• Manager, Utilization Management…

    Humana (Nashville, TN)
    …and assists corporate leadership in strategic planning to improve effectiveness of behavioral health utilization management programs. + Collects and ... health first** Humana Healthy Horizons in Virginia is seeking a Manager, Utilization Management ( Behavioral Health ) who will utilize their clinical… more
    Humana (05/09/24)
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  • Clinical Case Manager Behavioral

    CVS Health (Nashville, TN)
    …using Motivational Interviewing and good technological skills + Valid unrestricted independent professional behavioral health clinical license to practice ... - Using advanced clinical skills, performs crisis intervention with members experiencing a behavioral health or medical crisis and refers them to the appropriate… more
    CVS Health (05/04/24)
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  • Behavioral Health Medical Director…

    Elevance Health (Nashville, TN)
    …responsible for appeals reviews within our Medicaid and Medicare programs.** The ** Behavioral Health Medical Director** is responsible for the administration of ... behavioral health medical services, to ensure the...state or territory of the United States when conducting utilization review or an appeals consideration and cannot be… more
    Elevance Health (05/08/24)
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  • Sr. Value-Based Programs Professional

    Humana (Nashville, TN)
    …+ Administer new innovative VBP models for range of provider types, such as behavioral health , maternity, specialists, and social determinants of health , ... part of our caring community and help us put health first** The Sr. Value-Based Programs professional ...move providers from volume to value + Analyze financial, utilization , and performance data to identify opportunities to drive… more
    Humana (04/24/24)
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  • Expanse Professional Development Specialist

    HCA Healthcare (Nashville, TN)
    …services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed ... . Role models lifelong learning and remains cognitive of nursing and allied health professional development trends and changes in practice to best meet… more
    HCA Healthcare (04/04/24)
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  • UM Medical Director - Internal Medicine or Family…

    Elevance Health (Nashville, TN)
    …locations.** The Medical Director is responsible for the administration of physical and/or behavioral health medical services, to ensure the appropriate and most ... state or territory of the United States when conducting utilization review or an appeals consideration and cannot be...For Health Solutions and Carelon organizations (including behavioral health ) only, minimum of 5 years… more
    Elevance Health (05/10/24)
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  • National Director, Transitional Care & High-Risk…

    CenterWell (Nashville, TN)
    …that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more ... part of our caring community and help us put health first** **National** **Director of Transitional Care and High-Risk...will play a pivotal role in reducing acute care utilization for top 5% of complex patients and ensuring… more
    CenterWell (05/03/24)
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  • Care Manager, Suicide Prevention Program

    Mindoula Health (Nashville, TN)
    …you successful: + Bachelors degree in psychology, social work, or another applicable behavioral health discipline from an accredited college or university is ... basis + Develop and coordinate community resources with emphasis on medical, behavioral , violence prevention, and social services. + Assess members for risk, make… more
    Mindoula Health (05/05/24)
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  • Home Health RN Clinical Manager

    HCA Healthcare (Nashville, TN)
    …services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed ... Do you have the career opportunities as a(an) Home Health RN Clinical Manager you want in your current...many ways for nurses to have a voice through professional practice councils, advisory councils, vital voices surveys, and… more
    HCA Healthcare (05/09/24)
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  • Associate VP, Complex Care

    CenterWell (Nashville, TN)
    health and full-risk frameworks, including patient engagement, clinical professional skillsets, utilization management, care management, clinical information ... directly address the complex needs of seniors and improve health outcomes and avoidable utilization (eg, palliative...well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up… more
    CenterWell (05/04/24)
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  • Director Food and Nutrition Services

    HCA Healthcare (Nashville, TN)
    …services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed ... TriStar Skyline Medical Center, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The available plans and… more
    HCA Healthcare (03/28/24)
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  • Director of Clinical Case Management

    HCA Healthcare (Nashville, TN)
    …services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed ... years. **Benefits** HCA Healthcare, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The available plans and… more
    HCA Healthcare (04/05/24)
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  • Senior Director Clinical Resource Management

    HCA Healthcare (Nashville, TN)
    …services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed ... years. **Benefits** HealthTrust, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The available plans and… more
    HCA Healthcare (03/01/24)
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  • Manager Case Management

    HCA Healthcare (Nashville, TN)
    …services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed ... team. **Benefits** HCA Healthcare, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The available plans and… more
    HCA Healthcare (04/05/24)
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  • Cognitive Performance Specialist

    Zeiders Enterprises, Inc (Fort Campbell, KY)
    …development and expertise delivered + As appropriate, the CPS shall meet with embedded behavioral health teams, behavioral health officers, and Unit ... focused on optimizing Soldier readiness and performance within the Army's new Holistic Health and Fitness (H2F) System. The system empowers and equips Soldiers to… more
    Zeiders Enterprises, Inc (04/19/24)
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  • Senior Operations Business Analyst

    HCA Healthcare (Nashville, TN)
    …services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed ... team. **Benefits** HCA Healthcare, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The available plans and… more
    HCA Healthcare (03/28/24)
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  • VP of Clinical Resource and Account Management

    HCA Healthcare (Nashville, TN)
    …services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed ... HealthTrust, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The...rewarding it can be to reach your personal and professional goals. Help to advance the practice of nursing… more
    HCA Healthcare (05/10/24)
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  • Senior MEDITECH Consultant

    HCA Healthcare (Nashville, TN)
    …services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed ... Healthcare offers a total rewards package that supports the health , life, career and retirement of our colleagues. The...and culture change as implemented/approved by leadership + Uses professional knowledge and experience to advise the client on… more
    HCA Healthcare (04/25/24)
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  • National Director, Clinical Pharmacy- Remote

    CenterWell (Nashville, TN)
    …that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more ... critical role in ensuring optimal patient care, high quality health outcomes, and improved cost and utilization ...we allow employees to invest in their personal and professional well-being, all from day one. **Equal Opportunity Employer**… more
    CenterWell (04/28/24)
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  • Manager MEDITECH Consulting Service WFH

    HCA Healthcare (Nashville, TN)
    …services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed ... part of HCA Healthcare, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The available plans and programs… more
    HCA Healthcare (04/25/24)
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