• BlueCross BlueShield of Tennessee (Nashville, TN)
    …this position\. + This job requires digital literacy assessment\. **Job Qualifications** _License_ + Registered Nurse \( RN \) with active license in the state ... they need to meet their complex needs\. As a Care Transition Case Manager , you will play...their residence if the state is participating in the Nurse Licensure Compact Law\. _Experience_ + 3 years \-… more
    DirectEmployers Association (10/10/25)
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  • RN Care Manager

    Humana (Nashville, TN)
    **Become a part of our caring community and help us put health first** The Care Manager , Telephonic Nurse 2 employs a variety of strategies, approaches and ... business there is limited day to day flexibility in care manager 's schedule. **Duties:** + Telephonically assess...skills to make an impact** **Required Qualifications** + Active Registered Nurse ( RN ) license with… more
    Humana (11/06/25)
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  • Care Manager RN -…

    Highmark Health (Nashville, TN)
    …consistent with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable ... + Experience in a clinical setting **Preferred** + Experience in UM/CM/QA/Managed Care **LICENSES AND CERTIFICATIONS** **Required** + Current RN state licensure… more
    Highmark Health (10/22/25)
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  • Care Manager , Registered

    Sharecare (Nashville, TN)
    … more accessible and affordable for everyone. To learn more, visit www.Sharecare.com. The Care Manager supports the implementation of the Value Based Care ... telephonic Case or Care Management with CareFirst members. The Care Manager partners with members, caregivers, providers, and the interdisciplinary… more
    Sharecare (10/08/25)
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  • NICU Care Manager , Telephonic…

    Humana (Nashville, TN)
    **Become a part of our caring community and help us put health first** The Care Manager , Telephonic Nurse 2, in a telephonic environment, assesses and ... the care and wellbeing of members. The Care Manager , Telephonic Nurse 2...skills to make an impact** **Required Qualifications** + Licensed Registered Nurse ( RN ) in the… more
    Humana (11/06/25)
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  • NICU Care Manager , Telephonic…

    Humana (Nashville, TN)
    …the appropriate courses of action. **Location:** Remote Humana is seeking a NICU Care Manager , Telephonic Nurse 2 who will collaborate with other health ... community and help us put health first** The NICU Care Manager , Telephonic Nurse 2,...your skills to make an impact** **Required Qualifications** + Registered Nurse ( RN ) with 3… more
    Humana (11/06/25)
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  • Disease Management Nurse - Remote

    Sharecare (Nashville, TN)
    …to enable individuals with disabilities to perform the essential functions. + Current Registered Nurse multi-state compact license in the state in which they ... support in an appropriate, efficient and cost-effective manner while ensuring high quality care . The Disease Management Nurse works with participating members to… more
    Sharecare (10/22/25)
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  • Telephonic Nurse Case Manager

    Humana (Nashville, TN)
    …**Required Qualifications** + Bachelor's degree in Nurse (BSN). + Valid and unrestricted Registered Nurse ( RN ) license in the (appropriate state) with no ... desired clinical outcomes and to enhance quality of medical care . The **Telephonic Nurse Case Manager...- 5:00 pm Eastern Standard Time. **Work Style** : Remote **Work at Home/ Remote Requirements** To ensure… more
    Humana (11/06/25)
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  • Transplant Care Nurse

    Highmark Health (Nashville, TN)
    …established industry, corporate, state, and federal law standards and are within the care manager 's professional discipline. + For assigned case load, create ... in case management including but is not limited to: developing a care plan, encouraging behavior changes, identifying and addressing barriers, helping members to… more
    Highmark Health (11/06/25)
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  • Manager , Fraud & Waste Investigation…

    Humana (Nashville, TN)
    …Typical work hours are Monday-Friday, 8 hours/day, 5 days/week. **Required Qualifications** + Registered Nurse ( RN ), holding an active and unrestricted ... caring community and help us put health first** The Manager , Fraud and Waste Investigator: Nurse Audit/Review...Condition Categories (HCC) and refers cases for annual follow-up care by disease management, case management, and primary … more
    Humana (11/04/25)
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  • Sr Manager Clinical Compliance Reg…

    HCA Healthcare (Nashville, TN)
    …you want to join an organization that invests in you as a Senior Manager Clinical Compliance and Regulatory Accreditation? At HCA Healthcare, you come first. HCA ... auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. + Free counseling… more
    HCA Healthcare (11/04/25)
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  • Manager Meditech Consulting Services

    HCA Healthcare (Nashville, TN)
    …colleagues invested over 156,000 hours volunteering in our communities. As a Manager Meditech Consulting Service with CereCore, part of HCA Healthcare you can ... and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. +...in our organization. We are looking for an enthusiastic Manager Consulting Service to help us reach our goals.… more
    HCA Healthcare (10/04/25)
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  • Market Manager - Quality Risk

    HCA Healthcare (Nashville, TN)
    RN Diploma or higher Nursing degree is required. + Currently licensed as a registered professional nurse in the state(s) of practice and/or has an active ... This position is incentive eligible. **Introduction** *This is a remote position with travel within the market. Candidates must...an organization that invests in you as a **Market Manager of Quality / Risk** ? At Surgery Ventures… more
    HCA Healthcare (09/17/25)
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  • Telephonic Case Manager

    Sedgwick (Nashville, TN)
    …Work(R) Fortune Best Workplaces in Financial Services & Insurance Telephonic Case Manager **PRIMARY PURPOSE OF THE ROLE:** While partnering with the injured worker, ... on the health and lives of others, and a remote work environment. + Enjoy flexibility and autonomy in...more. + Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs.… more
    Sedgwick (11/05/25)
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  • Field Case Manager -Sign-On Bonus Eligible

    Sedgwick (Nashville, TN)
    …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 ... on the health and lives of others, and a remote work environment that allows face to face interaction...more. + Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs.… more
    Sedgwick (08/27/25)
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  • Medical Assistant Musculoskeletal Team

    Intermountain Health (Nashville, TN)
    …in your growth** -with many career paths to explore, like Medical Assistant Senior, Registered Nurse , Practice Manager , and more! + **Intermountain offers ... **Job Description:** A Medical assistant has accountability for providing care to patients in an ambulatory clinic setting. This will involve caring for patients… more
    Intermountain Health (11/05/25)
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  • Senior Clinic Emerging Markets Operations…

    CenterWell (Nashville, TN)
    …Will conduct in-person, classroom, one on one and virtual learning sessions for care team members. **Use your skills to make an impact** **Required Qualifications** ... experiences. **Preferred Qualifications** + Bachelor's Degree + Clinical Degree ( RN , LPN, MA etc.) + Athena EMR experience +...+ Athena EMR experience + Understanding of Value Based Care model **Additional Information** Travel: While this is a… more
    CenterWell (10/30/25)
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  • Workforce Planning & Optimization Lead

    CenterWell (Nashville, TN)
    …operations research techniques to model and optimize staffing needs by skill type (eg, RN , PT, HHA), pay type (eg, hourly, salaried), and time type (eg, full-time, ... interruptions to protect member PHI/HIPAA information. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may… more
    CenterWell (10/09/25)
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