• Complex Case Manager

    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
    Highmark Health (06/13/25)
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  • Registered Nurse Case

    Vanderbilt University Medical Center (Nashville, TN)
    …Summary: Vanderbilt University Medical Center (VUMC) is accepting applications for the Case Manager role within our Transition Management Office (TMO). The ... instead of emphasizing negative elements. **Position Qualifications:** **Responsibilities:** **Certifications:** LIC- Registered Nurse - Licensure-Others **Work Experience:** Relevant… more
    Vanderbilt University Medical Center (03/29/25)
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  • Manager , Utilization Management

    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
    Healthfirst (06/11/25)
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  • Mental Health Registered Nurse

    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
    BrightSpring Health Services (05/30/25)
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  • Care Manager , Registered

    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
    Sharecare (06/03/25)
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  • Registered Nurse (Wound Care)

    Veterans Affairs, Veterans Health Administration (Murfreesboro, TN)
    …and bladder for Acute Care, Long Term Care, Ambulatory Care, and Rehabilitation. Responsibilities The RN reports to the Nurse Manager and the Chief Nurse ... Summary will travel between Murfreesboro campus and Nashville Campus." The Registered Nurse (Wound Care, Ostomy and Continence Specialist) utilizes the nursing… more
    Veterans Affairs, Veterans Health Administration (06/11/25)
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  • RN - Case Manager

    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
    Baptist Memorial (04/17/25)
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  • RN Case Manager , Full time…

    Vanderbilt University Medical Center (Lebanon, TN)
    …education, and research. **Organization:** Case Management **Job Summary:** The Case Manager assists with coordination of services through the continuum ... instead of emphasizing negative elements. **Position Qualifications:** **Responsibilities:** **Certifications:** LIC- Registered Nurse - Licensure-OthersLicensure-Others **Work Experience:** Relevant… more
    Vanderbilt University Medical Center (06/10/25)
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  • RN Case Manager

    Sevita (Greeneville, TN)
    …that motivate us all every day. Join us today, and experience a career well lived. ** RN Nursing Case Manager , IDD Services** **Starting Pay $75k** **On call ... enjoy developing plans that improve people's lives? As Nursing Case Manager , you will be developing and...match + Paid time off and holiday pay + Complex work adding value to the organization's mission alongside… more
    Sevita (04/22/25)
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  • Care Manager RN

    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
    Community Health Systems (06/07/25)
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  • Occupational Health Manager - RN

    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
    Pilgrim's (03/18/25)
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  • Behavioral Health Case Manager II

    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
    Elevance Health (06/12/25)
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  • Behavioral Health Case Manager

    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
    Elevance Health (06/13/25)
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  • Specialist-Denial II RN

    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 (04/12/25)
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  • Specialist-Denial II RN

    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 (06/14/25)
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  • Nurse Care Manager - Katie Beckett…

    BlueCross BlueShield of Tennessee (Nashville, TN)
    …this position\. + This job requires digital literacy assessment\. **Job Qualifications** _License_ + Registered Nurse \( RN \) with active license in the state ... Community is required _Skills\\Certifications_ + Currently has a Certified Case Manager \(CCM\) credential or must obtain... complex medical and/or behavioral health needs\. The Nurse Care Manager will assess for child… more
    BlueCross BlueShield of Tennessee (06/13/25)
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  • UR Clinical Specialist

    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
    Community Health Systems (06/10/25)
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  • Shift Leader CN II

    Covenant Health Inc. (Knoxville, TN)
    Overview Registered Nurse , Shift Leader, Complex Medical Unit $5,000 Sign-on Bonus for Experienced RNs Full Time, 72 Hours Per Pay Period, Night Shift ... 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. (04/16/25)
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  • Clin Research Nurse Coord

    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
    Covenant Health Inc. (06/03/25)
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  • Process Improvement Specialist

    Humana (Nashville, TN)
    …to senior leaders **Preferred Qualifications** + Bachelor's degree + Certified Case Manager + Registered Nurse + Licensed Social Worker **Additional ... strategic vision. This professional contributes to initiatives that solve complex business challenges through research, collaboration, and thoughtful documentation.… more
    Humana (06/12/25)
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