• Case Management Senior Manager

    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 (03/04/25)
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  • Case Management RN

    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
    HCA Healthcare (01/17/25)
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  • Pediatric Case Management Director

    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 (01/30/25)
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  • Director, Case Management DAYS…

    Vanderbilt University Medical Center (Tullahoma, TN)
    …shift, 8a-5p, Monday - Friday. The successful candidate will have 3-5 years of case management experience. Previous management experience is helpful as this ... instead of emphasizing negative elements. **Position Qualifications:** **Responsibilities:** **Certifications:** LIC- Registered Nurse - Licensure-Others **Work Experience:** Relevant… more
    Vanderbilt University Medical Center (03/04/25)
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  • PRN Registered Nurse Case

    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 (12/18/24)
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  • Registered Nurse Case Manager…

    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 (03/14/25)
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  • RN Case Manager 2 - Vanderbilt Adult…

    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
    Vanderbilt University Medical Center (02/05/25)
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  • Complex Case Manager RN (Remote)

    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
    Highmark Health (03/13/25)
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  • Case Manager, RN

    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
    CAI (02/01/25)
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  • RN - Case Manager

    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
    Ascension Health (12/23/24)
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  • RN Nurse Case Manager II…

    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 (03/13/25)
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  • RN Case Manager

    LifePoint Health (Winchester, TN)
    …applicants!* Southern Tennessee Regional Health System has an opportunity for a Registered Nurse to join our Case Management Team. A Joint Commission ... environment and take appropriate action. Certifications AHA Basic Life Support (BLS) Licenses Registered Nurse licensed by the State of Tennessee, or licensed by… more
    LifePoint Health (01/07/25)
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  • Behavioral Health Case Manager I

    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
    Elevance Health (03/08/25)
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  • Pediatric Patient Care Coordinator/ Case

    Vanderbilt University Medical Center (Smyrna, TN)
    …through preeminent programs in patient care, education, and research. **Organization:** MCJCHV Case Management **Job Summary:** JOB SUMMARY Assists in developing ... instead of emphasizing negative elements. **Position Qualifications:** **Responsibilities:** **Certifications:** LIC- Registered Nurse - Licensure-Others **Work Experience:** Relevant… more
    Vanderbilt University Medical Center (03/09/25)
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  • Manager, Utilization Management

    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
    Humana (03/12/25)
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  • Care Manager, Registered Nurse

    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
    Sharecare (02/17/25)
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  • Utilization Management Nurse

    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
    Signature Healthcare (03/05/25)
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  • Registered Nurse ( RN

    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
    Ascension Health (02/22/25)
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  • Pre-Authorization Registered Nurse

    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
    Humana (03/15/25)
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  • Registered Nurse , Home Health Full…

    CenterWell (Murfreesboro, TN)
    …Sign on Bonus** **Company Car** **Benefits Day 1!** As a **Home Health Registered Nurse ** , you will: + Provide admission, case management , and follow-up ... for home health patients. + Administer on-going care and case management for each patient, provide necessary...Home Health experience a plus + Current and unrestricted Registered Nurse licensure + Current CPR certification… more
    CenterWell (02/01/25)
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