UNKNOWN

FEED

In addition, Medical Case Managers are eligible for bonus and will be provided state-of-the-art technological devices to ensure ready access to CorVel's proprietary Case Management application, enabling staff to retrieve documents on the go and log activities as they occur. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions.

YEAR

CorVel is a leader of risk and healthcare management solutions to employers, third party administrators, insurance companies and government agencies. We are publicly traded (NASDAQ:CRVL) and annual revenues exceeded $493 million in FY2015. Our continued customer growth is a testament to our financial stability and our significant investments in new systems and technologies allows us to continue to deliver industry-leading solutions to the marketplace. CorVel has approximately 3,500 associates who serve more than 2,000 customers through a national branch office network covering all 50 states.

CorVel Corp

Field Case Manager I

FULL_TIME

OTHER

Technical Skills: Knowledge of TRICARE policies and procedures, Case Management, Utilization Management, Managed Care concepts, Behavioral Health practices and principles, Medicaid and Medicare eligibility requirements and benefits, community resources, alternative funding programs, medical management systems, and protected health information; proficiency with the use of medical necessity criteria to evaluate care requests; working knowledge of medical coding. Problem Solving / Analysis: Thorough knowledge of health care delivery, UM, CM, managed care concepts, management reporting tools, and medical management systems; ability to perform critical, in-depth analysis of medical records for appropriateness and level-of-care determinations.

TriWest Healthcare Alliance

Manager, Case Management Special Programs

equestftpin

Provide holistic and comprehensive case management services to all clients including: intake assessments, benefit assessments, goal setting, long-term case plan development, weekly case plan development, progress monitoring, individual money management, advocacy and referrals. · Knowledge of community resources and counseling/social work practices with high risk populations in crisis, including understanding of working in a Trauma Informed Care Environment.

Safe Haven Family Shelter

Case Manager, Domestic Violence Rapid Rehousing

Brightmove

Case Manager, Rapid Rehousing

PART_TIME

ABOUT US:Founded in 2022, ForzaCare is a purpose-driven organization that helps injured individuals recover faster and return to work safely through coordinated, clinically appropriate care. You'll act as the central point of coordination, connecting the injured worker, medical providers, employers, and insurance carriers to ensure timely, transparent, and effective care management.

ForzaCare

Medical Case Manager - Workers' Compensation

Talent Acquisition

PRIMARY PURPOSE OF THE ROLE: Sedgwick Field Case Managers work face to face with their injured workers and medical providers to facilitate; through advocacy, progressive medical treatment, and timely return-to-work; while acting as a liaison and providing communication between all involved parties. Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines.

Sedgwick Claims Management Services, Inc., is a leading global provider of technology-enabled risk and benefits solutions. At Sedgwick, caring countsSM; the company takes care of people and organizations by delivering cost-effective claims, productivity, managed care, risk consulting and other services through the dedication and expertise of nearly 15,000 colleagues in some 275 offices located in the U.S., Canada, the U.K and Ireland. Sedgwick facilitates financial and personal health and helps customers and consumers navigate complexity by designing and implementing customized programs based on proven practices and advanced technology that exceed expectations. Sedgwick’s majority shareholder is KKR; Stone Point Capital LLC, La Caisse de dépôt et placement du Québec (CDPQ) and other management investors are minority shareholders.

Sedgwick Claims Management Services, Inc.

Field Case Manager

Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. URAC recognized Case Management certification (ACM, CCM, CDMS, CMAC, CMC, CRC, CRRN, COHN, COHN-S, RN-BC) required to be obtained within 3 years of hire if no nationally recognized certification is present at time of hire.

Telephonic Case Manager I

During the visits, the RN-Case Managers do physical assessments including vitals, ensure home safety with medical equipment and supplies, fill weekly medication planners and oversee skilled and non-skilled caregivers providing care in the client's home. Please contact Rick Carey at (866) 776-0127 x350 or at rick.carey@procasemanagement.com today to learn more about our opportunities where you can make a difference in your own career!

Act for Health

Registered Nurse - RN Case Manager

From the development of state-of-the-art facilities and the provision of management services and evidence-based rehabilitation to the post-release reintegration and supervision of individuals in the community, GEO offers fully diversified, cost-effective services that deliver enhanced quality and improved outcomes. Facilitates delivery of cognitive behavioral curriculum in individual and group settings focusing on the areas of motivation for change, social adjustment, personal management, social skills development, cognitive restructuring, and development of problem-solving skills.

HOUR

<a href="https://www.geogroup.com/GEOs_Continuum_of_Care">Global Leader in Evidence-Based Rehabilitation</a>
The GEO Group is committed to providing leading, evidence-based rehabilitation programs to individuals while in-custody and post-release into the community through the "GEO Continuum of Care®." GEO's diversified services platform provides unique capabilities for the delivery of educational and vocational programs, cognitive behavioral and substance abuse treatment, and faith-based services. The GEO Continuum of Care is enhanced in-custody offender rehabilitation programming, including cognitive behavioral treatment, integrated with post–release support services.
Who We Are
GEO provides complementary, turnkey solutions for numerous government partners worldwide across a spectrum of diversified correctional and community reentry services. From the development of state-of-the-art facilities and the provision of management services and evidence-based rehabilitation to the post-release reintegration and supervision of individuals in the community, GEO offers fully diversified, cost-effective services that deliver enhanced quality and improved outcomes.

The GEO Group

CASE MANAGER, DRC

[AW]-iCims

The Telephonic Nurse Case Manager I is responsible for performing care management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing, coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

Elevance Health

Telephonic Nurse Case Manager I

ea_via_bold

Apply If:You are passionate about helping patients remain safely at homeYou take pride in providing exceptional-not average-patient careYou thrive in an independent role while remaining a strong team playerYou are proactive, organized, and solution-orientedYou want to grow your career with a company that values excellence, compassion, and integrityWhy Join All Heart Home Care? Home Health Case Manager | Full-Time | RNAll Heart Home Care | Nashville AreaAll Heart Home Care is seeking an experienced and compassionate to join our team as a Home Health Case Manager.

All Heart Home Care

RN Case Manager

Serves as a liaison to ensure appropriate reimbursement for hospital stays and servicesTECHNICAL CAPABILITIESNursing Patient Assessment & Evaluation (Intermediate): Demonstrates mastery of patient assessments and evaluations in practical applications of a difficult nature. Treatment Planning (Intermediate): Demonstrates mastery of treatment planning and possesses sufficient knowledge, training, and experience to be capable of successfully delivering treatment planning services without requiring support and instruction from others.

Vanderbilt University Medical Center

Case Manager Registered Nurse PRN Lebanon

ABOUT US: Founded in 2022, ForzaCare is a purpose-driven organization that helps injured individuals recover faster and return to work safely through coordinated, clinically appropriate care. You'll act as the central point of coordination, connecting the injured worker, medical providers, employers, and insurance carriers to ensure timely, transparent, and effective care management.

Medical Case Manager - Workers'''' Compensation

Summary of Position : The Nurse Case Manager coordinates resources and creates flexible, cost-effective options for catastrophically or chronically ill or injured individuals to facilitate quality, individualized, holistic treatment goals, including timely return to work when appropriate. Excellent verbal and written communication skills, including the ability to interact effectively with patients, customers, and fellow employees via phone, email, in-person, and formal presentations.

TRIUNE Health Group

Nurse Case Manager - Nashville, TN

CorVel Healthcare Corporation

Summary of Position : The Nurse Case Manager coordinates resources and supports individuals who have sustained work-related injuries through assessment, care coordination, advocacy, and communication with healthcare providers, employers, payers, and other stakeholders. Research medical and community resources for individuals with catastrophic or chronic diagnoses, such as but not limited to AIDS, cancer, spinal cord injuries, diabetes, head injuries, back injuries, hand injuries, and burns, ensuring accessibility for individuals.

Nurse Case Manager (Entry Level - Nashville)

We offer competitive pay packages, weekly direct deposit, and a dedicated payroll specialist who's always just a message away. Whether you're dreaming of new destinations, building your skills, or just looking for a team that truly gets you, you're in the right place.

Openwork

RN - Case Manager

dstribute

KEY RESPONSIBILITIES • Coordinates admission, treatment, and discharge plans and ensures proper utilization of hospital services • Ensure care is provided in the most appropriate level for meeting patient care needs • Serves as a liaison to ensure appropriate reimbursement for hospital stays and services TECHNICAL CAPABILITIES • Nursing Patient Assessment & Evaluation (Intermediate): Demonstrates mastery of patient assessments and evaluations in practical applications of a difficult nature. • Treatment Planning (Intermediate): Demonstrates mastery of treatment planning and possesses sufficient knowledge, training, and experience to be capable of successfully delivering treatment planning services without requiring support and instruction from others.

Vanderbilt Health

The Utilization Review Specialist assumes responsibility and accountability for admission and concurrent reviews assuring the prevention of denials from all payers, as well as appeals of all accounts reviewed and deemed appropriate for appeal. Consults with managers on problem cases and interfaces with case managers, clinical supervisors, account managers and other personnel in resolving denial and appeal questions.

Quorum Health Corp

Case Manager - Utilization Review Specialist - Remote

Assigns cases to appropriate investigators or investigation group(s), including but not limited to Ethics and Compliance Officers, Human Resources, Legal, Information Protection & Security, Clinical Services Group, etc. and collaborate with assigned investigator(s) as needed to determine the next steps in the investigation and timeline for resolution. What qualifications you will need: Bachelor's degree required Master's degree preferred 5+ years of experience in law, regulatory compliance, or internal investigations in matrix organization HCA Healthcare has been recognized as one of the World's Most Ethical Companies by the Ethisphere Institute more than ten times.

At its founding in 1968, Nashville-based HCA was one of the nation's first hospital companies. Today, we are the nation's leading provider of healthcare services, a company comprised of locally managed facilities that includes about 165 hospitals and 115 freestanding surgery centers in 20 states and England and employing approximately 204,000 people. Approximately four to five percent of all inpatient care delivered in the country today is provided by HCA facilities. Richard M. Bracken serves as Chairman of HCA and R. Milton Johnson is the company's President and Chief Executive Officer. HCA is committed to the care and improvement of human life and strives to deliver high quality, cost effective healthcare in the communities we serve. Building on the foundation provided by our Mission & Values, HCA puts patients first and works to constantly improve the care we give them by implementing measures that support our caregivers, help ensure patient safety and provide the highest possible quality. Investing in our communities is important to us. HCA typically invests about $1.5 billion annually to keep our facilities modern and up-to-date technologically and to expand and add services where needed. Focusing primarily on communities where the company is a leading healthcare provider, HCA selectively adds new facilities in order to better serve our communities. And because two HCA founders were physicians, we value highly the strong relationships we've created with local physicians. We endeavor to provide them with a wide array of services and modern facilities in order to help them deliver the best possible care.

Case Manager Jobs in Hermitage, TN

Field Case Manager I CorVel Corp

Manager, Case Management Special Programs TriWest Healthcare Alliance

Case Manager, Domestic Violence Rapid Rehousing Safe Haven Family Shelter

Case Manager, Rapid Rehousing Safe Haven Family Shelter

Medical Case Manager - Workers' Compensation ForzaCare

Field Case Manager Sedgwick Claims Management Services, Inc.

Telephonic Case Manager I CorVel Corp

Registered Nurse - RN Case Manager Act for Health

CASE MANAGER, DRC The GEO Group

Telephonic Nurse Case Manager I Elevance Health

RN Case Manager All Heart Home Care

Case Manager Registered Nurse PRN Lebanon Vanderbilt University Medical Center

Medical Case Manager - Workers'''' Compensation ForzaCare

Nurse Case Manager - Nashville, TN TRIUNE Health Group

Telephonic Case Manager I CorVel Healthcare Corporation

Nurse Case Manager (Entry Level - Nashville) TRIUNE Health Group

RN - Case Manager Openwork

Case Manager Registered Nurse PRN Lebanon Vanderbilt Health

Case Manager - Utilization Review Specialist - Remote Quorum Health Corp

Manager Case Management HCA Healthcare Inc

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