- Cardinal Health (Nashville, TN)
- …+ Manage the entire care process with a sense of urgency from benefit investigation/verification to medication delivery, ensuring an exceptional patient experience + ... Conduct benefit verifications and collaborate with various healthcare providers, including physicians, specialty pharmacies, and insurance companies, to ensure seamless coordination of patient care and timely access to necessary services + Assist in obtaining… more
- GE Appliances, a Haier company (Nashville, TN)
- …or Team Manager . + Complete consumer reviews for satisfaction before case closure. + Meet work schedule demands and obligations with compliance, integrity, and ... Tuition reimbursement Gym membership reimbursement Career growth opportunities **Position** Bilingual Spanish Inbound Customer Service Agent - Consumer Relations… more
- Otsuka America Pharmaceutical Inc. (Nashville, TN)
- **Job Description** The Patient Nurse Case Manager (PNCM) is a dynamic, field-based role that serves as a crucial educator for patients. This position helps to ... a related field + Background in advocacy, counseling, nursing, or social work + Case management experience in the specific therapy area + Bilingual skills,… more
- Humana (Nashville, TN)
- …working with the KY Medicaid Population. + Managed Care Experience. + Case Management Certification (CCM). + Bilingual (English/Spanish); speaking, reading, ... Healthy Horizons in Kentucky is seeking a Field Care Manager , Behavioral Health 2 who will assess and evaluate...the care and wellbeing of members. The Field Care Manager , Behavioral Health 2 work assignments are varied and… more
- Elevance Health (Nashville, TN)
- …plan modifications and determines need for additional services, in conjunction with case management and provider. + Coordinates identification of and referral to ... to reduce health risks. + Prepares reports to document case and compliance updates. + Establishes and maintains relationships...and/or BS/BA degree in a related field preferred. + Bilingual candidates preferred. + For URAC accredited areas, the… more
- Elevance Health (Nashville, TN)
- …community agencies and appropriate provider/network. + Refers member to catastrophic case management. **Minimum Requirements:** + Requires AS in nursing and minimum ... in applicable state(s) required. **Preferred Skills, Capabilities and Experiences:** + Bilingual strongly preferred. + Current, unrestricted, Compact RN license in… more
- CenterWell (Madison, TN)
- …patients on health maintenance and disease prevention or provide case management. Understands own work area professional concepts/standards, regulations, strategies ... patients on health maintenance and disease prevention or provide case management. Understands own work area professional concepts/standards, regulations, strategies… more
- CenterWell (Madison, TN)
- …in Nursing + 3+ years of managed care experience + 3+ years of case management experience + Bilingual ; English and Spanish preferred, not required **Additional ... largest providers of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing the physical,… more