- HCA Healthcare (Nashville, TN)
- …you want to join an organization that invests in you as a Director of Clinical Case Management ? At HCA Healthcare, you come first. HCA Healthcare has ... opportunity to make a difference. We are looking for a dedicated Director of Clinical Case Management like you to be a part of our team. **Job Summary… more
- LifePoint Health (Gallatin, TN)
- … Management Department in an acute care hospital. **Job:** ** Case Management /Social Services* **Organization:** ** **Title:** *Market Director of Case ... Provide Case Management leadership and management...ensure delivery of evidence-based care and reduction of avoidable clinical variation in care. Collaborate with Hospital Executive Leadership,… more
- Vanderbilt University Medical Center (Nashville, TN)
- …and physicians to enhance the growth and communication for the Department of Case Management . * Works within a Shared Governance framework to identify ... of processes with other departments. * Assure successful implementation of clinical programs through systems and process design by integrating the design… more
- Vanderbilt University (Nashville, TN)
- …environment. This is a 10-month Appointment Key Functions and Expected Performance: Provide clinical case management services to students: + Track ... Position Summary: The UCC Clinical Case Manager works closely with... Operations Team and UCC Counseling/Psychiatry teams in providing case management services to students, and supporting… more
- Western Kentucky University (Bowling Green, KY)
- …2024 Job Description: Western Kentucky University seeks an individual to serve as the Clinical Director of the Talley Family Counseling Center. This is a regular ... with primary donor of the Center. + Serve as clinical and administrative supervisor of TFCC counseling practicum and...weekly group supervision and staff training + Regularly review case notes, treatment plans, and DSM diagnoses. + Manage… more
- HCA Healthcare (Nashville, TN)
- …of case management technology + In conjunction with the Director Case Management , is responsible for collecting, analyzing, and evaluating ... and inclusion thrive? Submit your application for our Manager Case Management opening with HCA Healthcare today...program focuses on ethics, leadership and the financial and clinical knowledge required of professionals at this level of… more
- The Cigna Group (Nashville, TN)
- …individuals regarding Medicare appeals and related issues, implications and decisions. The Case Management Analyst reports to the Supervisor/Manager of Appeals ... medical services as well as Part B drugs. The Case Management Analyst will be responsible for...as well as research and provide a written detailed clinical summary for the Plan Medical Director .… more
- Humana (Nashville, TN)
- …prior experience participating in teams focusing on quality management , utilization management , case management , discharge planning and/or home health or ... + Experience working with Case managers or Care managers on complex case management , including familiarity with social determinants of health. + The… more
- Humana (Nashville, TN)
- …prior experience participating in teams focusing on quality management , utilization management , case management , discharge planning and/or home health or ... + Experience working with Case managers or Care managers on complex case management , including familiarity with social determinants of health. + The… more
- CenterWell (Nashville, TN)
- …care and high-risk management and care coordination. * Experience with case management , social work, skilled nursing facilities, rehab programs, etc. * ... a part of our caring community and help us put health first** **National** ** Director of Transitional Care and High-Risk Patient Management ** The Director … more
- Humana (Nashville, TN)
- …providers, and community partners to support the delivery of high-quality case management services, including introducing innovative approaches to care ... us put health first** Humana Healthy Horizons in Virginia is seeking an Associate Director , Care Management (Maternal-Child Health) who will lead teams of nurses… more
- Humana (Nashville, TN)
- …prior experience participating in teams focusing on quality management , utilization management , case management , discharge planning and/or home health or ... + Experience working with Case managers or Care managers on complex case management , including familiarity with social determinants of health. + The… more
- Humana (Nashville, TN)
- …prior experience participating in teams focusing on quality management , utilization management , case management , discharge planning and/or home health or ... + Experience working with Case managers or Care managers on complex case management , including familiarity with social determinants of health. + The… more
- Elevance Health (Nashville, TN)
- ** Clinical Operations Medical Director ** **Utilization Management of Medical Oncology Benefits** **Carelon Benefits Management ** **$20,000 Sign On ... clinical domains, including radiology, cardiology and oncology._ The ** Clinical Operations Medical Director supporting our Medical...MD and minimum of 1 year of experience with clinical case reviews for medical necessity. _The… more
- Elevance Health (Nashville, TN)
- … program and/or independently perform clinical reviews. + The Medical Director typically has program management responsibilities including clinical ... Director Associates. May be responsible for an entire clinical program. **How you will make an Impact:** +...with providers and external physicians. + May conduct peer-to-peer clinical appeal case reviews with attending physicians… more
- Elevance Health (Nashville, TN)
- … program and/or independently performs clinical reviews. + The Medical Director typically has program management responsibilities including clinical ... Director Associates. May be responsible for an entire clinical program. How you will make an impact: +...with providers and external physicians. + May conduct peer-to-peer clinical appeal case reviews with attending physicians… more
- BrightSpring Health Services (Nashville, TN)
- …clients and exchanges information to identify the clients' needs and consults with Director of Clinical Management to determine the Company's ability ... payer. + Contacts referral sources to advise them of case acceptance and provides information on the clinical...license. + Must have two years of experience with case management or related discipline + Must… more
- Merck (Nashville, TN)
- …required with some overnight. **Role Summary** + The Regional Medical Scientific Director - GI Oncology is a credentialed (ie, PhD, PharmD, DNP, MD) therapeutic ... questions about Company products. The work of an Regional Medical Scientific Director is aligned to: Scientific Exchange, Research, Scientific Congress Support, and… more
- Merck (Nashville, TN)
- …Description** We are seeking a Growth and Improvement minded Regional Medical Scientific Director (AKA Medical Science Liaison / MSL) | in Inflammatory Bowel Disease ... Operating Priorities. **Summary, Focus and Purpose** The Regional Medical Scientific Director (Medical Science Liaison) is a credentialed (ie, PhD, PharmD, DNP,… more
- Merck (Nashville, TN)
- … trial operations to achieve those objectives. Under the guidance of the Regional Director , Clinical Quality Management (RCQM), and in collaboration with the ... Director (s), the Sr CCQM Lead establishes and/or local clinical Quality Management System (CCQMs) aiming to...Serves as local POC or supports local POC in case of escalations/reporting of Privacy Incidents, if applicable. +… more