div>What you will do in this role:
Nashville, TN30+ days ago
div>What you will do in this role:
p>The Case Manager will serve as a key advocate and resource for clients, coordinating services, monitoring progress, and collaborating with caregivers, providers, and community partners to ensure individuals receive the support necessary to achieve positive outcomes. GSD Search is partnering with a growing healthcare and community services organization to identify a Case Manager who is passionate about helping individuals navigate complex care needs and access critical support services.
Madison, Tennessee3 days ago
p style="text-align:left">Centerstone, a trauma-informed organization, endorses an organizational culture built on understanding, recognizing and responding to those affected by trauma to strengthen resilience for our clients, staff and community. As a Case Manager, Clinical Services, you will coordinate care and services for individuals coping with mental health challenges by providing education, coaching, advocacy, and resource coordination.
Nashville, TN30+ days ago
p>Registered Nurse (RN), Nursing, Home Care Registered Nurse, Emergency Room Registered Nurse, Clinical Nurse, Nurse Case Manager, Field Case Manager, Medical Nurse Case Manager, Workers Compensation Nurse Case Manager, Critical Care Registered Nurse, Advanced Practice Registered Nurse (APRN), Nurse Practitioner, Case Management, Case Manager, Home Healthcare, Clinical Case Management, Hospital Case Management, Occupational Health, Patient Care, Utilization Management, Acute Care, Orthopedics, Rehabilitation, Rehab, CCM, Certified Case Manager, CDMS, Certified Disability Management Specialist, CRC, Certified Rehab Certificate, CRRN, Certified Rehab Registered Nurse, COHN, Certified Occupational Health Nurse, CMC, Cardiac Medicine Certification, CMAC, Case Management Administrator Certification, ACM, Accredited Case Manager, MSW, Masters in Social Work, URAC, Vocational Case Manager. As a Field Case Manager, you will work closely with treating physicians/providers, employers, customers, legal representatives, and the injured/disabled person to create and implement a treatment plan that returns the injured/disabled person back to work appropriately, ensure appropriate and cost-effective healthcare services, achievement of maximum medical recovery and return to an optimal level of work and functioning.
li>Assist patients in maintaining or applying for all possible third-party payer programs to include in order of precedence: private funding/commercial coverage products, TennCare/Medicaid, Medicare, and Ryan White Part B. Provide individual patient/family education and self-management support that is appropriate based on language, cognitive abilities, literacy level, learning style, cultural norms, patient preference, readiness for change and resources available.
p>Position Summary: Working under a grant from the Office of Refugee Resettlement (ORR), NYAP's Post Release Services (PRS) Intensive Case Manager Level 3 provides post release services focused on stabilizing the family unit utilizing trauma-informed and intensive case management. This position is required to travel to the initial in-home assessment followed by weekly in-person contacts for the first 45 to 60 days, then monthly in-person or virtual contacts for 6 months, depending on the needs of the family.
Nashville, TN30+ days ago
This includes working with the offenders regarding their re-integration from a correctional facility to the community that require clinical services or clinical placement upon release in order to promote continuity of care. - Bachelor's degree in social work, human services, counseling or closely related field; or relevant experience and demonstrated ability to perform essential duties.
Nashville, Tennessee30+ days ago
p style="margin:0px">Registered Nurse (RN), Nursing, Home Care Registered Nurse, Emergency Room Registered Nurse, Clinical Nurse, Nurse Case Manager, Field Case Manager, Medical Nurse Case Manager, Workers’ Compensation Nurse Case Manager, Critical Care Registered Nurse, Advanced Practice Registered Nurse (APRN), Nurse Practitioner, Case Management, Case Manager, Home Healthcare, Clinical Case Management, Hospital Case Management, Occupational Health, Patient Care, Utilization Management, Acute Care, Orthopedics, Rehabilitation, Rehab, CCM, Certified Case Manager, CDMS, Certified Disability Management Specialist, CRC, Certified Rehab Certificate, CRRN, Certified Rehab Registered Nurse, COHN, Certified Occupational Health Nurse, CMC, Cardiac Medicine Certification, CMAC, Case Management Administrator Certification, ACM, Accredited Case Manager, MSW, Masters in Social Work, URAC, Vocational Case Manager. As a Field Case Manager, you will work closely with treating physicians/providers, employers, customers, legal representatives, and the injured/disabled person to create and implement a treatment plan that returns the injured/disabled person back to work appropriately, ensure appropriate and cost-effective healthcare services, achievement of maximum medical recovery and return to an optimal level of work and functioning.
p>This employer participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S. If E-Verify cannot confirm that you are authorized to work, this employer is required to give you written instructions and an opportunity to contact Department of Homeland Security (DHS) or Social Security Administration (SSA) so you can begin to resolve the issue before the employer can take any action against you, including terminating your employment.
Position Overview: The Case Manager Lead plays a pivotal role in overseeing and managing a team of 5 case managers while effectively handling an inventory of approximately 50 HV cases.
Nashville, TN30+ days ago
li>Ongoing case management with a focus on screening and making appropriate referrals to address child's needs in the following domains: Placement issues, safety issues, education, health, mental health, legal/immigration proceedings, substance abuse, independent living, criminal/juvenile justice, and child enrichment activities. - Conduct home visits and phone contacts with the dual purpose of assessing the safety and appropriateness of the child's placement with their caregiver (sponsor) and connecting the child to services in the community to address risk factors.
Nashville, TN30+ days ago
Bachelor's degree in social work, human services, counseling or closely related field; • One to three years of experience in social casework in a hospital, community treatment center or other community services program • Experience in a correctional environment preferred • Must be able to pass background investigation and obtain agency security clearance. We offer: • A clinically interesting, diverse patient population in a secure and structured setting • An exciting and rewarding career in one of the fastest growing areas of healthcare • The ability to make a real difference to an important and underserved population.
Nashville, TN30+ days ago
Bachelor's degree in social work, human services, counseling or closely related field; One to three years of experience in social casework in a hospital, community treatment center or other community services program. This includes working with the offenders regarding their re-integration from a correctional facility to the community that require clinical services or clinical placement upon release in order to promote continuity of care.
Nashville, Tennessee30+ days ago
This includes proactive linkage to more intensive substance use disorder services, infectious disease treatment (HIV/HCV) and social services including job training and acquisition of insurance. The case-manager is primarily located in the Meharry Addiction Clinic but will also be required to do work in the community to ensure patients follow-through with service engagement.
Nashville, TN30+ days ago
p>• Bachelors degree in Social Work or other relevant degree or equivalent experience • At least 1 year of experience with child welfare programs • Knowledge of community resources and ability to connect families to community services • Excellent clinical and crisis intervention skills • Excellent verbal and written communication skills • Critical assessment and analysis skills • Proficiency in Microsoft Office applications • Ability to travel up to 70% • Fluency in Spanish required • Knowledge of and experience working with refugee or immigrant children preferred • Cross-cultural or international experience preferred. • Ongoing case management with a focus on screening and making appropriate referrals to address the childs needs in the following domains: • Placement issues • Safety issues • Education • Health • Mental health • Legal/immigration proceedings • Substance abuse • Independent living • Criminal/juvenile justice • Child enrichment activities • Provide crisis intervention services directly as needed or connect the family to services to ensure the minors safety and well-being in a crisis situation.
Nashville, TN30+ days ago
p>Minimum requirements: Current licensure in a clinical discipline either as a Nurse (RN /LPN/ LVN)or a Respiratory Therapist OR current license / certified Social Work license per state guidelines Previous RN/LPN/RT/SW/CM experience in an inpatient hospital setting dealing with critical care/acute care patients.
We are looking for valued employees who will be Champions of the Select Medical Way, which includes putting the patient first, helping to improve quality of life for the community in which you live and work, continuing to develop and explore new ideas, providing high-quality care and doing well by doing what is right.
Nashville, Tennessee14 days ago
How you'll make an impact in this role: - Continuum of Care: You are the "architect" of the patient’s journey, ensuring their medical, social, and spiritual needs are met from the moment they are admitted until they safely transition home or to another facility.
- Mission-Driven Service: Unlike purely administrative roles, this position emphasizes Reverence and Integrity, treating discharge planning as a "ministry" of hope and dignity for vulnerable populations.
li>Ensures all appropriate referrals for identified services on the service plan are made and coordinated with service providers via contracted network providers or community resources; Ensures all covered services identified on the service plan are evaluated and updated monthly. Works collaboratively with the clinical team to engage, educate, communicate, and coordinate care with patient, their family, behavioral and general medical and dental health care providers, community resources and others to ensure that all services prescribed in the individualized service plan (ISP) are implemented.
Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. Applies clinical judgment to the incorporation of strategies designed to reduce risk factors and barriers and address complex health and social indicators which impact care planning and resolution of member issues.
li>Applies clinical judgment to the incorporation of strategies designed to reduce risk factors and barriers and address complex health and social indicators which impact care planning and resolution of member issues.
li>Applies clinical judgment to the incorporation of strategies designed to reduce risk factors and barriers and address complex health and social indicators which impact care planning and resolution of member issues.
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.
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.
Nashville, Tennessee3 days ago
Applicants who require accommodation to participate in the job application process should submit the following form: Accessibility Accommodation Request Form and a member of the team will be in contact. The Nurse Case Manager I 100% virtual, CareBridge 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.
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.
Nashville, Tennessee7 days ago
At Voyage Healthcare, we help connect nurses, therapists, and allied health pros with high-paying travel jobs at top-rated facilities across the U.S. With thousands of openings nationwide, you can earn up to $3,500+ per week (depending on your specialty, location, housing, and benefits)—all while making a real impact on the communities that need you most. We're hiring experienced RN-Case Manager for a 13-week contract in Nashville, Tennessee — earn up to ($1773 - $1867 per week) while providing essential care at a leading facility.
Our legitimate email communications will always come from an @ascension.org email address; do not trust other domains, and an official offer will only be extended to candidates who have completed a job application through our authorized applicant tracking system. Recognized as one of the Best 150+ Places to Work in Healthcare and a Military-Friendly Gold Employer, you'll find an inclusive and supportive environment where your contributions truly matter.
p>The 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.
Nashville, TN30+ days ago
p>The Nurse Case Manager I 100% virtual, CareBridge 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.
p>Position Summary: Utilizes advanced clinical judgment and critical thinking skills to facilitate appropriate member physical health and behavioral healthcare through assessment and care planning, direct provider coordination/collaboration, and coordination of psychosocial wraparound services to promote effective utilization of available resources and optimal, cost-effective outcomes.
Assessment of Members:
- Through the use of clinical tools and information/data review, conducts comprehensive assessments of referred member's needs/eligibility and determines approach to case resolution and/or meeting needs by evaluating member's benefit plan and available internal and external programs/services.
Brentwood, TN30+ days ago
We offer private duty nursing, skilled nursing, physical rehabilitation, companion care, respite care and behavioral care for individuals with chronic and acute illnesses and disabilities. Our commitment to quality customer service, compassionate patient care, and filling critical healthcare needs makes us a trusted partner wherever care is needed.
We offer private duty nursing, skilled nursing, physical rehabilitation, companion care, respite care and behavioral care for individuals with chronic and acute illnesses and disabilities. Our commitment to quality customer service, compassionate patient care, and filling critical healthcare needs makes us a trusted partner wherever care is needed.
p>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.
Nashville, TN30+ days ago
Whether you are an experienced traveler, or this is your first travel position, SkyBridge Healthcare puts our Nurses first and ensures a seamless travel experience. SkyBridge Healthcare wants the best for our employees, and we are dedicated to helping professionals land their ideal travel assignment..
p>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.
Nashville, TN30+ days ago
The mission of the Metropolitan Nashville-Davidson County Office of Family Safety is to increase victim safety and offender accountability by providing vital crisis intervention services to victims of interpersonal violence while maintaining the emotional wellness of service providers. Provide comprehensive trauma-informed case management services to victims served by the Family Safety Center including: Pre-screen referred individuals to assess applicability for program.
Hendersonville, TN30+ days ago
Your responsibilities will include: Guiding patients and families through program orientation, explaining the rehabilitation philosophy, Medicare and insurance benefits, discharge criteria, and patient rights Coordinating education for patients, families, and caregivers to encourage participation in treatment planning, goal discussions, and family conferences Developing and implementing individualized treatment plans that reflect the patient's strengths, needs, and personal recovery goals Completing psychosocial assessments and discharge planning evaluations, clearly documenting findings and communicating needs across the care team Collaborating closely with the Rehab Program Director, Facility Case Management Director, and interdisciplinary team to ensure seamless, patient-centered care Promoting HCA Healthcare's values of compassion, respect, and excellence through every patient and family interaction What qualifications you will need:Basic Cardiac Life Support must be obtained within 30 days of employment start date(RN) Registered NurseBachelors Degree, or Associate Degree3 years experience Required Years of Experience Benefits TriStar Hendersonville Medical Center, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The Birth Center at TriStar Hendersonville, featuring Sumner County's only Level II NICU services which hosts spacious LDRP suites and a lactation boutique for inpatient and outpatient services.
p>At Houston Methodist, the Utilization Review Nurse (URN) position is a licensed registered nurse (RN) who comprehensively conducts point of entry and concurrent medical record review for medical necessity and level of care using nationally recognized acute care indicators and criteria as approved by medical staff, payer guidelines, CMS, and other state agencies. This position collaborates with case management in the development and implementation of the plan of care and ensures prompt notification of any denials to the appropriate case manager, denials, and pre-bill team members, as well as management.
li>Assesses and analyzes injured, acute, or chronically ill members/clients medical and/or vocational status; develops a plan of care to facilitate the member/client's appropriate condition management to optimize wellness and medical outcomes, aid timely return to work or optimal functioning, and determination of eligibility for benefits as appropriate. Implements and coordinates all case management activities relating to catastrophic cases and chronically ill members/clients across the continuum of care that can include consultant referrals, home care visits, the use of community resources, and alternative levels of care.
li>Implements and coordinates all case management activities relating to catastrophic cases and chronically ill members/clients across the continuum of care that can include consultant referrals, home care visits, the use of community resources, and alternative levels of care. Community Care Case Manager use a collaborative process of assessment, planning, facilitation, care coordination, evaluation, and advocacy for options and services to meet an individual's comprehensive health needs through communication and available resources to promote quality, cost effective outcomes.
Brentwood, Tennessee19 days ago
p>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.
Work At Home, TN25 days ago
Assesses and analyzes injured, acute, or chronically ill members/clients medical and/or vocational status; develops a plan of care to facilitate the member/client's appropriate condition management to optimize wellness and medical outcomes, aid timely return to work or optimal functioning, and determination of eligibility for benefits as appropriate. Implements and coordinates all case management activities relating to catastrophic cases and chronically ill members/clients across the continuum of care that can include consultant referrals, home care visits, the use of community resources, and alternative levels of care.
Nashville, TN30+ days ago
p>Belle is a fast growing engagement company that is revolutionizing home healthcare – and it all begins with the feet. This role is ideal for a compassionate nurse who is experienced in care coordination and chronic disease management, and passionate about improving the health and well-being of members through personalized, holistic support.