- BlueCross BlueShield of Tennessee (Chattanooga, TN)
- …18 month commitment before posting for other internal positions\. **Job Qualifications** _License_ + Registered Nurse \( RN \) with active license in the state ... the BlueCare team at BCBST as a Clinical Review Manager \!** In this role, you will complete medical reviews...8\-5 pm EST or 9\-6 pm EST\. + Fully remote , at home position\. + There is an option,… more
- BlueCross BlueShield of Tennessee (Lawrenceburg, TN)
- …tests may be required for this position\. **Job Qualifications** _Education_ + RN , with a preference that such individuals also have current Certification from ... the Developmental Disabilities Nurses Association as a Certified Developmental Disabilities Nurse \(CDDN\) for RNs or a Developmental Disabilities Nurse \(DDC\)… more
- 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
- 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)
- … 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
- AccentCare, Inc. (Franklin, TN)
- Overview Patient Care Manager Location: Franklin Position: Patient Care Manager Position Type: Full-Time Remote /Virtual Position: No #AC-BO Find Your ... Passion and Purpose as a Full-Time Patient Care Manager Bonus: $30,000 Salary: $85,000-$95,000 Schedule:...and local regulatory requirements Required Certifications and Licensures: + Registered nurse with current licensure to practice… 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
- Humana (Nashville, TN)
- **Become a part of our caring community and help us put health first** The Care Manager , Telephonic Nurse 2, in a telephonic environment, assesses and ... the care and wellbeing of members. The Care Manager , Telephonic Nurse 2...skills to make an impact** **Required Qualifications** + Unrestricted Registered Nurse ( RN ) license in… more
- Community Health Systems (Clarksville, TN)
- Join us as a ** Registered Nurse ( RN ) - Care ...position) Shift: Mon-Fri (8:00am-5:00pm) as needed **Job Summary** The Care Manager - RN is ... position** at Tennova Health Care - Clarksville Unit: Care Management (This is not a remote ...tasks in a dynamic environment. **Licenses and Certifications** + RN - Registered Nurse -… 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
- Humana (Nashville, TN)
- …**Required Qualifications** + Bachelor's degree in Nurse (BSN). + Valid and unrestricted Registered Nurse ( RN ) license in the (appropriate state) with no ... desired clinical outcomes and to enhance quality of medical care . The **Telephonic Nurse Case Manager...- 5:00 pm Eastern Standard Time. **Work Style** : Remote **Work at Home/ Remote Requirements** To ensure… more
- Healthfirst (TN)
- …knowledge of the relevant product line + Relevant work experience preferably as a Care Manager + Demonstrated ability to manage large caseloads and effectively ... This position is 100% Remote ** **Duties and Responsibilities:** + Advocates, informs, and...Additional duties as assigned. **Minimum Qualifications:** + For Medical Care Management: + NYS RN or +… more
- Healthfirst (TN)
- **This position is 100% Remote **Duties/Responsibilities:** + The Pediatric Care Manager plans and manages pediatric medical and/or behavioral care with ... members and their beneficiaries across the continuum of care . The Care Manager is...services within their coverage plan empowering self-management. + **NYS RN or LCSW, LMSW** + **1 year of pediatric… more
- CenterWell (Nashville, TN)
- …The Clinical Care Coordinator is under the general supervision of the Manager of Care Coordination and under established performance criteria. This is a ... + **Required to work every other holiday.** The **Clinical Care Coordinator** helps to ensure optimal continuity of ...work-from-home telephonic nurse position. **Essential Functions:** + Act as CenterWell Home… more
- HCA Healthcare (Nashville, TN)
- …colleagues invested over 156,000 hours volunteering in our communities. As a Manager Meditech Consulting Service with CereCore, part of HCA Healthcare you can ... and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. +...in our organization. We are looking for an enthusiastic Manager Consulting Service to help us reach our goals.… more
- HCA Healthcare (Nashville, TN)
- …RN Diploma or higher Nursing degree is required. + Currently licensed as a registered professional nurse in the state(s) of practice and/or has an active ... This position is incentive eligible. **Introduction** *This is a remote position with travel within the market. Candidates must...an organization that invests in you as a **Market Manager of Quality / Risk** ? At Surgery Ventures… more
- Healthfirst (TN)
- …alternative care options, and discharge planning** + **Certified Case Manager ** + **Interqual and//or Milliman knowledge** + **Knowledge of Centers for Medicare ... This position is 100% Remote ** **Duties//Responsibilities:** + **Provides case management services for...+ **Functions as a clinical resource for the multi-disciplinary care team in order to maximize HF member … more
- Sedgwick (Nashville, TN)
- …Work(R) Fortune Best Workplaces in Financial Services & Insurance Telephonic Case Manager **PRIMARY PURPOSE OF THE ROLE:** While partnering with the injured worker, ... on the health and lives of others, and a remote work environment. + Enjoy flexibility and autonomy in...more. + Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs.… more
- Sedgwick (Nashville, TN)
- …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 ... 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
