• Clinical Registered Nurse

    Sharecare (Nashville, TN)
    …affordable for everyone. To learn more, visit www.sharecare.com . **Job Summary:** The Clinical Registered Nurse has the responsibility for supporting the ... efficient and cost-effective manner while ensuring high quality care. The Clinical Registered Nurse coordinates with the Primary Care Provider and… more
    Sharecare (05/10/25)
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  • Registered Nurse Care Manager…

    Molina Healthcare (Bowling Green, KY)
    …be supporting our Washington State Medicare plan. We are seeking a Registered Nurse with previous Case Management experience. Medicare knowledge/experience is ... are encouraged to apply. Further details to be discussed during our interview process. Remote position with 10% travel Work schedule Monday through Friday 8:00 AM to… more
    Molina Healthcare (06/04/25)
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  • Care Manager, Registered Nurse

    Sharecare (Nashville, TN)
    …within a matrix organizational design. **Qualifications:** + Current multi-state compact Registered Nurse licensure in state of residence is required, ... + Actively participate in team huddles and contribute to clinical learning. + Remain current on clinical ...to clinical learning. + Remain current on clinical knowledge via self-directed learning. **Specific Skills/ Attributes:** +… more
    Sharecare (06/03/25)
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  • NY Registered Nurse - Case Manager 2

    Public Consulting Group (Nashville, TN)
    …sector. To learn more, visit www.publicconsultinggroup.com . PCG is currently seeking a qualified Registered Nurse to perform as a Case Manager. The Case Manager ... of case management plans. + Current license, certification or registration as a Registered Nurse or Social Worker **Working Conditions** + Office Setting… more
    Public Consulting Group (04/05/25)
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  • Certified Registered Nurse

    Veterans Affairs, Veterans Health Administration (Nashville, TN)
    …to the educational mission as a mentor or preceptor providing didactic and clinical instruction in anesthesia to student nurse anesthetists, medical and dental ... Learn more VA offers a comprehensive total rewards package: VA Nurse Total Rewards Pay: Competitive salary, regular salary increases, potential for… more
    Veterans Affairs, Veterans Health Administration (05/01/25)
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  • NY Registered Nurse - Case Manager 2

    Public Consulting Group (Nashville, TN)
    …of case management plans. + Current license, certification or registration as a Registered Nurse or Social Worker **Working Conditions** + Office Setting **The ... patients make informed decisions by acting as their advocate regarding their clinical status and treatment options + Develops effective working relations and… more
    Public Consulting Group (05/24/25)
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  • Remote Accommodations Clinical

    Sedgwick (Nashville, TN)
    …college or university preferred. Current Certified Rehabilitation Counselor (CRC) or Registered Nurse (RN) license required. Current license, registration and/or ... Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Remote Accommodations Clinical Specialist- Bilingual Hindi, Japanese, Mandarin or more… more
    Sedgwick (05/23/25)
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  • Utilization Management Nurse

    Humana (Nashville, TN)
    …skills to make an impact** **Required Qualifications** + Compact licensure + Licensed Registered Nurse (RN) in the (appropriate state) with no disciplinary ... help us put health first** The SNF Utilization Management Nurse uses clinical knowledge, communication skills, and...Bilingual is a plus Travel: While this is a remote position, occasional travel to Humana's offices for training… more
    Humana (06/05/25)
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  • National Utilization Management Director,…

    Humana (Nashville, TN)
    …and programs **Use your skills to make an impact** **Required Qualifications** + Registered nurse (RN) with unrestricted licensed **OR** independent licensed ... us put health first** The Utilization Management (UM) Director, Clinical Strategy and Practice for Medicaid builds strategies for...projects. **Additional Information** This position is open to work remote **Work at Home Criteria** ** ** To ensure… more
    Humana (06/06/25)
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  • Senior Clinical Strategy Consultant

    Highmark Health (Nashville, TN)
    …degree in Business or Clinical field **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse (RN) or Pharmacist (Pharm D) or Physician Assistant (PA) ... Description :** **JOB SUMMARY** This job serves as the sales team's clinical expert, providing high-level support and insights for strategic clients, aligning… more
    Highmark Health (05/10/25)
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  • AVP, Utilization Review & Pharmacy

    Zurich NA (Nashville, TN)
    …Degree and 7 or more years of experience in the Nursing areaAND + Registered Professional Nurse license in residential area and in operational national/local ... AVP, Utilization Review & Pharmacy. This is a fully remote position, offering the flexibility of a home-based office....Pharmacy nurses who are responsible for the review of clinical services for the determination of medical necessity and… more
    Zurich NA (05/22/25)
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  • Branch Director Temporary Assignment

    CenterWell (Nashville, TN)
    …your skills to make an impact** **Required Experience/Skills:** + Current and unrestricted Registered Nurse licensure (in the state of practice) _preferred._ + ... indicators, and people management/development. The Branch Director supervises the branch/ clinical staff. Direct responsibility of ensuring the branch meets… more
    CenterWell (06/06/25)
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  • Strategy Advancement Advisor

    Humana (Nashville, TN)
    …DSNP program **Use your skills to make an impact** **REQUIRED QUALIFICATIONS:** + Registered nurse (RN) with unrestricted licensed **OR** independent licensed ... and cost containment efforts **Stakeholder Collaboration:** + Work closely with clinical teams, finance departments, and other stakeholders to ensure cohesive… more
    Humana (06/06/25)
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  • Market Director of Utilization Management

    Ascension Health (Nashville, TN)
    …codes for all clients. **Requirements** Licensure / Certification / Registration: + Registered Nurse credentialed from the Tennessee Board of Nursing obtained ... Friday. 40 hours a week. + **Hospital:** Ascension Saint Thomas + **Location:** Remote - Nashville, TN. This position requires occasional travel to Ascension Saint… more
    Ascension Health (04/25/25)
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