- BlueCross BlueShield of Tennessee (Nashville, TN)
- …the resources they need to meet their complex needs\. As a Care Transition Case Manager , you will play a vital role in ensuring safe and effective discharge ... this position\. + This job requires digital literacy assessment\. **Job Qualifications** _License_ + Registered Nurse \( RN \) with active license in the state… more
- Highmark Health (Nashville, TN)
- …the appropriate clinical interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are enrolled in case ... management. The incumbent conducts outreach to members enrolled in case management including but is not limited to: developing...in addressing targeted populations **LICENSES AND CERTIFICATIONS** **Required** + RN license in PA or WV or DE or… more
- CVS Health (Nashville, TN)
- …members. **Key Responsibilities** + This position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or ... reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year...or Maternity/ Obstetrics experience. **Preferred Qualifications** + 1+ years' Case Management experience or discharge planning, nurse … more
- Vanderbilt University Medical Center (Nashville, TN)
- …negative elements. **Position Qualifications:** **Responsibilities:** **Certifications:** LIC- Registered Nurse - Licensure-OthersLicensure-Others **Work ... + Case Management (Intermediate): Demonstrates mastery of case management in practical applications for complex ...of performance of others while on the job. + RN Access Patient Education (Intermediate): Demonstrates mastery of patient… more
- Sharecare (Nashville, TN)
- …of their members to ensure successful completion of member goals, while providing Complex Case Management and/or care management support through the duration of ... within a matrix organizational design. **Qualifications:** + Current multi-state compact Registered Nurse licensure in state of residence is required,… more
- Community Health Systems (Clarksville, TN)
- Join us as a ** Registered Nurse ( RN ) - Care Management RN PRN position** at Tennova Health Care- Clarksville Unit: Care Management (This is not a remote ... tasks in a dynamic environment. **Licenses and Certifications** + RN - Registered Nurse -...Life Support required **State Specific Requirements** + Alabama: Accredited Case Manager (ACM) or Certified Case… more
- Humana (Nashville, TN)
- **Become a part of our caring community and help us put health first** The Telephonic Nurse Case Manager will be a member of the In-Home Case Management ... and to enhance quality of medical care. The **Telephonic Nurse Case Manager ** will collect...in Nurse (BSN). + Valid and unrestricted Registered Nurse ( RN ) license in… more
- BlueCross BlueShield of Tennessee (Murfreesboro, TN)
- The Behavioral Health Case Manager for Transitions of Care is dedicated to proactive engagement with members admitted to Acute Inpatient Psychiatric facilities\. ... of behavioral health care available\. _Skills\\Certifications_ + Currently has a Certified Case Manager \(CCM\) credential or must obtain certification within 2… more
- Sedgwick (Nashville, TN)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Telephonic Case Manager **PRIMARY PURPOSE OF THE ROLE:** While partnering with the ... injured worker, employer, and medical providers, create a case management strategy to facilitate medical recovery and a successful return to work through advocacy,… more
- Sedgwick (Nashville, TN)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Field Case Manager -Sign-On Bonus Eligible **We are growing all across the US and ... are looking for experienced Workers Comp Field Case Managers! Required to have a minimum of** **1.5...knowledge and experience to assist in the management of complex medical conditions, treatment planning and recovery from illness… more
- Health Care Service Corporation (Nashville, TN)
- …facilities to support complex and specialty populations **Required Job Qualifications:** + Registered Nurse ( RN ) with 2 years direct clinical care to ... to state of operations, you must obtain active, unrestricted RN licensure in the state of operations within 90...Bilingual in English and Spanish. + Experience in managing complex or catastrophic cases. + Certification in Case… more
- Community Health Systems (Franklin, TN)
- …Knowledge of HIPAA regulations and patient confidentiality standards. **Licenses and Certifications** + RN - Registered Nurse - State Licensure and/or ... + Supports training initiatives within the department and escalates complex issues to management as needed. + Performs other...Compact State Licensure required + CCM - Certified Case Manager preferred or + Accredited … more
- Elevance Health (Nashville, TN)
- **Behavioral Health Care Manager II - Licensed Behavioral Analyst** **Candidates must be located in Tennessee, or be willing to relocate to Tennessee to be ... **Shift & Hours:** Monday - Friday, 8:00AM-5:00PM The **Behavioral Health Care Manager II - Licensed Behavioral Analyst,** is responsible for managing Applied… more
- Elevance Health (Nashville, TN)
- …or NHCAA, RN or JD certification preferred. + Experience in complex , high dollar white collar and/or healthcare investigations strongly preferred. + Experience ... teams across the national SIU. + Functions within the SIU include investigations, case intake and assignment, and data analysis. + Hires, trains, coaches, counsels,… more
