• Complex Case Manager

    Highmark Health (Nashville, TN)
    …the appropriate clinical interventions and referrals, the incumbent will 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 management including but is not limited to: developing...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 - Two Rivers…

    CVS Health (Franklin, KY)
    …solutions to make health care more personal, convenient and affordable. **Position Summary** The Complex Nurse Case Manager is responsible for assessing ... to facilitate and support the member's improved health. The Case Manager develops a proactive course of...designed to reduce risk factors and barriers and address complex health and social indicators which impact care planning… more
    CVS Health (03/06/25)
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  • PRN Registered Nurse Case

    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 (03/19/25)
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  • Registered Nurse Case

    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 (03/14/25)
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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, ... part of our caring community and help us put health first** The Manager , Utilization Management Nursing utilizes clinical nursing skills to support the coordination,… more
    Humana (03/12/25)
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  • Care Manager , Registered

    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 ... within a matrix organizational design. **Qualifications:** + Current multi-state compact Registered Nurse licensure in state of residence is required,… more
    Sharecare (02/17/25)
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  • RN Case Manager 2…

    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 (02/05/25)
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  • Case Manager , RN

    CAI (Nashville, TN)
    …Type** Full time **Worksite Flexibility** Remote **Job Summary** We are looking for a motivated Case Manager , RN ready to take us to the next level! ... apply now. **Job Description** We are looking for a Case Manager , RN to provide...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 PRN Wilson…

    Vanderbilt University Medical Center (Lebanon, TN)
    …and wellness through preeminent programs in patient care, education, and research. The Case Manager assists with coordination of services through the continuum ... instead of emphasizing negative elements. **Position Qualifications:** **Responsibilities:** **Certifications:** LIC- Registered Nurse - Licensure-Others **Work Experience:** Relevant… more
    Vanderbilt University Medical Center (03/16/25)
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  • RN Field Case Manager

    Sedgwick (Nashville, TN)
    …to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer RN Field Case Manager **Looking for** **experienced** **Workers Comp ... RN Field Case Manager Nurses across multiple cities in...the next round, a recruiter will be in touch. \# nurse #fieldcasemanager # RN #workerscompensation \#LI-DV1 **​** _As… more
    Sedgwick (03/12/25)
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  • RN Nurse Case Manager

    Elevance Health (Nashville, TN)
    RN Nurse Case Manager II (10:30am - 7:00pm Central Time) JR144435 **Work Hours:** Monday - Friday, 10:30am - 7pm Central Time **Locations** : This ... 50 miles of one our open PulsePoint locations. The ** Nurse Case Manager ll** is...management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing,… more
    Elevance Health (03/13/25)
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  • Pediatric Patient Care Coordinator/ Case

    Vanderbilt University Medical Center (Smyrna, TN)
    …and clinical, as dictated by the nursing component of the care coordination and case manager models. This position Improves outcomes by reducing all cause ... 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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  • Case Manager

    Vanderbilt University Medical Center (Gallatin, TN)
    …emphasizing negative elements. **Position Qualifications:** **Responsibilities:** **Certifications:** LIC- Registered Nurse - Licensure-Others **Work ... safe, equitable healthcare. . KEY RESPONSIBILITIES * Assesses and identifies patients with complex clinical needs that require a coordinated plan of care. * Develops… more
    Vanderbilt University Medical Center (02/05/25)
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  • RN - Nursing Supervisor FT 7P

    LifePoint Health (Gallatin, TN)
    …experience required. Experience as charge nurse or nurse manager preferred. **Job:** **Nursing* **Organization:** ** **Title:** * RN - Nursing Supervisor ... months of hire Licenses: Must have upon hire and maintain Tennessee or Multi-State Registered Nurse licensure Minimum Work Experience Minimum of 2 years hospital… more
    LifePoint Health (03/04/25)
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  • Behavioral Health Case Manager I

    Elevance Health (Nashville, TN)
    …leaders passionate about transforming American healthcare delivery._ **Title** : Behavioral Health Case Manager I **Location:** Virtual; the ideal candidate will ... per week. **Build the Possibilities. Make an Extraordinary Impact.** The **Behavioral Health Case Manager I** is responsible for performing telephonic case more
    Elevance Health (03/08/25)
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  • RN Transplant Nurse II

    Elevance Health (Nashville, TN)
    …become licensed in other states is needed for this role. + Certification as a Case Manager is preferred. + Previous work from home/remote experience is very ... 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
    Elevance Health (03/11/25)
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  • Medical Claim Review Nurse ( RN )

    Molina Healthcare (Bowling Green, KY)
    …ASSOCIATION:** Certified Clinical Coder, Certified Medical Audit Specialists, Certified Case Manager , Certified Professional Healthcare Management, Certified ... state/federal regulations **REQUIRED LICENSE, CERTIFICATION, ASSOCIATION:** Active, unrestricted State Registered Nursing ( RN ) license in good standing.… more
    Molina Healthcare (01/25/25)
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  • Manager , Utilization Management Behavioral…

    Humana (Nashville, TN)
    …**Required Qualifications:** **Must meet** **one** **of the following:** + Active unrestricted registered nurse license in the state of Virginia or reside ... coaching, performance review, up to termination. + Certified or certified-eligible case manager required. **Additional Information:** **Workstyle:** Remote work… more
    Humana (03/12/25)
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  • Manager , Transition Care Management

    Humana (Nashville, TN)
    …a bordering state/district (Washington DC, MD, WV, KY, TN & NC).** + Active Registered Nurse ( RN ) license, **OR** Licensed Mental Health Practitioner (LHMP) ... help us put health first** Humana Healthy Horizons in Virginia is looking for a Manager , Transition Care Management ( Manager , Care Coaching) who will lead a team… more
    Humana (03/04/25)
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  • Trainer - Clinical Services - Utilization Review…

    Molina Healthcare (Bowling Green, KY)
    …knowledge on the job. Job Qualifications **REQUIRED EDUCATION** : Completion of an accredited Registered Nurse ( RN ) Program and an Associate's or Bachelor's ... or State Clinical Social Worker/Counseling (or related field) License Certified Case Manager (CCM), Utilization Management Certification (CPHM), Certified… more
    Molina Healthcare (03/13/25)
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