• Behavioral Health Case

    Elevance Health (Nashville, TN)
    ** Behavioral Health Case Manager II** This role enables associates to work virtually full-time, with the exception of required in-person training ... shift will be required; preferred flexible schedule for coverage purposes The ** Behavioral Health Case Manager II** is responsible for performing… more
    Elevance Health (05/23/25)
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  • Field Care Manager ; Behavioral

    Humana (Nashville, TN)
    …put health first** Humana Healthy Horizons in Kentucky is seeking a Field Care Manager , Behavioral Health 2 who will assess and evaluate member's needs ... the care and wellbeing of members. The Field Care Manager , Behavioral Health 2 work...the KY Medicaid Population. + Managed Care Experience. + Case Management Certification (CCM). + Bilingual (English/Spanish); speaking, reading,… more
    Humana (05/16/25)
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  • Complex Case Manager RN - Pediatrics…

    Highmark Health (Nashville, TN)
    …ownership and oversight over a specified panel of members that range in health status/severity and clinical needs. The incumbent assesses health management needs ... interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are...various resources to assist members in achieving their personal health goals. The incumbent monitors, improves and maintains quality… more
    Highmark Health (05/15/25)
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  • Case Manager RN

    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 ... for a low copay. Plans include prescription drug and behavioral health coverage as well as free...gain certifications and job skills. Apply today for our Case Manager RN opening and continue to… more
    HCA Healthcare (05/10/25)
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  • Case Manager RN PRN

    HCA Healthcare (Nashville, TN)
    **Description** **Introduction** Do you have the PRN career opportunities as a(an) Case Manager RN PRN you want with your current employer? We have an exciting ... for a low copay. Plans include prescription drug and behavioral health coverage as well as telemedicine...of colleagues. Do you want to work as a(an) Case Manager RN PRN where your passion… more
    HCA Healthcare (05/20/25)
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  • Case Manager RN

    HCA Healthcare (Nashville, TN)
    …services 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 ... Center, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The...Eligibility for benefits may vary by location. The RN Case Manager is responsible for promoting patient-centered… more
    HCA Healthcare (04/27/25)
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  • Case Manager RN

    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 ... for a low copay. Plans include prescription drug and behavioral health coverage as well as free...their passion for patient care. Apply today for our Case Manager RN opportunity. **Job Summary and… more
    HCA Healthcare (05/24/25)
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  • RN Case Manager - Home Health

    Maxim Healthcare Services (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 Responsibilities + ... team where your expertise and dedication are truly valued. Maxim Benefits: Health and Wellness Medical/Prescription, Dental, Vision, Health Advocacy (company… more
    Maxim Healthcare Services (05/09/25)
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  • Case Manager RN PRN

    HCA Healthcare (Hermitage, TN)
    **Description** **Introduction** Do you have the PRN career opportunities as a(an) Case Manager RN PRN you want with your current employer? We have an exciting ... for a low copay. Plans include prescription drug and behavioral health coverage as well as telemedicine...of colleagues. Do you want to work as a(an) Case Manager RN PRN where your passion… more
    HCA Healthcare (05/11/25)
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  • Care Manager RN - Remote

    Highmark Health (Nashville, TN)
    …appropriate resource utilization, identification of opportunities for referral to a Health Coach/ case management, and identification and resolution of quality ... and refer members whose healthcare outcomes might be enhanced by Health Coaching/ case management interventions. + Employ collaborative interventions which… more
    Highmark Health (05/21/25)
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  • Manager Business Platform - HNAS

    Highmark Health (Nashville, TN)
    **Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** HNAS ( Health Now Administrative Services) offers flexible, cost-effective solutions for employee ... health benefits. HNAS is part of Highmark Health...or its strategic business partners. When this is the case , there may be less direct reporting relationships and… more
    Highmark Health (04/29/25)
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  • Nurse Care Manager - Katie Beckett…

    BlueCross BlueShield of Tennessee (Nashville, TN)
    …in caring for medically fragile children with complex medical and/or behavioral health needs\. The Nurse Care Manager will assess for child development and ... Community is required _Skills\\Certifications_ + Currently has a Certified Case Manager \(CCM\) credential or must obtain...as, coordinate additional Medicaid benefits to include medical and behavioral health services which may not be… more
    BlueCross BlueShield of Tennessee (05/24/25)
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  • Product Manager - Billing

    Highmark Health (Nashville, TN)
    **Company :** Highmark Health **Job Description :** **JOB SUMMARY** The Billing Product Manager defines and executes the strategy and roadmap for a best-in-class ... define the product's value proposition to develop a compelling business case focused on revenue generation and operational efficiency. Responsibilities include… more
    Highmark Health (03/20/25)
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  • Manager Strategic Risk Adjustment Programs

    Highmark Health (Nashville, TN)
    …and existing Risk Adjustment Programs. The incumbent will deliver value to the Health Plan, and its beneficiaries enrolled in Risk Adjusted government programs (MA ... the engagement deliverables, resources, and outcomes. + Develop the engagement business case , scope, staffing and incentive model for RPM engagement with Providers… more
    Highmark Health (03/06/25)
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  • Sr Manager

    HCA Healthcare (Nashville, TN)
    …services 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 ... an organization that invests in you as a(an) Sr Manager ? At Work from Home, you come first. HCA...HCA offers a total rewards package that supports the health , life, career and retirement of our colleagues. The… more
    HCA Healthcare (05/23/25)
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  • Regional Coding Operations Manager WFH

    HCA Healthcare (Nashville, TN)
    …services 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 ... is incentive eligible. **Job Summary and Qualifications** The Regional Coding Operations Manager is responsible for assisting in the development and evolution of the… more
    HCA Healthcare (04/02/25)
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  • Manager Physician Advisor Coordination

    HCA Healthcare (Nashville, TN)
    …services 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 ... join an organization that invests in you as a Manager Physician Advisor Coordination? At Parallon, you come first....Parallon, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The… more
    HCA Healthcare (05/16/25)
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  • Transplant Care Nurse RN - Stem Cell, Bone Marrow…

    Highmark Health (Nashville, TN)
    …industry, corporate, state, and federal law standards and are within the care manager 's professional discipline. + For assigned case load, create care plans ... :** **JOB SUMMARY** This job implements effective complimentary utilization and case management strategies for an assigned member panel. Provides oversight over… more
    Highmark Health (04/25/25)
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  • Transitions of Care RN- 100% Remote, CareBridge

    Elevance Health (Nashville, TN)
    …care plans by educating members regarding clinical needs and facilitating referrals to health professionals for behavioral health needs. + Uses motivational ... or clinical assessments to identify individual member knowledge, skills and behavioral needs. + Identifies and/or coordinates specific health coaching plan… more
    Elevance Health (05/20/25)
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  • Home Health RN

    HCA Healthcare (Nashville, TN)
    …services 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 ... about delivering patient-centered care?** Submit your application for Home Health RN position and spend more time at the...deliver clinical excellence behind the scenes in data science, case management or transfer centers. Unlock your potential at… more
    HCA Healthcare (05/14/25)
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