• RN Field Case Manager

    Sedgwick (Nashville, TN)
    …Certified as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance RN Field Case Manager **We are only considering full time ... employees at this time.** **Looking for** **experienced** **Workers Comp RN Field Case Manager...the next round, a recruiter will be in touch. \# nurse #fieldcasemanager # RN #workerscompensation \#LI-DV1 **​** _As… more
    Sedgwick (05/09/25)
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  • NY Registered Nurse - Case

    Public Consulting Group (Nashville, TN)
    …PCG is currently seeking a qualified Registered Nurse to perform as a Case Manager . The Case Manager will be responsible for assisting enrollees ... experience in case management, including as a nurse , medical, mental health care manager or...plans. + Current license, certification or registration as a Registered Nurse or Social Worker **Working Conditions**… more
    Public Consulting Group (04/05/25)
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  • Case Manager RN - Two Rivers…

    CVS Health (Franklin, KY)
    …And we do it all with heart, each and every day. **Position Summary** The Complex Nurse Case Manager is responsible for assessing members through regular and ... to facilitate and support the member's improved health. The Case Manager develops a proactive course of...network management and clinical coverage policies. This is a field -based position that requires routine regional in-state travel 80-90%… more
    CVS Health (05/04/25)
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  • Trainer - Clinical Services -Utilization Review…

    Molina Healthcare (Bowling Green, KY)
    … Nursing ( RN ) or State Clinical Social Worker/Counseling (or related field ) License Certified Case Manager (CCM), Utilization Management Certification ... knowledge on the job. Job Qualifications **REQUIRED EDUCATION** : Completion of an accredited Registered Nurse ( RN ) Program and an Associate's or Bachelor's… more
    Molina Healthcare (05/07/25)
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  • RN - Clinical Manager

    BrightSpring Health Services (Pleasant View, TN)
    …Adoration Home Health and Hospice Overview Adoration Home Healthis currently seeking a Registered Nurse - RN Clinical Managerfor our location in Pleasant ... View, Tennessee. This is an office nurse position supporting our field clinicians for...an accredited school of nursing or therapy + Licensed Registered Nurse ( RN ) or Physical… more
    BrightSpring Health Services (04/25/25)
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  • Manager , Utilization Management/…

    CoreCivic (Brentwood, TN)
    …a responsibility to better the public good. CoreCivic is currently seeking a ** Manager , Utilization Management/ Case Management** located at our corporate office ... - $97,400 with a 10% bonus eligible._ **SUMMARY:** The Manager , Utilization Management/ Case Management provides Utilization Review...degree in Nursing is required. + Must possess current RN licensure in the state of employment/assignment or a… more
    CoreCivic (04/29/25)
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  • Utilization Mgmt Case Manager FT

    LifePoint Health (Gallatin, TN)
    field . **Job:** **Nursing* **Organization:** ** **Title:** *Utilization Mgmt Case Manager FT* **Location:** *Tennessee-Gallatin* **Requisition ID:** ... - Case Management Minimum Education Associate's, Bachelor's degree or RN Diploma in Nursing - Required Required Skills Requires critical thinking skills,… more
    LifePoint Health (04/28/25)
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  • Managed Care Coordinator Clinician Non- RN

    Elevance Health (Nashville, TN)
    …Non- RN (US)** is responsible for working under the direction/supervision of an RN , with overall responsibility for the members case , as required by ... **Managed Care Coordinator Clinician Non- RN ** **Location:** Within 50 miles of a Pulse...Nursing Diploma or AS in Nursing or a related field and minimum of 2 years of experience in… more
    Elevance Health (05/07/25)
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  • Transplant Care Nurse RN - Stem…

    Highmark Health (Nashville, TN)
    …industry, corporate, state, and federal law standards and are within the care manager 's professional discipline. + For assigned case load, create care plans ... is being provided. **Preferred** + Certification in utilization management or a related field + Certification in Case Management **SKILLS** + Written and verbal… more
    Highmark Health (04/25/25)
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  • Nurse Care Manager Sr.- Temporary…

    Elevance Health (Nashville, TN)
    ** Nurse Care Manager Sr** **Carelon Health Guide**...or BS in nursing preferred. + Certification as a Case Manager is preferred. + Certification in the ... and skill development. **Shift : 11-8 Eastern Time** The ** Nurse Care Manager Sr.** is responsible for...is providing services in multiple states. Certification as a Case Manager or a BS in a… more
    Elevance Health (05/06/25)
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  • Clinical Manager

    BAYADA Home Health Care (Nashville, TN)
    …assessment of the client. + Coordinate client care, referrals and act as internal case manager and client advocate. Communicate and collaborate with team members ... BAYADA Home Health Care is currently seeking a **Clinical Manager ( RN required)** for our **Rutland, VT**...DCO to ensure cohesive and consistent management of all field staff. + Review all clinical documentation to ensure… more
    BAYADA Home Health Care (04/17/25)
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  • Nurse Care Manager II - Temporary…

    Elevance Health (Nashville, TN)
    ** Nurse Care Manager II** **Carelon Health Guide**...or BS in nursing preferred. + Certification as a Case Manager is preferred. + Participation in the ... short-term position expected to end on_** **_12/31/2025 date._** The ** Nurse Care Manager II** is responsible for...providing services in multiple states . Certification as a Case Manager or a BS in a… more
    Elevance Health (05/06/25)
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  • Manager , Clinical Operations

    Cardinal Health (Nashville, TN)
    …life-changing therapies to patients who need them-faster.** **_Position Summary_** The Manager , Clinical is responsible for strategic oversight and management of ... demands to long-term implications, in alignment with the supporting business case + Prioritizes multiple tasks while meeting deadlines + Communicates program… more
    Cardinal Health (04/18/25)
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  • ECF Choices Support Coordinator, Davidson, Wilson…

    BlueCross BlueShield of Tennessee (Nashville, TN)
    …lieu of a degree, have 5\+ years' experience as an independent Support Coordinator or case manager for service recipients in a 1915\(c\) HCBS Waiver and have ... great match for this role if you have strong case management, communication, and organizational skills, as well as...be required for this position\. **Job Qualifications** _Education_ + RN , with a preference that such individuals also have… more
    BlueCross BlueShield of Tennessee (05/03/25)
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