- 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
- 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
- CenterWell (Nashville, TN)
- …**Use your skills to make an impact** **License/Certifications:** + Active and unrestricted Registered Nurse ( RN ) license with authorization to practice in ... individual circumstances and company policy. **This is not a remote or work-from-home position. This position requires you to...insurance and reliable transportation. + Two years as a Registered Nurse ( RN ) with at… more
- Sharecare (Nashville, TN)
- …that will positively impact the greater team and aid in their personal development as a Care Manager . + Provide performance management for the team of Care ... of Sharecare with leadership practices. **Qualifications:** + Current licensure as a Registered Nurse is required; Compact state preferred + Bachelor's degree… more
- Humana (Nashville, TN)
- …Care Navigator) must meet **one** of the following requirements: **Active unrestricted Registered Nurse , ( RN ) license without disciplinary action with the ... for beneficiaries receiving services under the TRICARE program. The Care Manager , Telephonic Behavioral Health 2 (Focus...best for your schedule. Travel: While this is a remote position, occasional travel to Humana's offices for training… more
- CenterWell (Nashville, TN)
- …The Clinical Care Coordinator is under the general supervision of the Manager of Care Coordination and under established performance criteria. This is a ... **Required to work a rotating holiday schedule.** The **Clinical Care Coordinator** helps to ensure optimal continuity of ...work-from-home telephonic nurse position **Essential Functions:** + Act as CenterWell Home… more
- 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
- Sedgwick (Nashville, TN)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Field Case Manager -Sign-On Bonus Eligible **_This Field Case Manager will cover our ... 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 (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 (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
- Humana (Nashville, TN)
- …each day between 6AM and 9AM in their home time zone. **Required Qualifications** + Active Registered Nurse ( RN ) license in the state they reside. + Minimum ... caring community and help us put health first** The Nurse Auditor 2 performs clinical audit/validation processes to ensure...as ER, OR, Pre-op, PACU,L&D, mother-baby, behavioral health, SNF, care manager /discharge manager , LTC, rehab,… more
- Humana (Nashville, TN)
- …contract. We are not able to hire candidates that are currently living in Puerto Rico. + Registered Nurse with current in-state RN license + At least 3 years ... Nurse 2 reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves...Management. Coordinate cases with and refer to tier III Care Manager and Disease Management Programs as… more
- Community Health Systems (Franklin, TN)
- …Knowledge of HIPAA regulations and patient confidentiality standards. **Licenses and Certifications** + RN - Registered Nurse - State Licensure and/or ... **Job Summary** The Remote PRN Clinical Utilization Review Specialist is responsible...and collaborates with healthcare providers to facilitate efficient patient care . The Clinical Utilization Review Specialist monitors adherence to… more
- CenterWell (Nashville, TN)
- …initiatives. **Use your skills to make an impact** + Current and unrestricted Registered Nurse licensure (in the state of practice) _preferred_ + Minimum ... operations to ensure the following: operational efficiencies, quality of patient care , regulatory compliance, support of business development & patient base growth,… more
- CenterWell (Nashville, TN)
- …in KPI-driven performance management. **Preferred Certifications:** * Certified Healthcare Access Manager (CHAM) * Certified Revenue Cycle Professional (CRCP) * Lean ... Belt or higher) * Project Management Professional (PMP) * Nursing license ( RN or LPN/LVN) preferred but not required **Additional Information:** To ensure Home… more
- CenterWell (Nashville, TN)
- …experience in a supervisory or teaching role + Thorough knowledge of health care policy, industry and related clinical practice + Knowledge in the interpretation and ... assigned **Preferred Qualifications** + Master's Degree preferred + Licenses/Certification: RN , PT or OT preferred + More than 3...PHI / HIPAA information. Travel: While this is a remote position, occasional travel to Humana's offices for training… more
- CenterWell (Nashville, TN)
- …as required . **Must reside in the state of Tennessee** . **Preferred Qualifications:** . RN or LPN License. Travel: While this is a remote position, occasional ... Home Health: CenterWell Home Health specializes in personalized, comprehensive home care for patients managing a chronic condition or recovering from injury,… more