- Elevance Health (Nashville, TN)
- …granted as required by law._ This role's primary focus is ABA utilization management The ** Manager Behavioral Health Services ** is responsible for ... across the care continuum and ensuring member access to services appropriate to their health needs; monitors...UM:** MS in social work, counseling, psychology or related behavioral health field or a degree in… more
- Elevance Health (Nashville, TN)
- …employment, unless accommodation is granted as required by law. **Work Shift:** 8AM -5PM CST ** Behavioral Health Care Manager l** The ** Behavioral ... Requires MA/MS in social work counseling or a related behavioral health field or a degree in...met: performs UM approvals only, reviews requests for Applied Behavioral Analysis (ABA) services only, and there… more
- CVS Health (Nashville, TN)
- …- 1+ years' current or previous experience in **Medical/Surgical,** **Oncology, Transplant, Behavioral Health or Specialty Pharmacy.** - 1+ years' experience ... At CVS Health , we're building a world of health...Management and Utilization Management. AHH delivers flexible medical management services that support cost-effective quality care for members. -… more
- Mindoula Health (Knoxville, TN)
- …as outlined in their Service Plans, created with an emphasis on meeting behavioral health and medical needs, and closing gaps identified in the social ... of Mindoula's key front-line roles in delivering our Population Health Program. Our Case Manager works closely...Completion of supervised fieldwork and experience in case management, health , or behavioral health preferred… more
- HCA Healthcare (Hermitage, TN)
- …cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical ... Do you have the career opportunities as a(an) Environmental Services Manager you want with your current... Department within assigned hospital and hospital department/campus locations. Manager provides consistent, high-quality service in a… more
- Highmark Health (Nashville, TN)
- **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This role defines the product's fundamental value proposition, outlines the vision and execution ... sites or from site-to-site Occasionally Works primarily out-of-the office selling products/ services (sales employees) Never Physical work site required Yes Lifting:… more
- Elevance Health (Nashville, TN)
- … care program in which members' needs are identified, including physical health , behavioral health , social services for a special product/program such as ... ** Manager I GBD Special Programs - TN LTSS**...+ Service delivery coordination, discharge planning or behavioral health experience in a managed care… more
- Maxim Healthcare (Chattanooga, TN)
- Maxim Healthcare Services in Chattanooga is hiring for a Case Manager to oversee the clinical care of homecare clients. Why This Role? + Balanced ... + Manage care delivery and personnel, ensuring high-quality clinical services + Orient and evaluate homecare caregivers, ensuring their...+ Must be a team player with excellent customer service skills If you're ready to take your nursing… more
- Highmark Health (Nashville, TN)
- …implements effective utilization management strategies including: review of appropriateness of health care services , application of criteria to ensure ... identification and resolution of quality issues. Monitors and analyzes the delivery of health care services ; educates providers and members on a proactive basis;… more
- HCA Healthcare (Chattanooga, TN)
- …cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical ... hours impacting our communities. As a Progressive Care Nurse Manager with Parkridge Medical Center, you can be a...Care Unit. They also have access to (NICU) and behavioral health treatment centers for children and… more