- CoreCivic (Brentwood, TN)
- …and a responsibility to better the public good. CoreCivic is currently seeking a ** Manager , Utilization Management / Case Management ** located ... will pay $82,000 - $97,400 with a 10% bonus eligible._ **SUMMARY:** The Manager , Utilization Management / Case Management provides Utilization … more
- Select Medical (Nashville, TN)
- …doing what is right. The Case Manager is responsible for utilization reviews and resource management , discharge planning, treatment plan management ... **Overview** **Critical Illness Recovery Hospital** ** Case Manager (PRN)** _Requires a current...the plan of care. + Demonstrates compliance with facility-wide Utilization Management policies and procedures. + Coordinates… more
- HCA Healthcare (Nashville, TN)
- …Bonus available for qualified RN candidates! Do you have the career opportunities as a Case Management RN you want in your current role? We invest in what ... Eligibility for benefits may vary by location. The RN Case Manager is responsible for promoting patient-centered...What you will do in this role: + Provides case management services for both inpatient and… more
- CVS Health (Nashville, TN)
- …within Aetna/CVS Health. Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers ... This position consists of working intensely as a telephonic case manager with patients and their care...overcome barriers to meeting goals and objectives - Utilizes case management processes in compliance with regulatory… more
- Cardinal Health (Nashville, TN)
- …get life-changing therapies to patients who need them-faster.** **_Responsibilities_** The Senior Case Manager supports patient access to therapy through patient ... guidance and training to junior case managers on best practices in case management , patient interaction, and navigating internal and external systems. +… more
- HCA Healthcare (Nashville, TN)
- …like you to be a part of our team. **Job Summary and Qualifications** The Sr. Manager of Case Management Reporting and Analytics is primarily responsible for ... producing HCA's enterprise reports within the Case Management Department. The Sr ...client satisfaction goals within a deadline + Knowledge of case management and/or utilization review… more
- Elevance Health (Nashville, TN)
- …and Experiences:** + AS or BS in nursing preferred. + Certification as a Case Manager is preferred. + Participation in the American Association of Managed ... and modifies as necessary. + Assists with development of utilization /care management policies and procedures. + Participates...providing services in multiple states . Certification as a Case Manager or a BS in a… more
- Intermountain Health (Nashville, TN)
- …cost-effective outcomes. Provides focused support to various areas such as utilization management , emergency department, acute, ambulatory and specialty care. ... Nurse (RN). Preferred Qualifications + Bachelor's degree in Nursing. + Certified Case Manager (CCM). Relevant certification as determined at position level.… more
- GAF (Nashville, TN)
- …this roof, we protect what matters most. **Team Summary** The Maintenance Excellence Manager is a key member of the Corporate Reliability & Maintenance team and ... works closely with corporate peers focusing on Reliability Engineering, Materials Management , and Training pillars. This role will report to the Sr. Director of… more
- Cornerstone onDemand (Nashville, TN)
- …expansion and customer advocacy. As the trusted partner for the customer on use- case , product functionality and talent management best practices, the CSM ... The Customer Success Manager (CSM) is responsible for a portfolio of...solutions in the Cornerstone platform while increasing adoption and utilization . + Work across the customer's business organization to… more
- Omnicell (Nashville, TN)
- …number of strategic health-system existing customers. This is a strategic account management position. Accounts are target accounts that have a major strategic ... systems customers and ensure strategy is executed. Execute contract business case and account plans, detailing resources and contractual obligations, opportunities,… more
- Community Health Systems (Franklin, TN)
- …the Utilization Review Clinical Specialist. + Monitors and updates case management software with documentation of escalations, avoidable days, authorization ... the process aligns with hospital, corporate, and payer requirements. Documents outcomes in case management systems. + Reviews and closes out cases after patient… more
- Highmark Health (Nashville, TN)
- …Highmark Inc. **Job Description :** **JOB SUMMARY** This job implements effective complimentary utilization and case management strategies for an assigned ... and federal law standards and are within the care manager 's professional discipline. + For assigned case ...**Required** + 7 years in any combination of clinical, case / utilization management and/or disease/condition … more
- Sharecare (Nashville, TN)
- …/ new hire plan selection, claims issues, ID card issues, grievances/appeals, utilization management (UM) status, including but not limited to medical, ... + Claims adjustments + Grievances and appeals submissions + Utilization management intake or status + Complex...Advocates (Nurse) for conditions that require clinical care and case management assistance + Primary duties include… more
- Baker Construction (Nashville, TN)
- …in establishing clinics, managing first report of injuries, and assisting with co-worker case management + Follows Company Recruitment and Hiring Guidelines + ... and other reports + Alerts the Superintendent and Project Manager of project impact relating to resource management...utilization , MBE/SBE participation, etc., and advises the Project Manager of issues + Interfaces with Safety and Risk… more
- Elevance Health (Nashville, TN)
- …preferred. + Extensive orthopedic surgery experience preferred. + Experience with utilization management , especially with CMS guidelines preferred. For ... medical necessity of requests using clinical criteria. + Performs physician-level case review of musculoskeletal utilization requests. + Conducts peer-to-peer… more
- Lumen (Nashville, TN)
- …world and shape the future. **The Role** As an Inside Sales Lead Generation Manager you're tasked with leading a group of highly motivated and talented Sales ... the key to success of Lumen. The Lead Generation Manager must be passionate about sales and building a...ethical behavior with high integrity daily + Strong time management , interpersonal, conflict resolution, and collaborative selling skills +… more
- CDM Smith (Nashville, TN)
- …of cloud technologies, including design patterns, planning, configuration, and resource management in Microsoft Azure and other cloud platforms. * Develop DevSecOps ... (AAD), RBAC, IAM configuring role assignments, conditional access, and identity management . * Incorporate security best practices into cloud architecture and ensure… more
- NASCO (Nashville, TN)
- …including but not limited to batch cycle job flow, integration points, API utilization , and Duty Manager information + Assists in developing department process ... to meet their business goals. Communicates project status and initiatives to management . **Responsibilities** + Collaborates with Vendors and NDT to resolve system… more
- Army National Guard Units (Nashville, TN)
- …the appropriate STAMIS and vendor-based web sites. Develop and apply standards to manager referred transactions. Analyze the integrated management of ASL stock ... of inventory control, storage, distribution, cataloging, supply identification systems, property utilization , and other related activities using both Standard Army … more