• BlueCross BlueShield of Tennessee (Chattanooga, TN)
    …this position\. + This job requires digital literacy assessment\. **Job Qualifications** _License_ + Registered Nurse \( RN \) with active license in the state ... sickle cell, brain injuries, oncology\-related needs\)\. **Job Responsibilities** + Supporting utilization management functions for more complex and non\-routine… more
    DirectEmployers Association (11/11/25)
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  • BlueCross BlueShield of Tennessee (Memphis, TN)
    …this position\. + This job requires digital literacy assessment\. **Job Qualifications** _License_ + Registered Nurse \( RN \) with active license in the state ... meet their complex needs\. As a Care Transition Case Manager , you will play a vital role in ensuring...have you on our team\. **Job Responsibilities** + Supporting utilization management functions for more complex and… more
    DirectEmployers Association (10/15/25)
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  • Dialysis Clinical Manager Registered

    Fresenius Medical Center (Winchester, TN)
    **About this role:** As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical operations. ... leading your business, and advanced leadership. As a Clinical Manager , you may advance your career into an Area...Disease (ICD) coding. + Manages clinic financials including efficient utilization of supplies or equipment and regular profits and… more
    Fresenius Medical Center (10/28/25)
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  • Case Manager ( RN / RT / SW / LPN )

    Select Medical (Nashville, TN)
    …by doing what is right. The Case Manager is responsible for utilization reviews and resource management , discharge planning, treatment plan management ... current licensure in a clinical discipline either as a Nurse ( RN /LPN/LVN) or a Respiratory Therapist (RT)...the plan of care. + Demonstrates compliance with facility-wide Utilization Management policies and procedures. + Coordinates… more
    Select Medical (10/23/25)
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  • Case Manager / PRN ( RN / RT / SW…

    Select Medical (Nashville, TN)
    …by doing what is right. The Case Manager is responsible for utilization reviews and resource management , discharge planning, treatment plan management ... the plan of care. + Demonstrates compliance with facility-wide Utilization Management policies and procedures. + Coordinates...**Current licensure in a clinical discipline either as a Nurse ( RN /LPN/ LVN)or a Respiratory Therapist… more
    Select Medical (10/01/25)
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  • Clinical Utilization Review Specialist

    Community Health Systems (Franklin, TN)
    …Knowledge of HIPAA regulations and patient confidentiality standards. **Licenses and Certifications** + RN - Registered Nurse - State Licensure and/or ... and efficiency of hospital services to ensure compliance with utilization management policies. This role conducts admission...Compact State Licensure required + CCM - Certified Case Manager preferred or + Accredited Case Manager more
    Community Health Systems (11/15/25)
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  • Case Manager RN

    HCA Healthcare (Smyrna, TN)
    …"Code of Conduct" and "Mission and Value Statement" **What qualifications you will need:** + ( RN ) Registered Nurse + Associate Degree, or Masters Degree, or ... any other healthcare provider. We are seeking a(an) Case Manager RN to join our healthcare family....nurses play a vital part. We know that every nurse 's path and purpose is unique. Do you want… more
    HCA Healthcare (11/10/25)
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  • RN Care Mgr II

    Covenant Health Inc. (Knoxville, TN)
    Overview Registered Nurse Care Manager , Continuum of Care Full Time, 80 Hours Per Pay Period , Day Shift M-F. May rotate weekend and minor holidays. Parkwest ... and Coordination of Care: + Collaborates directly with the Nurse Manager to ensure the staff adheres...in area of assigned responsibility. Licensure Requirement: Current Tennessee RN License. Current certification in Case Management ,… more
    Covenant Health Inc. (09/03/25)
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  • Nurse Manager ( RN )

    Select Medical (Memphis, TN)
    **Overview** **Position:** Nurse Manager - Registered Nurse ( RN ) **Location:** Memphis, TN (Inside of Methodist University Hospital) **Schedule:** ... vulnerable, painful moments of their lives - and the Nurse Manager plays a central role in...cost containment for areas of responsibility. + Maintaining effective utilization of manpower, equipment and supplies. + Assessing the… more
    Select Medical (11/04/25)
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  • RN Care Mgr II

    Covenant Health Inc. (Lenoir City, TN)
    Overview Registered Nurse Care Manager , Quality Management PRN/OCC,Hours and Shifts Vary Fort Loudoun Medical Center Overview: Fort Loudoun Medical ... and Coordination of Care: + Collaborates directly with the Nurse Manager to ensure the staff adheres...three (3) years of experience in area of assigned responsibility. RN with 1 year acute hospital case management more
    Covenant Health Inc. (09/04/25)
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  • Utilization Management Nurse

    CenterWell (Nashville, TN)
    RN experience; + Prior clinical experience, managed care experience, **OR** utilization management experience + Demonstrates Emotional Maturity + Ability to ... put health first** Conviva Care Solutions is seeking a RN who will collaborate with other health care givers...DME, Cardiac or Orthopedic procedures + Previous experience in utilization management within Insurance industry + Previous… more
    CenterWell (11/13/25)
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  • Care Manager RN PRN

    Community Health Systems (Powell, TN)
    **Job Summary** The Care Manager - RN is responsible for...tasks in a dynamic environment. **Licenses and Certifications** + RN - Registered Nurse - ... coordinating and overseeing discharge planning, transitions of care, and case management activities to ensure optimal patient outcomes. This role involves… more
    Community Health Systems (11/15/25)
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  • RN Care Mgr I

    Covenant Health Inc. (Knoxville, TN)
    Overview Registered Nurse Care Manager ,...and recovery procedures for hip patients. Position Summary: The RN Care Manager III is responsible for ... resource and consultant to the health care team. The RN Care Manager III is responsible for... services within the scope of practice as a registered nurse meeting all required standards both… more
    Covenant Health Inc. (09/17/25)
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  • RN Care Coordinator II

    Covenant Health Inc. (Knoxville, TN)
    Overview Registered Nurse Care Coordinator, Quality Management Full Time, 80 Hours Per Pay Period, Day Shift About Us Covenant Medical Group employs or ... RN Care Coordinator II reports directly to the Manager of Quality Management at the corporate...coordination services within the scope of practice as a registered nurse meeting all required standards both… more
    Covenant Health Inc. (10/10/25)
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  • Behavioral Health Care Manager I

    Elevance Health (Nashville, TN)
    …I** The Behavioral Health Care Manager I is responsible for conducting utilization management reviews for mental health and substance use disorder inpatient ... provide an equivalent background. + Current active unrestricted license, such as ** RN LCSW** **LMSW LMHC** **LPC** (as allowed by applicable state laws) **LMFT**… more
    Elevance Health (11/08/25)
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  • Case Manager RN

    HCA Healthcare (Nashville, TN)
    …Centennial Medical Center have the opportunity to make a real impact. As a(an) Case Manager RN you can be a part of change. **Benefits** TriStar Centennial ... location._** It is an exciting time to be a nurse at HCA Healthcare! Come unlock your career potential...positive outcomes for your patients as a (an) Case Manager RN . We want your knowledge and… more
    HCA Healthcare (11/10/25)
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  • RN Care MGR II

    Covenant Health Inc. (Harriman, TN)
    …rounds and ensures appropriate disciplines are available + Collaborates directly with the Nurse Manager to ensure the staff adheres to sound clinical practices ... Overview RN Care Manager , Continuum of Care... services within the scope of practice as a registered nurse meeting all required standards both… more
    Covenant Health Inc. (09/26/25)
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  • RN Care Mgr III

    Covenant Health Inc. (Harriman, TN)
    …rounds and ensures appropriate disciplines are available + Collaborates directly with the Nurse Manager to ensure the staff adheres to sound clinical practices ... Overview RN Care Manager , Continuum of Care... services within the scope of practice as a registered nurse meeting all required standards both… more
    Covenant Health Inc. (09/15/25)
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  • Case Manager RN PRN

    HCA Healthcare (Nashville, TN)
    **Description** **Introduction** Do you have the PRN career opportunities as a(an) Case Manager RN PRN you want with your current employer? We have an exciting ... colleagues. Do you want to work as a(an) Case Manager RN PRN where your passion for...stay, managing the length of stay, ensuring appropriate resource management and developing a safe appropriate discharge plan in… more
    HCA Healthcare (11/10/25)
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  • Reg Onc Hem Clinic Mgr RN

    Covenant Health Inc. (Knoxville, TN)
    Overview Nurse Manager of Oncology Clinic & Infusion Center Operations, TOG West Full Time, 80 Hours Per Pay Period, Day Shift Clinical Oncology Nurse ... Access.Oncology and healthcare leadership experience preferred. Licensure Requirement: Current state registered nurse license. Certified Oncology Nurse more
    Covenant Health Inc. (10/03/25)
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