• Field Care Manager

    Humana (Nashville, TN)
    …help us put health first** Humana Healthy Horizons in Kentucky is seeking a Field Care Manager , Behavioral Health 2 who will assess and evaluate ... resources appropriate for the care and wellbeing of members. The Field Care Manager , Behavioral Health 2 work assignments are varied and frequently… more
    Humana (11/20/24)
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  • Care Manager Behavioral

    Highmark Health (Nashville, TN)
    …the effective utilization management strategies including: review of appropriateness of health care services, application of criteria to assure appropriate ... of quality issues. Monitors and analyzes the delivery of health care services; educates providers and members...established industry and corporate standards and are within the care manager 's professional discipline. Effectively function in… more
    Highmark Health (12/12/24)
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  • Clinical Care Manager

    Evolent (Nashville, TN)
    …providing better health outcomes for this population. **What You'll Be Doing:** + The Behavioral Health Case Manager (LCSW or LMHC) will connect with the ... , we seek to connect the pieces of fragmented health care system and ensure people get...or Registered Nurse (RN), Required + 3-5 years of behavioral health experience, preferably in a hospital,… more
    Evolent (11/05/24)
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  • Sr. Capability Manager - Evernorth…

    The Cigna Group (Nashville, TN)
    Manager leads the requirement elicitation for strategic investments across Evernorth Behavioral Health . Will also manage the definition of Lean Business ... Cases (LBC) and refining into business capabilities that enable Behavioral Health infrastructure and enhances Evernorth and...Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health more
    The Cigna Group (12/21/24)
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  • Care Manager BH (Substance Abuse)

    Centene Corporation (Nashville, TN)
    …facilitates complex care management activities for primarily mental and behavioral health needs members to provide high quality, cost-effective healthcare ... plan/service plan for the best outcome, which may include behavioral health and social determinant needs +...to identify providers, specialists, and community resources needed for care including mental health and substance use… more
    Centene Corporation (12/22/24)
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  • Product Manager - Care Management

    Highmark Health (Nashville, TN)
    …Requirement_** _: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company ... times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice… more
    Highmark Health (11/02/24)
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  • Home Health RN Clinical Manager

    HCA Healthcare (Nashville, TN)
    …services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed ... in their positions. Join our Team as a(an) Home Health RN Clinical Manager and access programs...the planning, coordination, and delivery of quality interdisciplinary home health care services. Will ensure compliance to… more
    HCA Healthcare (10/15/24)
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  • Home Health Clinical Manager FL…

    HCA Healthcare (Nashville, TN)
    …services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed ... for life - and empowers their passion for patient care . Apply today for our Clinical Manager ...the planning, coordination, and delivery of quality interdisciplinary home health care services. Will ensure compliance to… more
    HCA Healthcare (11/13/24)
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  • Case Manager , RN

    CAI (Nashville, TN)
    …implement and evaluate care for eligible members with chronic and complex health care , social service and custodial needs in a nursing facility or ... address the member's specific needs. + Educate members or caregivers regarding health care needs, available benefits, resources and services including available… more
    CAI (12/31/24)
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  • Complex Case Manager RN (Remote)

    Highmark Health (Nashville, TN)
    …, identify resources, and conduct a number of other activities to help improve the health outcomes of members; care plans include both long and short term goals ... ownership and oversight over a specified panel of members that range in health status/severity and clinical needs. The incumbent assesses health management needs… more
    Highmark Health (11/20/24)
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  • Solution Director, SMI Total Cost of Care

    Elevance Health (Nashville, TN)
    …delivered high-impact results for over 150 years. With capabilities spanning pharmacy, behavioral health , complex care delivery, medical benefits management, ... managing product performance, dashboards/insights, product strategy, and product strategy. - Behavioral health , serious mental illness (SMI), or substance… more
    Elevance Health (01/01/25)
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  • Emergency Room Nurse Manager

    HCA Healthcare (Nashville, TN)
    …services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed ... Come join our team as an Emergency Room RN Manager . We care for our communities and...facility. We offer medical and surgical programs. These include behavioral health and 24-hour emergency. These also… more
    HCA Healthcare (12/07/24)
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  • Cardiac Cath Lab Manager

    HCA Healthcare (Nashville, TN)
    …services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed ... Come join our team as a Cardiac Cath Lab Manager . We care for our communities and...facility. We offer medical and surgical programs. These include behavioral health and 24-hour emergency. These also… more
    HCA Healthcare (11/23/24)
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  • Senior Category Manager

    Highmark Health (Nashville, TN)
    …relationship management and performance + Experience in Indirect Category Sourcing and/or Health Care Sourcing with demonstrated expertise in influencing the ... **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This job...Certified Professional in Supply Management (CPSM) + Certified Purchasing Manager (CPM) **SKILLS** + Experience in strategic management and… more
    Highmark Health (12/12/24)
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  • Case Manager RN

    HCA Healthcare (Nashville, TN)
    …services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed ... drives the discharge plan by collaborating with the multidisciplinary health care team and in particular with...facility. We offer medical and surgical programs. These include behavioral health and 24-hour emergency. These also… more
    HCA Healthcare (12/27/24)
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  • Clinical Pharmacy Manager

    HCA Healthcare (Nashville, TN)
    …services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed ... of over 180 hospitals and about 2,000 sites of care in 21 states and the United Kingdom. We...facility. We offer medical and surgical programs. These include behavioral health and 24-hour emergency. These also… more
    HCA Healthcare (12/18/24)
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  • Laboratory Manager

    HCA Healthcare (Nashville, TN)
    …services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed ... 156,000 hours volunteering in our communities. As a Laboratory Manager with TriStar Centennial Medical Center you can be...facility. We offer medical and surgical programs. These include behavioral health and 24-hour emergency. These also… more
    HCA Healthcare (10/18/24)
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  • Program Manager

    HCA Healthcare (Nashville, TN)
    …services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed ... Healthcare, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The...by location._** Come join our team as a Program Manager . We care for our community! Just… more
    HCA Healthcare (11/23/24)
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  • Project Manager II

    HCA Healthcare (Nashville, TN)
    …services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed ... and inclusion thrive? Submit your application for our Project Manager II opening with HCA Healthcare today and find...Healthcare, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The… more
    HCA Healthcare (11/21/24)
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  • Manager Automation

    HCA Healthcare (Nashville, TN)
    …services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed ... care like family! Jump-start your career as a Manager Automation today with HCA Healthcare. **Benefits** HCA Healthcare,...Healthcare, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The… more
    HCA Healthcare (10/15/24)
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