Fully remote with the expectation of 15-20% travel. Travel does… more
- Sedgwick (Nashville, TN)
- …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 ... 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
- St John's Community Services (Jackson, TN)
- …Disability (IDD)/ Developmental Disabilities (DD) through a combination of face-to-face, remote , or technological best practices and research-based care . ... Program Director-TN Job Details Job Location Jackson, Tennessee - Jackson, TN Remote Type Hybrid Position Type Full Time Salary Range $65000.00 - $75000.00… more
- HCA Healthcare (Nashville, TN)
- …difference. We are looking for a dedicated Regulatory and Accreditation Clinical Compliance Audit Manager ? like you to be a part of our team. Job Summary and ... Team work includes a variety of audits and performs onsite and/or remote assessments of focused areas within HCA Healthcare hospitals which include maintaining… more