- Healthfirst (TN)
- … management, identifying alternative care options, and discharge planning** + **Certified Case Manager ** + **Interqual and//or Milliman knowledge** + **Knowledge ... This position is 100% Remote** **Duties//Responsibilities:** + **Provides case management services for assigned member caseloads which includes:** +… 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 ... through preeminent programs in patient care, education, and research. **Organization:** TMO/ UM Team E **Job Summary:** JOB SUMMARY Collaborates with the health… more
- Elevance Health (Nashville, TN)
- **JR168679 Behavioral Health Care Manager I** The Behavioral Health Care Manager I is responsible for conducting utilization management reviews for mental health ... necessary quality behavioral healthcare in a cost-effective setting in accordance with UM Clinical Guidelines and contract. + Refers cases to Peer Reviewers as… more
- BlueCross BlueShield of Tennessee (Chattanooga, TN)
- **Join our team as a Clinical Review Manager \!** We are seeking a quick learner who is self\-motivated and capable of working independently\. The ideal candidate ... to meet their medical needs\. **Key Details** : + Fast\-paced environment with high case volume\. + Team members take incoming provider calls daily from 9 AM\-6 PM… 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