- Highmark Health (Nashville, TN)
- …the appropriate clinical interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are enrolled in case ... management. The incumbent conducts outreach to members enrolled in case management including but is not limited to: developing...in addressing targeted populations **LICENSES AND CERTIFICATIONS** **Required** + RN license in PA or WV or DE or… more
- CVS Health (Nashville, 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 ... reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year...**Specialty Pharmacy or Oncology.** **Preferred Qualifications** + 1+ years' Case Management experience or discharge planning, nurse … more
- CVS Health (Nashville, TN)
- …care for members. - This position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or self-insured ... reviews **Required Qualifications** - 5+ years' experience as a Registered Nurse with at least 1 year...electronically using a keyboard **Preferred Qualifications** - 1+ years' Case Management experience or discharge planning, nurse … more
- Healthfirst (TN)
- …options, and discharge planning across a variety of treatment settings for high risk, complex populations + Certified Case Manager + Interqual, Milliman, ... as assigned **Minimum Qualifications:** + Associates degree + New York State Registered Nurse + Work experience demonstrating verbal and written communication… more
- BrightSpring Health Services (Hendersonville, TN)
- …Home Health and Hospice Overview Adoration Home Health is seeking an experienced Mental Health Registered Nurse - Psych RN to join our amazing team of ... in coordination with the patient's physician/allowed practitioner and Clinical Manager + Manages medical illness per POC; performs psycho-biological...as assigned and within scope of practice Qualifications + Registered Nurse ( RN ) with a… more
- Sharecare (Nashville, TN)
- …of their members to ensure successful completion of member goals, while providing Complex Case Management and/or care management support through the duration of ... within a matrix organizational design. **Qualifications:** + Current multi-state compact Registered Nurse licensure in state of residence is required,… more
- Baptist Memorial (Collierville, TN)
- …Preferred/Desired Licensure Minimum Required + License/Certification/Registries (valid for the State of MS): Registered Nurse ( RN ) by the State Board of ... collaborative process designed to manage medical/social/mental health conditions more effectively. The case manager 's objective is to achieve an optimal level of… more
- BlueCross BlueShield of Tennessee (Nashville, TN)
- …BlueShield of Tennessee \(BCBST\) is seeking a skilled and compassionate Registered Nurse with a strong background in case management to join our ... this position\. + This job requires digital literacy assessment\. **Job Qualifications** _License_ + Registered Nurse \( RN \) with active license in the state… more
- Community Health Systems (Powell, TN)
- …management skills to prioritize tasks in a dynamic environment. **Licenses and Certifications** + RN - Registered Nurse - State Licensure and/or Compact ... **Job Summary** The Care Manager - RN is responsible for...Life Support required **State Specific Requirements** + Alabama: Accredited Case Manager (ACM) or Certified Case… more
- Pilgrim's (Chattanooga, TN)
- **Description** **OCCUPATIONAL HEALTH MANAGER - RN ** The Occupational Health Manager is a Registered Nurse ( RN ) responsible for direct care of ... team members. Directing, administering, supervising and evaluating the Complex Occupational Health Department with professional expertise and administrative… more
- Elevance Health (Nashville, TN)
- **Behavioral Health Case Manager II** **Location** : Nashville, Tennessee **Field:** This field-based role enables associates to primarily operate in the field, ... client needs, and direct, hands-on engagement. The **Behavioral Health Case Manager II** is responsible for performing...but are not limited to: + Responds to more complex cases and account specific requests. + Uses appropriate… more
- BlueCross BlueShield of Tennessee (Chattanooga, TN)
- The Behavioral Health Case Manager for Transitions of Care is dedicated to proactive engagement with members admitted to Acute Inpatient Psychiatric facilities\. ... of behavioral health care available\. _Skills\\Certifications_ + Currently has a Certified Case Manager \(CCM\) credential or must obtain certification within 2… more
- Elevance Health (Nashville, TN)
- …and insightful analytics to improve the delivery of care. **Title:** Behavioral Health Case Manager **Location:** This role enables associates to work virtually ... time zone **Build the Possibilities. Make an extraordinary impact.** The Behavioral Health Case Manager is responsible for performing case management… more
- Sedgwick (Nashville, TN)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Field Case Manager -Sign On Bonus Eligible **We are growing all across the US ... and are looking for experienced Workers Comp Field Case Managers! If you have at least** **1.5 years...knowledge and experience to assist in the management of complex medical conditions, treatment planning and recovery from illness… more
- Sedgwick (Nashville, TN)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Telephonic Case Manager **PRIMARY PURPOSE OF THE ROLE:** While partnering with the ... injured worker, employer, and medical providers, create a case management strategy to facilitate medical recovery and a successful return to work through advocacy,… more
- Baptist Memorial (Memphis, TN)
- …formal appeal process. + Works closely with physician advisor for assistance with medically complex case appeals, hearings, or level of care issues. + Reports ... /Director of the Denial Mitigation Department. The Denial Mitigation- Appeal Specialist II RN role reports to the manager of the Denial Mitigation Department… more
- Baptist Memorial (Memphis, TN)
- …formal appeal process. + Works closely with physician advisor for assistance with medically complex case appeals, hearings, or level of care issues. + Reports ... /Director of the Denial Mitigation Department. The Denial Mitigation- Appeal Specialist II RN role reports to the manager of the Denial Mitigation Department… more
- Community Health Systems (Franklin, TN)
- …Knowledge of HIPAA regulations and patient confidentiality standards. **Licenses and Certifications** + RN - Registered Nurse - State Licensure and/or ... + Supports training initiatives within the department and escalates complex issues to management as needed. + Performs other...Compact State Licensure required + CCM - Certified Case Manager preferred or + Accredited … more
- Covenant Health Inc. (Knoxville, TN)
- Overview Registered Nurse , Shift Leader, Complex Medical Unit Full Time, 72 Hours Per Pay Period, Night Shift Parkview Overview: Headquartered in Knoxville, ... blend of big-city amenities and Southern charm. 4 Riverstone, Complex Medical Unit: As a caregiver in Parkwest Medical...teamwork is both nurtured and expected. Staff members include RN 's, LPN's, Certified Nurse Assistants, Patient Care… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Registered Nurse Coordinator, Cardiology Clinical Research Full Time, 80 Hours Per Pay Period, Day Shift Position Summary: The Clinical Research ... Nurse Coordinator promotes good clinical practices in the conduct...assessment and oncology knowledge. Reports to the Clinical Trials Manager . Recruiter:Sandra Simmons ||###@covhlth.com|| ### Responsibilities + Participates in… more