- 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
- Veterans Affairs, Veterans Health Administration (Nashville, TN)
- …equivalent to a bachelor's level degree in Nursing may have opportunity to become registered as a nurse with a state licensing board prior to completion ... the International Plaza Outpatient Clinic in Nashville, TN. Responsibilities RN Pay Scale NG57 Note to VA Employees: Grades...the care primary care teams can offer their most complex Veterans at highest risk for adverse outcomes. Providing… 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
- Public Consulting Group (Nashville, TN)
- …on a team. + Proven working experience in case management, including as a nurse , medical, mental health care manager or a related job + Excellent knowledge ... . PCG Health team helps our clients meet the complex financial, regulatory, and operational challenges of today's changing...plans. + Current license, certification or registration as a Registered Nurse or Social Worker **Working Conditions**… more
- Elevance Health (Nashville, TN)
- **Telephonic RN Nurse Case Manager I** **Sign On Bonus: $3000** **Location: This role enables associates to work virtually full-time, with the exception ... states; therefore Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager I** is...management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing,… 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 field, ... client needs, and direct, hands-on engagement. The **Behavioral Health Case Manager II** is responsible for performing...but are not limited to: + Responds to more complex cases and account specific requests. + Uses appropriate… more
- Sedgwick (Nashville, TN)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Field Case Manager **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
- 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)
- …**Medical Management Nurse ** is responsible for review of the most complex or challenging cases that require nursing judgment, critical thinking, and holistic ... skills and nursing judgment and experience. + Collaborates with case management nurses on discharge planning, ensuring patient has...and/or Provider on select cases, such as cases the nurse deems particularly complex , concerning, or unclear.… more