• Clinical Case Manager

    CVS Health (Nashville, TN)
    …Quality of Care: -Application and/or interpretation of applicable criteria and clinical guidelines, standardized case management plans, policies, procedures, and ... Master's degree in Behavioral /Mental Health or related field** -Unencumbered Independent Behavioral Health clinical license in the state where they work:… more
    CVS Health (06/21/25)
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  • Behavioral Health Case

    Elevance Health (Nashville, TN)
    …and depression, and insightful analytics to improve the delivery of care. **Title:** Behavioral Health Case Manager **Location:** This role enables ... Behavioral Health, formerly Beacon Health Options, offers superior clinical mental health and substance use disorder management, a...zone **Build the Possibilities. Make an extraordinary impact.** The Behavioral Health Case Manager is… more
    Elevance Health (06/13/25)
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  • 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 ... responsiveness to client needs, and direct, hands-on engagement. The ** Behavioral Health Case Manager II**...substance abuse disorder needs. Subject matter expert in targeted clinical areas of expertise such as eating disorders (ED),… more
    Elevance Health (06/12/25)
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  • Behavioral Health Case

    BlueCross BlueShield of Tennessee (Chattanooga, TN)
    The Behavioral Health Case Manager ...Nurse Licensure Compact Law\. _Experience_ + 3 years \- Clinical behavioral health / substance use disorder ... behavioral health care available\. _Skills\\Certifications_ + Currently has a Certified Case Manager \(CCM\) credential or must obtain certification within 2… more
    BlueCross BlueShield of Tennessee (06/19/25)
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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 ... gain certifications and job skills. Apply today for our Case Manager RN opening and continue to...Degree in Nursing (preferred) + 2+ years' experience in case management OR 3+ years' experience in clinical more
    HCA Healthcare (06/21/25)
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  • Complex Case Manager RN - (Remote)

    Highmark Health (Nashville, TN)
    …Nursing **EXPERIENCE** **Required** + 7 years of any combination of clinical , case management and/or disease/condition management experience, provider operations ... panel of members that range in health status/severity and clinical needs. The incumbent assesses health management needs of...interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are… more
    Highmark Health (05/31/25)
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  • Case Manager RN

    HCA Healthcare (Nashville, TN)
    …Note: Eligibility for benefits may vary by location. The RN Case Manager is responsible for promoting patient-centered care by ... plan in collaboration with the multidisciplinary team. The RN Case Manager facilitates the progression and transition...Degree in Nursing (preferred) + 2+ years' experience in case management OR 3+ years' experience in clinical more
    HCA Healthcare (06/21/25)
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  • Case Management Operations Project…

    HCA Healthcare (Nashville, TN)
    …Do you want to join an organization that invests in you as a Case Management Operations Manager ? At HCA Healthcare, you come first. HCA Healthcare ... for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services...part of our team. **Job Summary and Qualifications** The Case Management Operations Manager will be a… more
    HCA Healthcare (06/21/25)
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  • Case Manager RN

    HCA Healthcare (Hermitage, TN)
    …nurses set us apart from any other healthcare provider. We are seeking a(an) Case Manager RN to join our healthcare family. **Benefits** TriStar Summit Medical ... their passion for patient care. Apply today for our Case Manager RN opportunity. **Job Summary and...least 2-3 year experience as a nurse in a clinical setting + Case Management experience preferred… more
    HCA Healthcare (06/21/25)
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  • Case Manager (Research Assistant)

    WestCare Foundation (Dandridge, TN)
    Case Manager (Research Assistant) Job Details Job Location Dandridge - 207 W Main - Dandridge, TN Position Type Full Time Education Level 2 Year Degree Salary ... $18.00 - $20.00 Hourly Description Position Summary: The Research Assistant/ Case Manager will serve as a dual...procedure;; + Enter client data on time in the clinical , federal, state and statistical database as required. +… more
    WestCare Foundation (05/05/25)
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  • RN Case Manager - Home Health

    Maxim Healthcare (Clarksville, TN)
    Maxim Healthcare Services in Clarksville is hiring for a Case Manager to oversee the clinical care of homecare clients Why This Role? + Balanced ... + Recognition Programs + Expense Reimbursement Key Responsibilities: + Oversee the clinical care of homecare clients from admission through discharge + Manage care… more
    Maxim Healthcare (06/17/25)
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  • Behavioral Health Nurse / RN / $5K Sign…

    BrightSpring Health Services (Knoxville, TN)
    …plan of care in coordination with the patient's physician/allowed practitioner and Clinical Manager + Manages medical illness per POC; performs psycho-biological ... Overview Join our compassionate Home Health team as a Behavioral Health Nurse and make a meaningful difference in...Monitors the patient's condition and reports changes to the Clinical Manager , and the patient's physician/ allowed… more
    BrightSpring Health Services (05/31/25)
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  • Manager , Care Management

    Humana (Nashville, TN)
    …the Director, Case Management and supports the strategic priorities for Clinical Operations, Medical & Behavioral Health and Humana Government Business ... Puerto Rico. + Current valid and unrestricted Registered Nurse license + Certified Case Manager (CCM) + 5 years of healthcare supervisory/management experience,… more
    Humana (06/19/25)
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  • Care Manager RN

    Highmark Health (Nashville, TN)
    …resource utilization, identification of opportunities for referral to a Health Coach/ case management, and identification and resolution of quality issues. Monitors ... with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable state, federal… more
    Highmark Health (06/19/25)
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  • Data Quality Manager

    HCA Healthcare (Nashville, TN)
    …impact and urgency. Automate and improve processes associated with source data (ie, clinical , case management, etc.) integrations to GCP and other products ... **Introduction** Do you have the career opportunities as a Manager , Data Quality you want with your current employer?...for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services… more
    HCA Healthcare (06/21/25)
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  • Regional Coding Operations Manager WFH

    HCA Healthcare (Nashville, TN)
    …is incentive eligible. **Job Summary and Qualifications** The Regional Coding Operations Manager is responsible for assisting in the development and evolution of the ... workflow, including but not limited to, practice acquisitions, provider clinical documentation improvement, practice coding processes, and division relationship… more
    HCA Healthcare (06/21/25)
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  • Transitions of Care - RN, 100% Virtual, CareBridge

    Elevance Health (TN)
    …an Impact** Primary duties may include, but are not limited to: + Conducts behavioral or clinical assessments to identify individual member knowledge, skills and ... behavioral needs. + Identifies and/or coordinates specific health coaching...coordinates coaching and/or care plans by educating members regarding clinical needs and facilitating referrals to health professionals for… more
    Elevance Health (05/30/25)
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  • ECF Choices Support Coordinator (Hickman County)

    BlueCross BlueShield of Tennessee (Centerville, 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/ behavioral health experience, communication, and organizational...or community living\. + Collaborates with a team of clinical and social support colleagues to meet the physical,… more
    BlueCross BlueShield of Tennessee (06/19/25)
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  • Clin Spec-PT

    Covenant Health Inc. (Knoxville, TN)
    …targets per month. + Physician office visits + Community lectures/volunteer + Case Manager visits/marketing + Provide in-services + Follows policies, procedures, ... Overview Clinical Specialist Physical Therapy PRN/OCC, Variable hours, Day...Care Unit. We also serve patients in the Senior Behavioral Health Unit (SBU) treating geriatric patients that have… more
    Covenant Health Inc. (05/14/25)
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  • Operating Room Nurse Internship

    HCA Healthcare (Hermitage, TN)
    …(Monday - Friday). Alternative shifts will be at the discretion of the hiring manager after completion of the program. Clinical start times may vary depending ... during the didactic portions of the program. Exceptions for clinical will be made on a case ...for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services… more
    HCA Healthcare (06/21/25)
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