- CVS Health (Nashville, TN)
- …Quality of Care: -Application and/or interpretation of applicable criteria and clinical guidelines, standardized case management plans, policies, procedures, and ... Master's degree in Behavioral /Mental Health or related field** -Unencumbered Independent Behavioral Health clinical license in the state where they work:… more
- Elevance Health (Nashville, TN)
- …and depression, and insightful analytics to improve the delivery of care. **Title:** Behavioral Health Case Manager **Location:** This role enables ... Behavioral Health, formerly Beacon Health Options, offers superior clinical mental health and substance use disorder management, a...zone **Build the Possibilities. Make an extraordinary impact.** The Behavioral Health Case Manager is… more
- Elevance Health (Nashville, TN)
- ** Behavioral Health Case Manager II** **Location** : Nashville, Tennessee **Field:** This field-based role enables associates to primarily operate in the ... responsiveness to client needs, and direct, hands-on engagement. The ** Behavioral Health Case Manager II**...substance abuse disorder needs. Subject matter expert in targeted clinical areas of expertise such as eating disorders (ED),… more
- HCA Healthcare (Nashville, TN)
- …Medical Center we support our colleagues in their positions. Join our Team as a(an) Case Manager RN and access programs to assist with every stage of your ... gain certifications and job skills. Apply today for our Case Manager RN opening and continue to...Degree in Nursing (preferred) + 2+ years' experience in case management OR 3+ years' experience in clinical… more
- Highmark Health (Nashville, TN)
- …Nursing **EXPERIENCE** **Required** + 7 years of any combination of clinical , case management and/or disease/condition management experience, provider operations ... panel of members that range in health status/severity and clinical needs. The incumbent assesses health management needs of...interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are… more
- HCA Healthcare (Nashville, TN)
- …Note: Eligibility for benefits may vary by location. The RN Case Manager is responsible for promoting patient-centered care by ... plan in collaboration with the multidisciplinary team. The RN Case Manager facilitates the progression and transition...Degree in Nursing (preferred) + 2+ years' experience in case management OR 3+ years' experience in clinical… more
- HCA Healthcare (Nashville, TN)
- …Do you want to join an organization that invests in you as a Case Management Operations Manager ? At HCA Healthcare, you come first. HCA Healthcare ... for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services...part of our team. **Job Summary and Qualifications** The Case Management Operations Manager will be a… more
- HCA Healthcare (Hermitage, TN)
- …nurses set us apart from any other healthcare provider. We are seeking a(an) Case Manager RN to join our healthcare family. **Benefits** TriStar Summit Medical ... their passion for patient care. Apply today for our Case Manager RN opportunity. **Job Summary and...least 2-3 year experience as a nurse in a clinical setting + Case Management experience preferred… more
- Maxim Healthcare (Brentwood, TN)
- Maxim Healthcare Services in Nashville is hiring for a Case Manager to oversee the clinical care of homecare clients Why This Role? + Balanced ... + Recognition Programs + Expense Reimbursement Key Responsibilities: + Oversee the clinical care of homecare clients from admission through discharge + Manage care… more
- Humana (Nashville, TN)
- …the Director, Case Management and supports the strategic priorities for Clinical Operations, Medical & Behavioral Health and Humana Government Business ... Puerto Rico. + Current valid and unrestricted Registered Nurse license + Certified Case Manager (CCM) + 5 years of healthcare supervisory/management experience,… more
- Highmark Health (Nashville, TN)
- …resource utilization, identification of opportunities for referral to a Health Coach/ case management, and identification and resolution of quality issues. Monitors ... with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable state, federal… more
- HCA Healthcare (Nashville, TN)
- …impact and urgency. Automate and improve processes associated with source data (ie, clinical , case management, etc.) integrations to GCP and other products ... **Introduction** Do you have the career opportunities as a Manager , Data Quality you want with your current employer?...for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services… more
- HCA Healthcare (Nashville, TN)
- …is incentive eligible. **Job Summary and Qualifications** The Regional Coding Operations Manager is responsible for assisting in the development and evolution of the ... workflow, including but not limited to, practice acquisitions, provider clinical documentation improvement, practice coding processes, and division relationship… more
- HCA Healthcare (Hermitage, TN)
- …(Monday - Friday). Alternative shifts will be at the discretion of the hiring manager after completion of the program. Clinical start times may vary depending ... during the didactic portions of the program. Exceptions for clinical will be made on a case ...for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services… more
- HCA Healthcare (Nashville, TN)
- …patient care. Performs in accordance with physician's orders and under the supervision of the Clinical Manager . What you will do in this role: + Assesses home ... and patient/family/caregiver. + Communicates significant findings, problems and changes to Clinical Manager and physician, and documents all findings,… 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
- Valor Health (Columbia, TN)
- …in co-managed care collaboration with non-VA providers, and facilities. + Functions as case manager as needed. + Provides patient and family health education ... Psychiatrist Columbia, TN (http://maps.google.com/maps?q=800+S+James+Campbell+Blvd.+Columbia+TN+USA+38401) * Clinical - Psychiatrist Apply Job Type Full-time Description… more
- CenterWell (Madison, TN)
- …represents the scope of provider relationships across the following areas: + Quality/ clinical management and population health + HEDIS and Stars performance + ... without restriction in applicable state + 5+ years of clinical nursing experience + Proven work experience as a...years of managed care experience + 3+ years of case management experience + Bilingual; English and Spanish preferred,… more
- HCA Healthcare (Nashville, TN)
- …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 medical ... for claims management, consulting, medical bill review, systems and medical case management. + Ensure accountability among the department for appropriate… more
- Elevance Health (Nashville, TN)
- …the direction/supervision of an RN, with overall responsibility for the member's case . As required by applicable state law and contract, the Clinician contributes ... evaluation, coordination and management of member's needs, including physical health, behavioral health, social services and long term services and supports. **How… more