• UM Case Manager

    Healthfirst (TN)
    …case management, identifying alternative care options, and discharge planning + Certified Case Manager + Interqual and/or Milliman knowledge + Knowledge of ... This position is 100% Remote** **Duties/Responsibilities:** + Provides case management services for assigned member caseloads which includes: + Pre-certification… more
    Healthfirst (10/07/25)
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  • Registered Nurse Case Manager PRN…

    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 ... through preeminent programs in patient care, education, and research. **Organization:** TMO/ UM Team E **Job Summary:** JOB SUMMARY Collaborates with the health… more
    Vanderbilt University Medical Center (08/01/25)
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  • Clinical Review Manager

    BlueCross BlueShield of Tennessee (Chattanooga, TN)
    **Join our team as a Clinical Review Manager \!** We are seeking a quick learner who is self\-motivated and capable of working independently\. The ideal candidate ... to meet their medical needs\. **Key Details** : + Fast\-paced environment with high case volume\. + Team members take incoming provider calls daily from 9 AM\-6 PM… more
    BlueCross BlueShield of Tennessee (10/07/25)
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