• Director Case Management

    HCA Healthcare (Bowling Green, KY)
    …**Introduction** Do you want to join an organization that invests in you as a(an) Director Case Management ? At TriStar Greenview Regional Hospital, you come ... and you have the opportunity to make a difference. We are looking for a dedicated Director Case Management like you to be a part of our team. **Job Summary… more
    HCA Healthcare (05/08/25)
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  • Pediatric Case Management

    Vanderbilt University Medical Center (Nashville, TN)
    …hospital and entity of Vanderbilt Medical Center in beautiful Nashville, TN. As the Director of Case Management at Monroe Carrel Jr. Children's Hospital, ... physicians to enhance the growth and communication for the Department of Case Management . * Works within a Shared Governance framework to identify and address… more
    Vanderbilt University Medical Center (04/30/25)
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  • Associate Director , Postmarketing PV…

    United Therapeutics (Nashville, TN)
    …are passionate about PV and enjoy being part of a collaborative team. The Associate Global PV Case Management Director plays a key role in management and ... oversight of end-to-end case safety management activities spanning across our global commercial product portfolio. This position strategizes and implements plans… more
    United Therapeutics (05/21/25)
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  • Case Management Implementation…

    HCA Healthcare (Nashville, TN)
    …**Introduction** Do you want to join an organization that invests in you as a Case Management Implementation Director ? At HCA Healthcare, you come first. HCA ... to be a part of our team. **Job Summary and Qualifications** The Director of Case Management Implementation is primarily responsible for supporting Hospital … more
    HCA Healthcare (04/10/25)
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  • Utilization Mgmt Case Manager FT

    LifePoint Health (Gallatin, TN)
    …use of hospital services, hospital admissions and extended hospitals stays. Reports to: Director - Case Management Minimum Education Associate's, Bachelor's ... required Minimum Work Experience Three years' experience in acute care, case management or related healthcare field. **Job:** **Nursing* **Organization:**… more
    LifePoint Health (04/28/25)
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  • Case Manager RN

    HCA Healthcare (Nashville, TN)
    …patient. The CM collaborates with the Rehab Program Director and Facility Case Management Director regarding departmental functions. The CM coordinates ... Rehabilitation team. **What you will do in this role:** + Provides case management services for both inpatient and observation patients as assigned. + Identifies… more
    HCA Healthcare (05/10/25)
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  • Case Manager RN PRN

    HCA Healthcare (Nashville, TN)
    …patient. The CM collaborates with the Rehab Program Director and Facility Case Management Director regarding departmental functions. The CM coordinates ... Do you have the PRN career opportunities as a(an) Case Manager RN PRN you want with your current...of colleagues. Do you want to work as a(an) Case Manager RN PRN where your passion for creating… more
    HCA Healthcare (05/20/25)
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  • Associate Medical Director

    Sumitomo Pharma (Nashville, TN)
    …highly motivated, and experienced individual for the position of **Associate Medical Director .** The Associate Medical Director will provide hands-on PVRM ... The incumbent will provide medical safety support for safety signal management throughout product lifecycle including signal detection, signal validation, signal… more
    Sumitomo Pharma (05/16/25)
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  • Medical Director - Medicaid N. Central

    Humana (Nashville, TN)
    …prior experience participating in teams focusing on quality management , utilization management , case management , discharge planning and/or home health or ... Case managers or Care managers on complex case management , including familiarity with social determinants...Director - North Central Medicaid Markets. The Medical Director conducts Utilization Management of the care… more
    Humana (05/14/25)
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  • Medical Director - Florida

    Humana (Nashville, TN)
    …prior experience participating in teams focusing on quality management , utilization management , case management , discharge planning and/or home health or ... Case managers or Care managers on complex case management , including familiarity with social determinants...size of region or line of business. The Medical Director conducts Utilization Management of the care… more
    Humana (06/05/25)
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  • Medical Director - Care Plus - Florida

    Humana (Nashville, TN)
    …prior experience participating in teams focusing on quality management , utilization management , case management , discharge planning and/or home health or ... Case managers or Care managers on complex case management , including familiarity with social determinants...size of region or line of business. The Medical Director conducts Utilization Management of the care… more
    Humana (04/24/25)
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  • Director , Product Management

    Norstella (Nashville, TN)
    Director , Product Management Company: Evaluate Location: Remote, United States Date Posted: May 29, 2025 Employment Type: Full Time Job ID: R-1240 ... of growth at Evaluate. **Scope of the Role** We are looking for a Director , Product Management with strong understanding of equity research, financial markets,… more
    Norstella (05/30/25)
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  • Director , Field Reimbursement…

    Otsuka America Pharmaceutical Inc. (Nashville, TN)
    Director of Field Reimbursement Management (FRM) Position Overview We are seeking an experienced, transformative leader to serve as the Director of Field ... and execution + Ensure compliance adherence through in-field visits, call and case monitoring, aligning operations with legal requirements + Develop and implement… more
    Otsuka America Pharmaceutical Inc. (05/23/25)
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  • Medical Director - OneHome

    Humana (Nashville, TN)
    …prior experience participating in teams focusing on quality management , utilization management , case management , discharge planning and/or home health or ... Case managers or Care managers on complex case management , including familiarity with social determinants...size of team or line of business. The Medical Director conducts Utilization Management of the care… more
    Humana (05/31/25)
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  • Director Employee Injury and Workers' Comp

    HCA Healthcare (Nashville, TN)
    …for claims management , consulting, medical bill review, systems and medical case management . + Ensure accountability among the department for appropriate ... join an organization that invests in you as a Director Employee Injury and Workers' Comp? At HCA Healthcare,...Workers' Compensation, you will be responsible for overseeing the management of the Texas Employee Health and Safety Program… more
    HCA Healthcare (06/07/25)
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  • Medical Director -Payment Integrity

    Humana (Nashville, TN)
    …prior experience participating in teams focusing on quality management , utilization management , case management , discharge planning and/or home health or ... of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations… more
    Humana (06/06/25)
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  • Medical Director , MSK Surgery

    Evolent (Nashville, TN)
    …training classes as needed for new hires to educate and train on Utilization management system and Field Medical Director process, standards and resources. + ... for the culture. **What You'll Be Doing:** The Medical Director for MSK Surgery is a key member of...Surgery Field Medical Directors and interacts with leadership and management staff as well as health plan members and… more
    Evolent (05/20/25)
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  • Program Director - Data/Business…

    Molina Healthcare (Bowling Green, KY)
    …gaps and barriers in implementation and compliance to AVP, VP and senior management + Consultative role, develops business case methodologies for programs, ... **JOB DESCRIPTION** **Job Summary** Responsible for the Management of internal business projects and programs involving department or cross-functional teams of… more
    Molina Healthcare (06/06/25)
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  • Associate Medical Director - Interventional…

    Elevance Health (Nashville, TN)
    **Clinical Operations Associate Medical Director ** **Interventional Pain** **Carelon Medical Benefits Management ** **Virtual:** This role enables associates to ... including radiology, cardiology and oncology._ The **Clinical Operations Associate Medical Director ** is responsible for supporting the medical management staff… more
    Elevance Health (05/28/25)
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  • Field Medical Director , Interventional…

    Evolent (Nashville, TN)
    …meaningful impact on patient care in a non-clinical setting? Join our Utilization Management team as a Field Medical Director , Cardiovascular Specialist and use ... Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. + On a requested… more
    Evolent (04/30/25)
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