- HCA Healthcare (Nashville, TN)
- …you want to join an organization that invests in you as a Director of Clinical Case Management ? At HCA Healthcare, you come first. HCA Healthcare has ... opportunity to make a difference. We are looking for a dedicated Director of Clinical Case Management like you to be a part of our team. **Job Summary… more
- Vanderbilt University Medical Center (Nashville, TN)
- …and physicians to enhance the growth and communication for the Department of Case Management . * Works within a Shared Governance framework to identify ... of processes with other departments. * Assure successful implementation of clinical programs through systems and process design by integrating the design… more
- Vanderbilt University (Nashville, TN)
- …environment. This is a 10-month Appointment Key Functions and Expected Performance: Provide clinical case management services to students: + Track ... Position Summary: The UCC Clinical Case Manager works closely with... Operations Team and UCC Counseling/Psychiatry teams in providing case management services to students, and supporting… more
- Brookdale Senior Living (Brentwood, TN)
- …who have been with us for at least a year. Responsibilities The Director of Clinical Reimbursement is responsible for the oversight of Medicare/Medicaid/Managed ... Overview Brookdale seeks experiencedDirector of Clinical Reimbursementto support our SNF Portfolio. This opportunity...the senior population required. Must have experience as Regional Director of Reimbursement and expert level knowledge of RAI… more
- HCA Healthcare (Nashville, TN)
- …of case management technology + In conjunction with the Director Case Management , is responsible for collecting, analyzing, and evaluating ... and inclusion thrive? Submit your application for our Manager Case Management opening with HCA Healthcare today...program focuses on ethics, leadership and the financial and clinical knowledge required of professionals at this level of… more
- The Cigna Group (Nashville, TN)
- …individuals regarding Medicare appeals and related issues, implications and decisions. The Case Management Analyst reports to the Supervisor/Manager of Appeals ... medical services as well as Part B drugs. The Case Management Analyst will be responsible for...as well as research and provide a written detailed clinical summary for the Plan Medical Director .… more
- Humana (Nashville, TN)
- …prior experience participating in teams focusing on quality management , utilization management , case management , discharge planning and/or home health or ... + Experience working with Case managers or Care managers on complex case management , including familiarity with social determinants of health. + The… more
- CenterWell (Nashville, TN)
- …care and high-risk management and care coordination. * Experience with case management , social work, skilled nursing facilities, rehab programs, etc. * ... a part of our caring community and help us put health first** **National** ** Director of Transitional Care and High-Risk Patient Management ** The Director … more
- Humana (Nashville, TN)
- …prior experience participating in teams focusing on quality management , utilization management , case management , discharge planning and/or home health or ... + Experience working with Case managers or Care managers on complex case management , including familiarity with social determinants of health. + The… more
- Humana (Nashville, TN)
- …providers, and community partners to support the delivery of high-quality case management services, including introducing innovative approaches to care ... us put health first** Humana Healthy Horizons in Virginia is seeking an Associate Director , Care Management (Maternal-Child Health) who will lead teams of nurses… more
- Humana (Nashville, TN)
- …prior experience participating in teams focusing on quality management , utilization management , case management , discharge planning and/or home health or ... + Experience working with Case managers or Care managers on complex case management , including familiarity with social determinants of health. + The… more
- Elevance Health (Nashville, TN)
- ** Clinical Operations Medical Director ** **Utilization Management of Medical Oncology Benefits** **Carelon Benefits Management ** **$20,000 Sign On ... clinical domains, including radiology, cardiology and oncology._ The ** Clinical Operations Medical Director supporting our Medical...MD and minimum of 1 year of experience with clinical case reviews for medical necessity. _The… more
- Humana (Nashville, TN)
- …consistency in outcomes, consumer experiences and a highly engaged team culture The Medical Director conducts clinical case reviews of requests received by ... members of the Medicare population and reports to the Lead Medical Director . Other duties: + Identify medical management operational improvements, including… more
- Elevance Health (Nashville, TN)
- … program and/or independently perform clinical reviews. + The Medical Director typically has program management responsibilities including clinical ... Director Associates. May be responsible for an entire clinical program. **How you will make an Impact:** +...with providers and external physicians. + May conduct peer-to-peer clinical appeal case reviews with attending physicians… more
- Elevance Health (Nashville, TN)
- … program and/or independently performs clinical reviews. + The Medical Director typically has program management responsibilities including clinical ... Director Associates. May be responsible for an entire clinical program. How you will make an impact: +...with providers and external physicians. + May conduct peer-to-peer clinical appeal case reviews with attending physicians… more
- Elevance Health (Nashville, TN)
- … program and/or independently performs clinical reviews. + The Medical Director typically has program management responsibilities including clinical ... office visits with providers and external physicians. + May conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering… more
- HCA Healthcare (Nashville, TN)
- …Do you want to join an organization that invests in you as a(an) Director Infection Prevention? At HCA Healthcare, you come first. HCA Healthcare has committed up ... make a difference. We are looking for a dedicated Director Infection Prevention like you to be a part...entity. Leads development of strategies and tools to advance clinical performance within infection prevention and control across the… more
- J&J Family of Companies (Nashville, TN)
- …and promote collaboration is required. + Experience in clinical development, clinical operations, or project management in large complex organizations is ... Director , Portfolio Launch Strategy - Innovative Health -...NJ. Remote work options may be considered on a case -by- case basis and if approved by the… more
- Elevance Health (Brentwood, TN)
- …relevant clinical guidelines. + Provides clinical leadership for Utilization Management , Case Management , Disease Management , and Quality ... the Elevance Health family of companies, Carelon Medical Benefits Management , formerly AIM Specialty Health, is a benefit- management...be responsible for serving as a National Solution Medical Director for our Post Acute Solutions Clinical … more
- BrightSpring Health Services (Nashville, TN)
- …clients and exchanges information to identify the clients' needs and consults with Director of Clinical Management to determine the Company's ability ... payer. + Contacts referral sources to advise them of case acceptance and provides information on the clinical...license. + Must have two years of experience with case management or related discipline + Must… more