- Veterans Affairs, Veterans Health Administration (Johnson City, TN)
- Summary The Integrated Community Services (ICS)/Social Worker Section Chief plans, implements, directs, and provides clinical and administrative ... Service . Ensures efficient operation for the discipline of Social Work and Community Care Programs within the Mental Health Service . Management of Human… more
- Veterans Affairs, Veterans Health Administration (Memphis, TN)
- …of Veterans Affairs, the Veterans Health Administration (VHA), the appropriate Veterans Integrated Service Network (VISN), and the facility. Can aid with ... Summary The Emergency Department social worker provides comprehensive social work services through a broad range of interventions in a mental health setting and can… more
- Humana (Nashville, TN)
- **Become a part of our caring community and help us put health first** Humana is a Fortune 50 market leader in integrated healthcare whose dream is to help ... benefits that advance the employment experience and vitality of the associate community . Through offerings anchored in a whole person view of human well-being,… more
- Humana (Nashville, TN)
- **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make ... determinations whether requested services , requested level of care, and/or requested site of service should be authorized. All work occurs within a context of… more
- Humana (Nashville, TN)
- **Become a part of our caring community and help us put health first** The Behavioral Health Medical Director is responsible for behavioral health care strategy ... of variable factors. **Become a part of our caring community and help us put health first** The Behavioral...background, experience, and judgement to make determinations whether requested services , requested level of care, and/or requested site of… more
- Humana (Nashville, TN)
- **Become a part of our caring community and help us put health first** The Sr. Medicare (PPS) Provider Hospital Reimbursement Analyst will be an integral part of the ... complex Medicare reimbursement methodologies. This role is within the Integrated Pricing Solutions (IPS) department which falls under the...10mpbs upload) is required. + Satellite and Wireless Internet service is NOT allowed for this role. + A… more
- Humana (Nashville, TN)
- **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical ... background, experience, and judgement to make determinations whether requested services , requested level of care, and/or requested site of..., requested level of care, and/or requested site of service should be authorized. All work occurs with a… more
- CenterWell (Nashville, TN)
- **Become a part of our caring community and help us put health first** The Nurse Practitioner (VSP) applies advanced education and clinical competencies to achieve ... ranging from moderate to substantial. This is a variable service provider NP/PA (APP) role with an average of...needs to help facilitate gap closure - providing transportation services . + Connecting with outside partners to ensure testing… more
- Humana (Nashville, TN)
- …uses their medical background, experience, and judgement to make determinations whether requested services , level of care, and/or site of service should be ... **Become a part of our caring community and help us put health first** Become...clinical scenarios, and providing expert decisioning on the requested services . They will have regular discussions with external providers… more
- Humana (Nashville, TN)
- **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical ... background, experience, and judgement to make determinations whether requested services , requested level of care, and/or requested site of..., requested level of care, and/or requested site of service should be authorized. All work occurs within a… more
- CenterWell (Clarksville, TN)
- **Become a part of our caring community and help us put health first** Join a Team That's Redefining Senior Primary Care: Humana's Primary Care Organization is one ... high-quality care. + Manage referrals, hospital/SNF coordination, DME, and home health services . + Participate in daily huddles. CAs tend to lead the huddles… more
- CenterWell (Bellevue, TN)
- **Become a part of our caring community and help us put health first** Join a Team That's Redefining Senior Primary Care: Humana's Primary Care Organization is one ... + Manage referrals, hospital/SNF coordination, DME, and home health services . + Participate in daily huddles. CAs tend to...with colleagues/patients + Fully engaged in the concept of " Integrated team-based care" model + Willingness and ability to… more
- CenterWell (Nashville, TN)
- **Become a part of our caring community and help us put health first** The Medical Director, Primary Care relies on medical background and reviews health claims. The ... background, experience, and judgement to make determinations whether requested services , requested level of care, and/or requested site of..., requested level of care, and/or requested site of service should be authorized. All work occurs with a… more
- Vanderbilt University Medical Center (Nashville, TN)
- …operating at a global crossroads of teaching, discovery, and patient care, VUMC is a community of individuals who come to work each day with the simple aim of ... Surgical Oncology, within the Department of Surgery and the Section of Surgical Sciences at Vanderbilt University Medical Center,...care setting to work as a part of an integrated multidisciplinary health care team. The APP works in… more
- Humana (Nashville, TN)
- … and help us put health first** Become a part of our caring community Join Humana's Integrated Marketing Analytics team as a Senior Associate, Marketing ... or Hybrid Home/Office associates' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following… more
- Humana (Nashville, TN)
- … and help us put health first** Become a part of our caring community Join Humana's Integrated Marketing Analytics team as an Associate, Marketing Analytics ... or Hybrid Home/Office associates' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following… more
- Humana (Nashville, TN)
- …development and modification of specifications. Develops specifications for new products/ services , applications and service offerings. Making architectural ... **Become a part of our caring community and help us put health first** The...procedures, and standards .Assesses the compatibility and integration of products/ services proposed as standards in order to ensure an… more
- Humana (Nashville, TN)
- **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse...modem for a home office (Satellite and Wireless Internet service is NOT allowed for this role). + A… more
- CenterWell (Clarksville, TN)
- **Become a part of our caring community and help us put health first** Join a Team That's Redefining Senior Primary Care: Humana's Primary Care Organization is one ... high-quality care. + Manage referrals, hospital/SNF coordination, DME, and home health services . + Participate in daily huddles. CAs tend to lead the huddles… more
- Humana (Nashville, TN)
- **Become a part of our caring community and help us put health first** Full-Time, Remote Telephonic opportunity The Utilization Management Nurse 2 utilizes clinical ... to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2… more