- Highmark Health (Nashville, TN)
- **Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** **Pediatric Complex Case Management** This job owns and conducts oversight over a specified ... and / or health insurance experience **Preferred** + **Pediatric Complex Case Management Experience** + Advanced training...in addressing targeted populations **LICENSES AND CERTIFICATIONS** **Required** + RN license in PA or WV or DE or… 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 ... instead of emphasizing negative elements. **Position Qualifications:** **Responsibilities:** **Certifications:** LIC- Registered Nurse - Licensure-Others **Work Experience:** Relevant… 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 ... MSN preferred) Required: 5+ years of relevant experience Required: Registered Nurse . KEY RESPONSIBILITIES * Assesses.... KEY RESPONSIBILITIES * Assesses and identifies patients with complex clinical needs that require a coordinated plan of… 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 ... instead of emphasizing negative elements. **Position Qualifications:** **Responsibilities:** **Certifications:** LIC- Registered Nurse - Licensure-Others **Work Experience:** Relevant… more
- Elevance Health (Nashville, TN)
- …contracts, member benefits, and managed care products preferred. + Certification as a Case Manager is preferred. + Previous work from home/remote experience is ... business hours, 8:30 am - 5:00 pm.** **The Transplant Nurse II** is responsible for providing case ...and to promote effective use of resources for more complex medical transplant issues. + Ensures medically appropriate, high… more
- Ascension Health (Nashville, TN)
- …standards. Cover on units as needed and serves as a resource for complex case management issues. **Requirements** Licensure / Certification / Registration: One ... or more of the following required: + Registered Nurse credentialed from the Tennessee Board...date. One or more of the following preferred: + Case Manager credentialed from the American … more
- Elevance Health (Nashville, TN)
- ** Nurse Case Manager II**... is preferred. + Compact license preferred. + Kentucky RN License strongly preferred. + Case Management ... ideal candidate residing in the state of Kentucky. The ** Nurse Case Manager II** is...management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing,… more
- Sedgwick (Nashville, TN)
- …work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Telephonic Case Manager **PRIMARY PURPOSE OF THE ROLE:** While partnering with ... the injured worker, employer, and medical providers, create a case management strategy to facilitate medical recovery and a successful return to work through… more
- Humana (Nashville, TN)
- …**Use your skills to make an impact** **Required Qualifications** + Active Registered Nurse ( RN ) license with no disciplinary action. ... community and help us put health first** The Care Manager , Telephonic Nurse 2 employs a variety... RN Care Managers. Day In The Life RN SNP Care Manager - YouTube (https://www.youtube.com/watch?v=0jjvY9dTpCg)… more
- Evolent (Nashville, TN)
- …Required + Licensed Clinical Social Worker (LCSW), Licensed Mental Health Counselor (LMHC), or Registered Nurse ( RN ), Required + 3-5 years of behavioral ... providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and...population. **What You'll Be Doing:** + The Behavioral Health Case Manager (LCSW or LMHC) will connect… 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 of ... **Job Description:** **Job Summary:** The Care Manager supports the implementation of the Value Based...a matrix organizational design. **Qualifications:** + Current multi-state compact Registered Nurse licensure in state of residence… more
- J&J Family of Companies (Nashville, TN)
- …Site or Cell & Gene therapy Treatment Center/Site of Care Certification and Activation + RN license or Advanced Practice degree ( Nurse Practitioner / PA / PharmD ... Johnson & Johnson is recruiting for a field-based Site Activation CAR-T Senior Manager , Cell Therapy Experience Lead to support the United States. This is a field… more
- Gilead Sciences, Inc. (Nashville, TN)
- …for providers to enroll patients in Gilead patient support programs. Work directly with case managers to resolve complex patient access questions in a timely ... the lives of patients with life-threatening illnesses worldwide. The **Sr.** **Field Reimbursement Manager - HIV Prevention (** **Sr. FRM)** plays a critical role in… more
- The Cigna Group (Nashville, TN)
- …premier home-based healthcare solution for patients and families facing chronic, complex and life-threatening illness. We are an innovative, multi-specialty practice ... health model, focusing our practice in caring for patients across the continuum of complex and serious illness. Our focus is comprehensive care at home to improve… more
- Abbott (Nashville, TN)
- …establishes strong rapport with customers. + Proficient in complex programming, case support. + Works seamlessly with Territory Manager (s) allowing them ... clinical, and programming assistance, primarily in support of 1-2 Territory Manager (s). + Assist Territory Managers in after-hours call support and activities.… more
- HCA Healthcare (Nashville, TN)
- …Data Abstractor II, you will be responsible for abstraction of data for complex core measures, complex cardiovascular services and infectious disease data. What ... standards and CSG/Parallon instructions to abstract all reportable cases. + Assist with case follow-up as requested. + Attend educational activities as approved by … more