- 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 a care plan, encouraging behavior… more
- Vanderbilt University Medical Center (Nashville, TN)
- …Summary: Vanderbilt University Medical Center (VUMC) is accepting applications for the Case Manager role within our Transition Management Office (TMO). The ... instead of emphasizing negative elements. **Position Qualifications:** **Responsibilities:** **Certifications:** LIC- Registered Nurse - Licensure-OthersLicensure-Others **Work Experience:** Relevant… more
- Vanderbilt University Medical Center (Nashville, TN)
- …emphasizing negative elements. **Position Qualifications:** **Responsibilities:** **Certifications:** LIC- Registered Nurse - Licensure-Others **Work ... through preeminent programs in patient care, education, and research. **Organization:** MCJCHV Case Mgmt 10 **Job Summary:** JOB SUMMARY Serves as the clinical… 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
- Vanderbilt University Medical Center (Nashville, TN)
- …emphasizing negative elements. **Position Qualifications:** **Responsibilities:** **Certifications:** LIC- Registered Nurse - Licensure-Others **Work ... with occasional guidance. Problem Solving/ Complexity of work: Analyzes moderately complex problems using technical experience and judgment. Breadth of Knowledge:… more
- Molina Healthcare (Bowling Green, KY)
- …Nurse who lives in Kentucky and must be licensed for the state of Kentucky Case Manager RN will work with KY Behavioral Health Medicaid population ... or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must...navigate online portals and databases. Preferred Qualifications * Certified Case Manager (CCM). To all current Molina… more
- Humana (Nashville, TN)
- …**Use your skills to make an impact** **Required Qualifications** + Active Registered Nurse ( RN ) license with **no** disciplinary action ... schedules, which limits day-to-day flexibility **.** + All our RN Care Managers are work at home associates, working... Management experience + Managed care experience + Certified Case Manager (CCM) + Bilingual in English… more
- Humana (Nashville, TN)
- …timely intervention **Use your skills to make an impact** **Required Qualifications** + Active Registered Nurse ( RN ) license with no disciplinary action. + ... community and help us put health first** The Care Manager , Telephonic Nurse 2 employs a variety...EST.** Our nurses are titled Care Managers, because our case management services are centered on the person rather… more
- Sedgwick (Nashville, TN)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Field Case Manager -Sign-On Bonus Eligible **_This Field Case Manager ... be considered._** **PRIMARY PURPOSE OF THE ROLE:** Sedgwick Field Case Managers work face to face with their injured...knowledge and experience to assist in the management of complex medical conditions, treatment planning and recovery from illness… more
- Sedgwick (Nashville, TN)
- …Great Place 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 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
- Molina Healthcare (Bowling Green, KY)
- …and/or coding experience, or equivalent combination of relevant education and experience. + Registered Nurse ( RN ). License must be active and unrestricted ... Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM),… more
- Molina Healthcare (Bowling Green, KY)
- JOB DESCRIPTION For this position we are seeking a ( RN ) Registered Nurse and/or a Licensed Social Worker who lives in Kentucky and must be licensed for the ... r equivalent combination of relevant education and experience. * Registered Nurse ( RN ), Licensed Vocational...active and unrestricted in state of practice. * Certified Case Manager (CCM), Certified Professional in Health… more
- Elevance Health (Nashville, TN)
- …guidelines and/or medical policies. May collaborate with healthcare providers. Focuses on relatively complex case types that do not require the training or skill ... of a registered nurse . Acts as a resource for...**How You Will Make an Impact** + Responsible for complex cases that may require evaluation of multiple variables… more