- HCA Healthcare (Nashville, TN)
- …**Introduction** Do you want to join an organization that invests in you as a Case Management Managed Care Consultant? At HCA Healthcare, you ... and you have the opportunity to make a difference. We are looking for a dedicated Case Management Managed Care Consultant like you to be a part of our… more
- Humana (Nashville, TN)
- …Rico. + Bachelor's Degree. + Minimum 3 years of experience working in a clinic, hospital case management , managed care / healthcare setting - working with ... duty family members; assistance with regional transfers and ensuring the receiving Managed Care Support Contractor receives the appropriate paperwork; processes… more
- Elevance Health (Nashville, TN)
- …care hospital setting, ie ER, ICU, Critical Care preferred. + Prior "telephonic" Case Management experience with a Managed Care Company preferred ... Case Manager II** is responsible for performing care management within the scope of licensure...respond to emails/instant messages in a timely fashion. + Managed Care (Home Heath, Insurance, Inpatient) experience.… more
- CVS Health (Nashville, TN)
- …outcomes and care planning components with appropriate referral to clinical case management or crisis intervention as appropriate. - Coordinates and ... in healthcare decision-making. - Monitoring, evaluation and documentation of care : Utilizes case management and...(Word, Excel, Outlook). **Preferred Qualifications** - Case Management and discharge planning experience. - Managed … more
- HCA Healthcare (Nashville, TN)
- …alone, HCA Healthcare colleagues invested over 156,000 hours impacting our communities. As an AVP Managed Care with Surgery Ventures, you can be a manager in an ... by location._** Come join our team as an AVP Managed Care . We care for...Net Revenue, Percentage of Charge Revenue, Net Revenue per Case , Contribution Margin, etc.), and (b) be consistent with… more
- Humana (Nashville, TN)
- …and use of business metrics. + Experience working with Case managers or Care managers on complex case management , including familiarity with social ... of decisions to internal associates, and possible participation in care management . May occasionally participate in discussions...in teams focusing on quality management , utilization management , case management , discharge planning… more
- Highmark Health (Nashville, TN)
- …in Medical Management in a Health Insurance Plan; strong knowledge of managed care industry **LICENSES AND CERTIFICATION** **Required** + Medical Doctor or ... need. **Preferred** + None **SKILLS** + Critical Thinking + Case Management + Customer Service + Oral...Skills + General Computer Skills + Clinical Software + Managed Care **Language (Other than English)** None… more
- Gentiva (Memphis, TN)
- …patient care manager senior, hospice leadership jobs, RN leadership, home-based care oversight, hospice case management , Gentiva careers ReqID: ... experience + Knowledge of hospice principles, regulatory compliance, and managed care + Strong communication, collaboration, and...+ 7 Paid Holidays + Wellness Programs (Telemedicine, Diabetes Management , Joint & Spine Concierge Care ) +… more
- Humana (Nashville, TN)
- …and Excel **Preferred Qualifications** + Bachelor's degree - BSN + Experience with case management , discharge planning, and patient education for adult acute ... care + Managed care experience + Previous Medicare/Medicaid experience + Bilingual English/Spanish **Additional Information** + Associate will be expected to… more
- HCA Healthcare (Hendersonville, TN)
- …Consults with facility-level staff regarding delegated utilization management and disease management operations under managed care contracts. Meets all ... contracting issues. + Provides medical consultation on contracting, pricing, and analysis of managed care issues. Offers clinical support for appeals and denials… more