- 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)
- …**Monday June 16th, 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
- Centene Corporation (Nashville, TN)
- …to competitive benefits including a fresh perspective on workplace flexibility. **Now Hiring: Remote Care Manager RNs - Join Centene's Ambetter Marketplace ... Centene is expanding our team and currently hiring a Remote Care Manager RNs to...2 - 4 years of related experience. **License/Certification:** + RN - Registered Nurse -… more
- Sharecare (Nashville, TN)
- …support in an appropriate, efficient and cost-effective manner while ensuring high quality care . The Clinical Registered Nurse coordinates with the Primary ... the lens of their personal health and making high-quality care more accessible and affordable for everyone. To learn...management program intervention guidelines. A Clinical Registered Nurse is supervised by an Operations Manager … more
- ChenMed (Memphis, TN)
- …rapidly expanding and we need great people to join our team. The Part Time Registered Nurse , Virtual Care , is responsible for providing telephonic emergency ... triage and directional patient care advice for general and specific illnesses, health related...Providing on-call coverage, the incumbent in this role provides remote clinical advice and assessments within license and as… more
- Public Consulting Group (Nashville, TN)
- …learn more, visit www.publicconsultinggroup.com . PCG is currently seeking a qualified Registered Nurse to perform as a Case Manager . The Case Manager ... Proven working experience in case management, including as a nurse , medical, mental health care manager...plans. + Current license, certification or registration as a Registered Nurse or Social Worker **Working Conditions**… more
- Public Consulting Group (Nashville, TN)
- …independently and on a team. + Proven working experience in case management, including as a nurse , medical, mental health care manager or a related job + ... of case management plans. + Current license, certification or registration as a Registered Nurse or Social Worker **Working Conditions** + Office Setting **The… 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
- Elevance Health (Nashville, TN)
- **Transitions of Care RN - 100% Virtual** **Location** : Virtual: This role enables associates to work virtually full-time, with the exception of required ... weekends and holidays per business needs. The **Transitions of Care RN - 100% Virtual** is responsible for...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… 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
- Sedgwick (Nashville, TN)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance RN Field Case Manager **We are only considering full time employees at this ... time.** **Looking for** **experienced** **Workers Comp RN Field Case Manager Nurses across multiple...the next round, a recruiter will be in touch. \# nurse #fieldcasemanager # RN #workerscompensation \#LI-DV1 **** _As… more
- BlueCross BlueShield of Tennessee (Nashville, TN)
- **Join Our Team as a Nurse Care Manager with the Katie Beckett Program** Are you passionate about supporting children under the age of 18 with disabilities ... homes and communities? Katie Beckett is seeking a dedicated Nurse Care Manager with pediatric...job requires digital literacy assessment\. **Job Qualifications** _License_ + Registered Nurse \( RN \) with active… more
- Humana (Nashville, TN)
- …of post-degree clinical experience in behavioral health **OR** + Active, unrestricted Kentucky Registered Nurse **( RN )** license with at least three years ... Humana Healthy Horizons in Kentucky is seeking a Field Care Manager , Behavioral Health 2 who will...to troubleshoot and resolve basic technical difficulties in a remote environment. + Experience working with Severe and Persistent… 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...to identify barriers and opportunities for intervention. + Develops care plans that align with the physicians treatment plans… more
- Healthfirst (TN)
- …identifying 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
- 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