- Gentiva (Dyersburg, TN)
- …with all company policies and regulatory standards. **As a Senior Hospice RN Patient Care Manager , you will:** + Lead and support hospice patient care ... experience + Knowledge of hospice principles, regulatory compliance, and managed care + Strong communication, collaboration, and...maintain a drug-free workplace Related Job Titles hospice RN manager , patient care manager senior,… more
- Highmark Health (Nashville, TN)
- …consistent with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable ... specialization + Experience in a clinical setting **Preferred** + Experience in UM/CM/QA/ Managed Care **LICENSES AND CERTIFICATIONS** **Required** + Current RN… more
- Elevance Health (Nashville, TN)
- **Behavioral Health Care Manager II - Licensed Behavioral Analyst** **Candidates must be located in Tennessee, or be willing to relocate to Tennessee to be ... by law._ **Shift & Hours:** Monday - Friday, 8:00AM-5:00PM The **Behavioral Health Care Manager II - Licensed Behavioral Analyst,** is responsible for managing… more
- HCA Healthcare (Nashville, TN)
- …support to various teams, including payer contracting and analytical teams, payer relations, managed care , legal support, and service line leaders. Your primary ... have the career opportunities as a Billing Code Senior Manager you want with your current employer? We have...with customers and peers. + Assist the Payor Relations Managed Care teams and Managed … more
- Elevance Health (Nashville, TN)
- …ICU, Critical Care preferred. + Prior "telephonic" Case Management experience with a Managed Care Company preferred + Certification as a Case Manager . + ... Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager II** is responsible for performing care ...respond to emails/instant messages in a timely fashion. + Managed Care (Home Heath, Insurance, Inpatient) experience.… more
- Elevance Health (Nashville, TN)
- …care setting preferred. + Minimum 2 years' "telephonic" Case Management experience with a Managed Care Company preferred. + Managed Care experience ... Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager Senior** is responsible for care management...Nurse Case Manager Senior** is responsible for care management within the scope of licensure for members… more
- J&J Family of Companies (Nashville, TN)
- …to address critical access and affordability issues for patients. + Partner with managed care colleagues to understand current policies and potential future ... Solutions (PECS) team is recruiting for a Field Reimbursement Manager which will be a field-based position that will...across multiple payer types and plans (ie, Medicare, Medicaid Managed Care , Commercial). + Execute business in… more
- HCA Healthcare (Nashville, TN)
- …Do you want to join an organization that invests in you as a(an) Portfolio Manager ? At HealthTrust, you come first. HCA Healthcare has committed up to $300 million ... and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. +...a difference. We are looking for a dedicated Portfolio Manager like you to be a part of our… more
- Humana (Nashville, TN)
- …the (appropriate state) with no disciplinary action. + An active designation as a Certified Care Manager (CCM). If no active designation as a CCM at hire date, ... holistic approach for case management throughout the continuum of care . The case manager will offer guidance,...delivery system. + Knowledge of MCG or Interqual. + Managed care experience. **Additional Information** **Work Days/Hours**… more
- Covenant Health Inc. (Knoxville, TN)
- Overview RN Clinical Manager , Clinical Services Full Time, 80 Hours Per Pay Period, Day Shift Covenant Medical Group is Covenant Health's employed and managed ... more than 300 top Physicians and providers spanning the continuum of care in 20 cities throughout East Tennessee. Specialties include cardiology, cardiothoracic… more