- Cardinal Health (Nashville, TN)
- …+ Manage the entire care process with a sense of urgency from benefit investigation/verification to medication delivery, ensuring an exceptional patient experience + ... Conduct benefit verifications and collaborate with various healthcare providers, including physicians, specialty pharmacies, and insurance companies, to ensure seamless coordination of patient care and timely access to necessary services + Assist in obtaining… more
- Humana (Nashville, TN)
- …or MSN degree + Knowledge of Milliman or Interqual + Managed care experience + Certified Case Manager (CCM) + Bilingual in English and Spanish (see Language ... community and help us put health first** The Care Manager , Telephonic Nurse 2, in a telephonic environment, assesses...homes. Our nurses are titled Care Managers, because our case management services are centered on the person rather… more
- Humana (Nashville, TN)
- …part of our caring community and help us put health first** The Care Manager , Telephonic Nurse 2 employs a variety of strategies, approaches and techniques to manage ... EST.** Our nurses are titled Care Managers, because our case management services are centered on the person rather...there is limited day to day flexibility in care manager 's schedule. **Duties:** + Telephonically assess Medicare, Medicaid, and/or… more
- GE Appliances, a Haier company (Nashville, TN)
- …or Team Manager . + Complete consumer reviews for satisfaction before case closure. + Meet work schedule demands and obligations with compliance, integrity, and ... Tuition reimbursement Gym membership reimbursement Career growth opportunities **Position** Bilingual Spanish Inbound Customer Service Agent - Consumer Relations… more
- CAI (Nashville, TN)
- Case Manager , RN **Req number:** R6346 **Employment type:** Full time **Worksite flexibility:** Remote **Who we are** CAI is a global technology services firm ... enterprise. **Job Summary** We are looking for a motivated Case Manager , RN ready to take us...member needs, and develop tailored care plans Preferred: + Case Management Certification (CCM or equivalent) + Bilingual… more
- CVS Health (TN)
- …members. **Key Responsibilities** + This position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or ... within Aetna/CVS Health. Founded in 1993, AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical… more
- JBS USA (Memphis, TN)
- **Description** The Memphis Case Ready Facility Manager directs, leads, and coaches the operational personnel in, planning, organizing and running optimum ... keeping TIR within desired constraints. 5. Coordinates activities with site Quality Manager , ensures that all food products are manufactured within the guidelines of… more
- Deloitte (Nashville, TN)
- …Employer Services. Qualifications Required + Fluent in both English and Japanese (ie bilingual ) + 5+ years of experience in global mobility compliance or personal ... role and compensation decisions are dependent on the facts and circumstances of each case . A reasonable estimate of the current range is $98,350 to $223,990. You may… more
- Elevance Health (TN)
- …community agencies and appropriate provider/network. + Refers member to catastrophic case management. **Minimum Requirements:** Requires AS in nursing and minimum of ... in applicable state(s) required. **Preferred Skills, Capabilities and Experiences:** + Bilingual in Spanish or Korean is strongly preferred. + Current, unrestricted,… more
- CenterWell (Murfreesboro, TN)
- …patients on health maintenance and disease prevention or provide case management. Understands own work area professional concepts/standards, regulations, strategies ... knowledge of HEDIS, medication adherence, EDAPS and CAHPS/HOS Patient Experience. + Bilingual proficiency in English and Spanish - must pass proficiency exam prior… more