- HCA Healthcare (Nashville, TN)
- …of experience in acute care preferred + 3+ years of experience in Case Management required + Registered Nurse - Currently licensed as a registered ... and integrity. We care like family! Jump-start your career as a Case Management Senior Manager today with HCA Healthcare. **Benefits** HCA Healthcare, offers a… more
- HCA Healthcare (Nashville, TN)
- …Bonus available for qualified RN candidates! Do you have the career opportunities as a Case Management RN you want in your current role? We invest in ... next step in your career path, we encourage you to apply for our Case Management RN opening. We review all applications. Qualified candidates will be… more
- Vanderbilt University Medical Center (Nashville, TN)
- …entity of Vanderbilt Medical Center in beautiful Nashville, TN. As the Director of Case Management at Monroe Carrel Jr. Children's Hospital, you will provide ... and physicians to enhance the growth and communication for the Department of Case Management . * Works within a Shared Governance framework to identify… more
- Vanderbilt University Medical Center (Nashville, TN)
- …complex clinical needs that require a coordinated plan of care. * Develops case management plan that includes strategies or alternative interventions required to ... delivering treatment planning services without requiring support and instruction from others. * Case Management (Intermediate): Demonstrates mastery of case … more
- Vanderbilt University Medical Center (Nashville, TN)
- …Nursing (BSN or MSN preferred) Required: 5+ years of relevant experience Required: Registered Nurse . KEY RESPONSIBILITIES * Assesses and identifies patients ... complex clinical needs that require a coordinated plan of care. * Develops case management plan that includes strategies or alternative interventions required to… more
- Vanderbilt University Medical Center (Nashville, TN)
- …complex clinical needs that require a coordinated plan of care. * Develops case management plan that includes strategies or alternative interventions required to ... securing appropriate services. * Demonstrates reflective practice by consistently evaluating case management methods and correlated outcomes. * The… more
- Highmark Health (Nashville, TN)
- …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 ... regulatory agency requirements and applicable standards of practice for case management including those published by CMSA...in addressing targeted populations **LICENSES AND CERTIFICATIONS** **Required** + RN license in PA or WV or DE or… more
- CAI (Nashville, TN)
- …apply now. **Job Description** We are looking for a Case Manager, RN to provide community-based care coordination/ management for our client's members in the ... Disease/Chronic Condition Management , Behavioral Health, and Complex Case Management + Collaborate with the member's...duties as assigned/requested **What You'll Need** Required: + Current Registered Nurse , licensed in the state of… more
- Ascension Health (Nashville, TN)
- **Details** + **Department:** Case Management + **Schedule:** PRN, Days + **Hospital:** St Thomas Midtown + **Location:** Nashville, TN Ascension Saint Thomas is ... be a part of a dynamic, patient centered team and looking to grow your Case Management skills with a diverse population, please apply! **Benefits** Paid time off… more
- Elevance Health (Nashville, TN)
- RN Nurse Case Manager II (10:30am...as a Case Manager is preferred. + Formal Case Management experience within Managed Care or Hospital ... 50 miles of one our open PulsePoint locations. The ** Nurse Case Manager ll** is responsible for...Case Manager ll** is responsible for telephonic care management within the scope of licensure for members with… more
- Elevance Health (Nashville, TN)
- …The **Behavioral Health Case Manager I** is responsible for performing telephonic case management within the scope of licensure for members with behavioral ... equivalent background. + Current active unrestricted license such as RN LCSW (as applicable by state law and scope...required. **Preferred Skills, Capabilities and Experiences:** + Experience in case management and telephonic and/or in person… more
- Humana (Nashville, TN)
- …**Use your skills to make an impact** **Required Qualifications** + Active Licensed Registered Nurse ( RN ) in Virginia or enhanced compact license, ... + Utilization management + Prior experience within discharge planning, case management + Health Plan experience + Prior Medicare / Medicaid experience +… 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 ... via self-directed learning. **Specific Skills/ Attributes:** + Strong motivational interviewing and case management skills. + Ability to be self-directed, highly… more
- Signature Healthcare (Nashville, TN)
- …Care documentation to facility accurate billing. What you Need to make a Difference + Registered Nurse ( RN ) in good standing with required current state ... the MCO. + Document all authorizations and continued stay activity in Case Management software to ensure appropriate reporting and billing + Prepare all Managed… more
- Ascension Health (Nashville, TN)
- …Medical Oncology. We work closely with the physicians, oncologists, advanced practice providers, case management and pharmacy teams to provide excellent and safe ... date required. American Heart Association or American Red Cross accepted. + Licensed Registered Nurse credentialed from the Tennessee Board of Nursing or current… more
- Humana (Nashville, TN)
- …guidelines/procedures. **Use your skills to make an impact** **Required Qualifications** + Active Licensed Registered Nurse ( RN ) in the state of Virginia or ... + Previous Medicare/Medicaid experience a plus + Previous experience in utilization management , case management , discharge planning and/or home health… more
- Gentiva (Nashville, TN)
- …quality assessment and performance improvement programs. **About You** **Hospice Registered Nurse / RN Case Manager Requirements:** + Hospice heart: ... for everyone, so we offer ongoing professional training, lower nurse -to-patient ratios, and comprehensive benefits for eligible employees. Here,...need with dignity, grace, and love. **As a Hospice RN / RN Case Manager, you… more
- BrightSpring Health Services (Kingston Springs, TN)
- Our Company Adoration Home Health and Hospice Overview The registered nurse plans, organizes and directs hospice care and is experienced in nursing, with ... toward self-sufficiency and optional comfort care + Acts as Case Manager when assigned by Clinical Supervisor and assumes...Graduate of an accredited school of Nursing + Current Registered Nurse licensure in State and American… more
- Elevance Health (Nashville, TN)
- **Medical Management Nurse ** **Office Location** : Atlanta, GA; Indianapolis, IN; Latham, NY; Middletown, NY; New York, NY; Chicago, IL, St. Louis, MO; Durham, ... Health major office (PulsePoint) location listed above. The **Medical Management Nurse ** is responsible for review of...skills and nursing judgment and experience. + Collaborates with case management nurses on discharge planning, ensuring… more
- Humana (Nashville, TN)
- …**Required Qualifications:** **Must meet** **one** **of the following:** + Active unrestricted registered nurse license in the state of Virginia or reside ... patient care + Minimum one, (1) more years of case management and/or rehabilitative counseling experience required...**Additional Information:** **Workstyle:** Remote work at Home **Location for Registered Nurse :** must reside in the state… more