• Utilization Mgmt Case…

    LifePoint Health (Gallatin, TN)
    … management or related healthcare field. **Job:** **Nursing* **Organization:** ** **Title:** * Utilization Mgmt Case Manager FT* **Location:** ... Monitors adherence to the hospital's utilization review plan to ensure appropriate use of...admissions and extended hospitals stays. Reports to: Director - Case Management Minimum Education Associate's, Bachelor's degree… more
    LifePoint Health (04/28/25)
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  • Manager , Utilization…

    CoreCivic (Brentwood, TN)
    …and a responsibility to better the public good. CoreCivic is currently seeking a ** Manager , Utilization Management / Case Management ** located ... will pay $82,000 - $97,400 with a 10% bonus eligible._ **SUMMARY:** The Manager , Utilization Management / Case Management provides Utilization … more
    CoreCivic (04/29/25)
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  • Case Manager / PRN ( RN / RT / SW…

    Select Medical (Nashville, TN)
    …doing what is right. The Case Manager is responsible for utilization reviews and resource management , discharge planning, treatment plan management ... **Overview** **Critical Illness Recovery Hospital** ** Case Manager (PRN)** _Requires a current...the plan of care. + Demonstrates compliance with facility-wide Utilization Management policies and procedures. + Coordinates… more
    Select Medical (05/03/25)
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  • Analyst- Case Management Senior

    Baptist Memorial (Memphis, TN)
    …activities relating to utilization review and discharge planning. + Assist Case Management Director in strategies for improvement and intervention. + Assist ... Overview Analyst- Case Management Senior RN Job Code 20335 FLSA Status Job Family CASE MGMT Job Summary Responsible for assisting in the implementation of… more
    Baptist Memorial (04/09/25)
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  • Case Manager RN

    HCA Healthcare (Nashville, TN)
    …Bonus available for qualified RN candidates! Do you have the career opportunities as a Case Management RN you want in your current role? We invest in what ... Eligibility for benefits may vary by location. The RN Case Manager is responsible for promoting patient-centered...What you will do in this role: + Provides case management services for both inpatient and… more
    HCA Healthcare (04/27/25)
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  • Case Manager (VSP)

    WestCare Foundation (Newport, TN)
    Case Manager (VSP) Job Details Job...Gordon Fox Suicide Prevention Grant (SSPGF). This role provides case management to eligible veterans and their ... Range $22.00 - $24.00 Hourly Description Position Summary: The Case Manager serves as a member of...support and family intervention activities. + Facilitate one-hour weekly case management meeting with eligible veterans and/or… more
    WestCare Foundation (02/12/25)
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  • Case Manager RN

    CVS Health (Nashville, TN)
    …within Aetna/CVS Health. Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers ... This position consists of working intensely as a telephonic case manager with patients and their care...overcome barriers to meeting goals and objectives - Utilizes case management processes in compliance with regulatory… more
    CVS Health (04/24/25)
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  • RN- Case Manager

    Baptist Memorial (Memphis, TN)
    …first 24 hours of arrival to complete an initial review. Collaborate with physicians, Manager of Case Management and physician advisors to resolve conflicts. ... years Healthcare/Medical-Acute Care Required. Preferred/Desired + Healthcare/Medical- Case Manager Preferred, or Healthcare/Medical - Utilization Review… more
    Baptist Memorial (05/06/25)
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  • RN- Case Manager - BMH Women's

    Baptist Memorial (Memphis, TN)
    …- RN- Case Manager Facility: BMH - Women's Hospital Department: WH Case Management Admin BMH Women's Category: Nurse RN Type: Clinical Work Type: Full ... Preferred: RN with 3 years of clinical experience with Case Management experience in a hospital or...skills. Problem solving; and governmental regulations. Training Preferred: Certified Case Manager About Baptist Memorial Health Care… more
    Baptist Memorial (04/15/25)
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  • UM Case Manager

    Healthfirst (TN)
    **This position is 100% Remote **Duties/Responsibilities:** + Provides case management services for assigned member caseloads which includes: + Pre-certification ... in a related discipline + Experience in managed care, case management , identifying alternative care options, and...identifying alternative care options, and discharge planning + Certified Case Manager + Interqual and/or Milliman knowledge… more
    Healthfirst (05/08/25)
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