• Manager Care/Case Management

    CenterWell (Nashville, TN)
    …opportunities for managing populations and coordinating care to reduce acute and post - acute care utilization . The Manager role is hybrid with travel ... more
    CenterWell (01/21/25)
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  • Medical Director - Medicaid N. Central

    Humana (Nashville, TN)
    …teams focusing on quality management , utilization management , case management , discharge planning and/or home health or post - acute services (such ... more
    Humana (03/11/25)
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  • Medical Director - Care Plus

    Humana (Nashville, TN)
    …teams focusing on quality management , utilization management , case management , discharge planning and/or home health or post acute services such ... more
    Humana (03/06/25)
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  • Medical Director - Southeast Region

    Humana (Nashville, TN)
    …teams focusing on quality management , utilization management , case management , discharge planning and/or home health or post - acute services (such ... more
    Humana (03/04/25)
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  • Case Management RN

    HCA Healthcare (Nashville, TN)
    …facilitate a successful care transition. + Partners with Social Services to ensure the post - acute medical needs and level of care are appropriate. + Assumes ... more
    HCA Healthcare (03/07/25)
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  • Director of Payment Innovations

    Community Health Systems (Franklin, TN)
    …opportunities to improve performance to improve quality of patient care and reduce unnecessary post - acute care utilization . The Director will be able to ... more
    Community Health Systems (01/22/25)
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  • Director Clinical Pharmacy Member Support

    HCA Healthcare (Nashville, TN)
    …for leading, developing and implementing a Pharmacy Member Support strategic management plan for multiple non- acute /AdvantageTrust facilities. This position is ... more
    HCA Healthcare (03/05/25)
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  • Nurse Care Manager- Katie Beckett -Davidson,…

    BlueCross BlueShield of Tennessee (Nashville, TN)
    …travel for face\-to\-face meetings with members\. **Job Responsibilities** + Supporting utilization management functions for more complex and non\-routine cases ... more
    BlueCross BlueShield of Tennessee (03/04/25)
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  • Director Network Contract Coord

    Elevance Health (Nashville, TN)
    …providers and vendors which include negotiating reimbursement rates, service offerings, utilization management , and quality metrics. + Develop and maintain ... more
    Elevance Health (03/04/25)
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  • Physician Medical Director - LTSS

    Humana (Nashville, TN)
    …and interpretation skills with 5+ years of experience focusing on quality management , utilization management , discharge planning, rehabilitation services, ... more
    Humana (01/25/25)
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  • Advanced Practice Registered Nurse (APRN)

    Select Medical (Nashville, TN)
    …division of Select Medical, we care for chronically and critically ill or post -ICU patients who require extended hospital care. Select Medical employs over 48,000 ... more
    Select Medical (01/25/25)
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  • Executive Chef, Healthcare

    Compass Group, North America (Nashville, TN)
    …services. As specialists, we perform services including healthcare housekeeping, management in laundry processing, patient transportation, and food service. ... more
    Compass Group, North America (01/23/25)
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  • Registered Dietitian - Remote

    Sharecare (Nashville, TN)
    …of the care enhancement program by providing telephonic care and resource utilization for members in an appropriate, efficient, and cost-effective manner while ... more
    Sharecare (01/28/25)
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