- 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
- 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
- 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
- BrightSpring Health Services (Chattanooga, TN)
- …+ Documents the progress and outcomes for established goals and informs physician, case manager , and families of changes in client's medical condition and ... Company Adoration Home Health and Hospice Overview Private Duty RN - Full-Time - Chattanooga, TN (East Ridge Area)...or home setting + Works closely with Director or Nursing/ Nurse Supervisor and/or Branch Manager in planning,… 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
- 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
- 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
- Centene Corporation (Nashville, TN)
- …Bachelor's degree in Nursing and 2 - 4 years of related experience. **License/Certification:** + RN - Registered Nurse - State Licensure and/or Compact State ... fresh perspective on workplace flexibility. **Now Hiring: Remote Care Manager RNs IN Tennessee, North Carolina or Georgia -...to hear from you! What We're Looking For: + Registered Nurses with experience in case management,… more
- 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 ... BCBST is seeking a **Home Health Case Manager ** to join our team...can obtain one within 2 years\) + An active RN license \(TN or compact states\) **Job Responsibilities** +… 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
- 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
- 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 ... :** **JOB SUMMARY** This job implements effective complimentary utilization and case management strategies for an assigned member panel. Provides oversight over… more
- 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
- 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. (Knoxville, TN)
- Overview Registered Nurse Coordinator, Oncology Clinical Research Full Time, 80 Hours Per Pay Period, Day Shift Thompson Cancer Survival Center Overview: ... Oak Ridge, Sevierville, and Morristown. Position Summary: The Clinical Research Nurse Coordinator promotes good clinical practices in the conduct of oncology… more
- Covenant Health Inc. (Knoxville, TN)
- …to assure appropriate DRG assignment and the validity and reliability of the case -mix index, CDI is accountable for concurrent review of health records, reviewing ... education as needed, is able to review the most complex charts, and serve as a resource to other...to assign initial DRGs and GLMOS for physician and case management to follow. + Collaborates extensively with individual… more
- Abbott (Memphis, TN)
- …establishes strong rapport with customers. + Proficient in complex programming, case support. + Works seamlessly with Territory Manager (s) allowing them ... clinical, and programming assistance, primarily in support of 1-2 Territory Manager (s). + Assist Territory Managers in after-hours call support and activities.… more