- CVS Health (Nashville, TN)
- …Health Counselor) Preferred Qualifications + Crisis intervention skills preferred managed care/ utilization review experience preferred + Case management and ... thinking skills to facilitate appropriate member physical health and behavioral healthcare through assessment and care planning, direct provider… more
- Humana (Nashville, TN)
- …us put health first** This is a non-exempt position with responsibility for utilization management and clinical decision-making as outlined in the Autism Care ... Responsibilities** Tasks include, but are not limited to: **70%** : Performing utilization management activities for assigned areas. Ensures full compliance with… more
- BlueCross BlueShield of Tennessee (Memphis, TN)
- … behavioral health needs\. **Job Description:** **Job Responsibilities** + Supporting utilization management functions for more complex and non\-routine cases ... mechanisms to ensure effective implementation of interventions, and to ensure efficient utilization of benefits\. + Performing the essential activities of case … more
- The Cigna Group (Nashville, TN)
- …experience. + Intimate knowledge of managed care operations and facility network management in behavioral and/or medical with experience with commercial and ... **Role Summary** The Provider Contracting Senior Manager will have oversight of a region of...developing a performance meeting process which will increase the utilization and expand the number of Facility Center of… more
- HCA Healthcare (Nashville, TN)
- …Do you want to join an organization that invests in you as a Case Management Manager Reporting Analytics? At HCA Healthcare, you come first. HCA Healthcare has ... a difference. We are looking for a dedicated Case Management Manager Reporting Analytics like you to...satisfaction goals within a deadline + Knowledge of case management and/or utilization review preferred + Ability… more
- HCA Healthcare (Nashville, TN)
- …a work environment where diversity and inclusion thrive? Submit your application for our Manager Case Management opening with HCA Healthcare today and find out ... benefits may vary by location._** We are seeking a Manager Case Management for our team to...facilitate process standardization to promote improved outcomes, maximize resource utilization , and achieve organizational goals. The Manager … more
- Universal Health Services (Memphis, TN)
- …patients in a manner consistent with the philosophy and objectives of Lakeside Behavioral Health. The Clinical Program Manager is responsible for program ... Responsibilities Lakeside Behavioral Health System provides an excellent opportunity for...family therapy, participation in treatment team planning, discharge planning/case management service, utilization review, crisis intervention and… more
- HCA Healthcare (Nashville, TN)
- …design to manage and maintain data security and integrity + Ensures the utilization of software release management + Deliver software, infrastructure and ... We care like family! Jump-start your career as a Manager Automation today with HCA Healthcare. **Benefits** HCA Healthcare...for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services… more
- CenterWell (Nashville, TN)
- …Coordinate quality improvement activities to address high risk, high-utilizers/high-cost patient management through the utilization of the 5M's framework as ... ER visits, readmissions, total cost of care, and reducing acute care utilization ). * Familiarity in integrated care management programs with primary… more
- HCA Healthcare (Nashville, TN)
- …design to manage and maintain data security and integrity + Ensures the utilization of software release management + Deliver software, infrastructure and ... join an organization that invests in you as a(an) Manager Automation? At HCA Healthcare, you come first. HCA...for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services… more
- HCA Healthcare (Nashville, TN)
- …testing plans and events, go live activities, support, and optimization. + Management of resource utilization and project assignments, prioritization of task ... over 156,000 hours volunteering in our communities. As a Manager Consulting Service WFH with CereCore you can be...for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services… more
- HCA Healthcare (Nashville, TN)
- **Description** **Introduction** The Contract Manager on the Development Team for Hospital Based Services (CSG) is responsible for managing all development and ... contracting projects including process management , standardization and improvement, problem management , communication, customer service and relationship… more
- WestCare Foundation (Newport, TN)
- Case Manager (VSP) Job Details Job Location Newport - 219 East Broadway - Newport, TN Salary Range $17.31 - $19.23 Hourly Description Position Summary: The Case ... Manager serves as a member of the Prevention team...Fox Suicide Prevention Grant (SSPGF). This role provides case management to eligible veterans and their families in suicide… more
- HCA Healthcare (Nashville, TN)
- …HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As the Manager HR Enterprise Support with HCA Healthcare you can be a part of ... for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services...in our organization. We are looking for an enthusiastic Manager HR Enterprise Support to help us reach our… more
- HCA Healthcare (Nashville, TN)
- …you want to join an organization that invests in you as a Technical Product Manager ? At HCA Healthcare, you come first. HCA Healthcare has committed up to $300 ... for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services...difference. We are looking for a dedicated Technical Product Manager like you to be a part of our… more
- Ford Motor Company (Nashville, TN)
- …is best-in-class. **In this position ** The Accessories eCommerce Merchandising Manager is responsible for deeply understanding customer needs and optimizing the ... business value daily by pulling, analyzing, and translating web analytics and behavioral data into actionable insights to enhance sales, conversion, and customer… more
- HCA Healthcare (Nashville, TN)
- …colleagues in their positions. Join our Team as a(an) Home Health RN Clinical Manager and access programs to assist with every stage of your career. **Benefits** ... for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services...skills. Apply today for our Home Health RN Clinical Manager opening and continue to learn! **Job Summary and… more
- Mindoula Health (Collierville, TN)
- …basis + Develop and coordinate community resources with emphasis on medical, behavioral , violence prevention, and social services. + Assess members for risk, make ... continuously with members, family, physician(s), and other providers to lower over- utilization of unnecessary resources. + Report critical incidents and information… more
- Universal Health Services (Brentwood, TN)
- …Treatment Services Division for Universal Health Services." Position Summary: The Account Manager (FRN Sales) is responsible for achieving the desired utilization ... customer and ask for business. + Develops individual sales plans, territory management and routing schedules for review with supervisor. Adjusts plans as directed… more
- CenterWell (Nashville, TN)
- …health and full-risk frameworks, including patient engagement, clinical professional skillsets, utilization management , care management , clinical information ... the complex needs of seniors and improve health outcomes and avoidable utilization (eg, palliative care, post-acute care, transitions of care) at a population… more