- 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 ... like you to be a part of our team. **Job Summary and Qualifications** The Case Management Managed Care Consultant will serve as a Subject Matter Advisor… 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
- Covenant Health Inc. (Knoxville, TN)
- Overview Manager Case Management Services, Continuum of Care Full Time, 80 Hours Per Pay Period, Day Shift Parkwest Overview: Headquartered in Knoxville, ... a recognized state of the art Case Management System that links cost of care ...are in place to minimize denials of claims by managed care organizations and insurance companies. Directs… more
- Elevance Health (Nashville, TN)
- **Manager II Case Management ** **Sign on Bonus: $5000** **Location** : This role requires associates to be in-office 3 days per week, fostering collaboration and ... Friday 8 - 5 pm EST.** The **Manager II Case Management ** is responsible for managing a...health or human services related field is preferred. + Managed Care experience is preferred. Please be… more
- Humana (Nashville, TN)
- … Management Team, providing a comprehensive, holistic approach for case management throughout the continuum of care . The case manager will offer ... the Case Manager will collaborate with other care management programs until the beneficiary's needs...delivery system. + Knowledge of MCG or Interqual. + Managed care experience. **Additional Information** **Work Days/Hours**… more
- Cardinal Health (Nashville, TN)
- …long and short-range changes in the reimbursement environment including Medicare, Medicaid, Managed Care , and Commercial medical and pharmacy plans while ... Patient Support helps specialty pharmaceutical manufacturers remove barriers to care so that patients can access, afford and remain...junior case managers on best practices in case management , patient interaction, and navigating internal… more
- Cardinal Health (Nashville, TN)
- …Remain knowledgeable about changes in the reimbursement environment (Medicare, Medicaid, Managed Care , Commercial plans). **Program Expertise & Continuous ... . Build and maintain professional relationships with all stakeholders, including case management , patient support services, medical, sales, market access,… more
- Health Care Service Corporation (Nashville, TN)
- …cases. + Certification in Case Management , Training, Project Management or nationally recognized health care certification. + Government Programs ... care coordination to members via telephonic and/or field-based care management to inform and educate them...days of hire. + Plus 3 years' wellness or managed care experience presenting clinical issues with… more
- Highmark Health (Nashville, TN)
- …Description :** **JOB SUMMARY** This job implements effective complimentary utilization and case management strategies for an assigned member panel. Provides ... member. The incumbent conducts outreach to members enrolled in case management including but is not limited...in a clinical setting **Preferred** + 5 years in UM/CM/QA/ Managed Care + 1 year in advanced… more
- Catholic Health Initiatives (Hixson, TN)
- …+ Minimum two (2) years of acute hospital clinical experience or a Masters degree in Case Management or Nursing field in lieu of 1 year experience. Preferred + ... Able to apply clinical guidelines to ensure progression of care . + Knowledge of managed care...stakeholders + Professional communication skills. + Understand how utilization management and case management programs… more