• Behavioral Health Case

    Elevance Health (Nashville, TN)
    ** Behavioral Health Case Manager II** **Location** : Nashville, Tennessee **Field:** This field-based role enables associates to primarily operate in the ... ensures flexibility, responsiveness to client needs, and direct, hands-on engagement. The ** Behavioral Health Case Manager II** is responsible for… more
    Elevance Health (06/28/25)
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  • Clinical Case Manager

    CVS Health (Nashville, TN)
    …+ Using advanced clinical skills, performs crisis intervention with members experiencing a behavioral health or medical crisis and refers them to the appropriate ... care issues through established channel + Ability to speak to medical and behavioral health professionals to influence appropriate member care. + Utilizes… more
    CVS Health (06/26/25)
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  • Population Health Case

    Mindoula Health (Nashville, TN)
    … Managers are one of Mindoula's key front-line roles in delivering our Population Health Program. Our Case Manager works closely with Mindoula's members ... supervised fieldwork and experience in case management, health , or behavioral health preferred... health preferred + Experience as a Certified Case Manager (CCM), Community Health more
    Mindoula Health (07/04/25)
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  • Complex Case Manager RN - Oncology…

    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 (04/25/25)
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  • Telephonic Nurse Case Manager

    Humana (Nashville, TN)
    …part of our caring community and help us put health first** The **Telephonic Nurse Case Manager ** will be a member of the Case Management Team, providing ... case management throughout the continuum of care. The case manager will offer guidance. support, and...the beneficiary for all activities within the medical and behavioral health spectrum. They will also coordinate… more
    Humana (07/01/25)
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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 (06/21/25)
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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 (06/21/25)
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  • Case Management Operations Project…

    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 Case Management Operations Manager ? At HCA Healthcare,...Healthcare, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The… more
    HCA Healthcare (06/21/25)
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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 (06/21/25)
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  • Case Management Assistant

    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...(CMA) will work under the direction of the RN case manager or social worker to assist… more
    HCA Healthcare (07/01/25)
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  • Case Management Assistant

    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...(CMA) will work under the direction of the RN case manager or social worker to assist… more
    HCA Healthcare (07/01/25)
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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 (06/05/25)
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  • Manager Enterprise Delivery

    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 ... individual is recognized. Submit your application for the opportunity below: Manager Enterprise DeliveryHCA Healthcare **Benefits** HCA Healthcare, offers a total… more
    HCA Healthcare (07/05/25)
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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 (06/21/25)
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  • Data Quality 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 ... **Introduction** Do you have the career opportunities as a Manager , Data Quality you want with your current employer?...Healthcare, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The… more
    HCA Healthcare (06/21/25)
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  • Home Health PRN Registered Nurse

    HCA Healthcare (Nashville, TN)
    …services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as telemedicine services and free AirMed medical ... you have the PRN career opportunities as a Home Health PRN RN you want with your current employer?...physician's orders and under the supervision of the Clinical Manager . What you will do in this role: +… more
    HCA Healthcare (06/21/25)
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  • Associate Medical Director - Orthopedic Surgery

    Elevance Health (Nashville, TN)
    …A proud member of the Elevance Health family of companies, Carelon Behavioral Health , formerly Beacon Health Options, offers superior clinical mental ... necessity of requests using clinical criteria. + Performs physician-level case review of musculoskeletal utilization requests. + Conducts peer-to-peer consultation… more
    Elevance Health (06/28/25)
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  • Coding Auditor Educator

    Highmark Health (Nashville, TN)
    **Company :** Allegheny Health Network **Job Description :** **GENERAL OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding ... works with external resources to create and monitor inpatient case mix reports and the top 25 assigned DRGs/APCs...of Ethical Coding as set forth by the American Health Information Management Association and Corporate Compliance Coding Guidelines.… more
    Highmark Health (05/09/25)
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  • Psychiatrist

    Valor Health (Columbia, TN)
    …Our comprehensive set of services includes primary care, diagnostics, laboratory, telehealth, behavioral health , and more. As a Psychiatrist, you will provide ... collaboration with non-VA providers, and facilities. + Functions as case manager as needed. + Provides patient...manager as needed. + Provides patient and family health education with a focus on self-management, prevention, wellness,… more
    Valor Health (04/30/25)
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  • ECMO Lead Specialist Nurse

    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 ... 740+ bed comprehensive facility. We offer medical and surgical programs. These include behavioral health and 24-hour emergency. These also include heart and… more
    HCA Healthcare (06/28/25)
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