34 remote care manager jobs at 24 companies in Fairview, TN
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Manager of Managed Care Operations - Hybrid / Remote
Brentwood or United States
HybridFull Time
Surgery PartnersNASDAQ: SGRY: Operates a national network of surgical facilities and clinics.
3+ YOEBachelors required; minimum 3 years managed care experience; 2+ years negotiation/provider relations or contract analysis; knowledge of ASC reimbursement, CPT coding, and Excel; strong analytical and communication skills.
Brentwood or Rutherford County or Wilson County or Davidson County or Coffee County or Williamson County or Marshall County or Bedford County or Cannon County
$29-$52/hrFieldFull Time
UnitedHealth GroupNYSE: UNH: Provides health insurance and technology-enabled health care services.
5+ YOEMeet one of: 4-year+ degree in human services or be an RN/LPN or QDDP/QIDP; 5+ years as independent support coordinator/case manager for 1915(c) HCBS waiver preferred; reside within 50-mile radius of listed TN counties; valid US driver’s license and ability to travel up to 75%.
Microsoft Word, Microsoft Excel, Microsoft Outlook
Family Care Coordinator - Nashville (onsite NOT remote)
Nashville, Tennessee, United States
OnsiteFull Time
New Mexico Donor Services: Coordinates organ and tissue donation for lifesaving transplants.
2+ YOEBachelor's degree, 2+ years healthcare experience with families/bereavement/counseling, strong communication and conflict management, valid driver’s license, ability to obtain hospital badge/EMR access.
AdvanceCare Health Services: Provides in-home healthcare and support services in Tennessee.
Homecare agency operations experience (administrator/owner/director/manager), ability to review operations, produce reports, recommend and help implement improvements, tech-savvy, strong communication, must reside in Tennessee.
Atlanta or Philadelphia or Nashville or United States
RemoteFull Time
Trella Health: Provides market intelligence and analytics for post-acute care providers.
4+ YOE4+ years B2B SaaS product management; experience with clinical and claims data, post-acute care workflows, value-based care, AI-driven analytics; Agile experience and stakeholder leadership.
Manager, Strategic Pricing and Analytics, Health Plan Relations (Remote)
Nashville or United States
RemoteFull Time
AMSURG: Operates a national network of outpatient surgery centers.
4+ YOEBachelor's degree required; 4+ years healthcare analytics experience with minimum 2 years payer contract modeling; advanced Microsoft Excel, Microsoft 365 fluency, basic SQL preferred; expertise in managed care contracts and reimbursement methodologies.
Microsoft 365, Microsoft Excel, Microsoft Teams, Microsoft SharePoint, Microsoft OneDrive, SQL, HST, gPM, AdvantX, Insight/NextGen, SIS
Staff Psychiatric Mental Health Nurse Practitioner (PMHNP) — Remote | Telehealth | Full-Time or Part-Time | Tennessee
United States or Clarksville or Chattanooga or Jackson or Franklin or Knoxville or Hendersonville or Nashville or Murfreesboro or Memphis or Johnson City
$150k-$300k/yrRemoteFull Time, Part Time
Legion Health: Provides AI-enabled telepsychiatry and medication management services covered by insurance.
Active unrestricted PMHNP practice authority in at least one U.S. jurisdiction, strong psychiatric assessment, diagnosis, medication management, communication, EHR, and remote-care skills.
electronic health record systems, EHR, e-Prescribe, AI tools, UpToDate, Carlat
6+ YOE7+ MgmtRequires a high school diploma or GED, 7–10 years of management or supervisory experience with teams of 10+, and 6+ years in healthcare, IT, or managed care. Bachelor's degree preferred.
E360 RCM, Enforcer, Microsoft Office, Microsoft Word, Microsoft Excel, Microsoft Outlook, HIPAA
Nashville or Arizona or Colorado or Kentucky or North Carolina or New Jersey or Tennessee or Texas or Virginia or Washington
$87k-$90k/yrRemoteFull Time
Vori Health: Virtual-first medical practice specializing in musculoskeletal and joint care.
3+ YOEDoctorate in Physical Therapy, active unencumbered PT license in home state (PT Compact member), 3+ years outpatient/digital orthopedic PT experience, APTA telehealth certificate, strong digital care and clinical decision-making skills.
BrightSpring Health ServicesNASDAQ: BTSG: Provider of home and community-based health and pharmacy services.
5+ YOE5+ years in account management/sales/business development, territory management, experience in long-term care or pharmacy preferred; bachelor’s preferred; strong relationship, communication, and sales skills; able to travel 25–75%.
Birmingham or Nashville or Atlanta or Georgia or Alabama or Tennessee
RemoteFull Time
Avadim Health: Develops and sells topical healthcare and wellness products.
3+ YOEBachelor's degree and 3–5 years of acute care sales experience required; strong communication, presentation, CRM, Microsoft Office, territory travel, and hospital sales skills needed.
Microsoft Office Suite, Microsoft Teams, Zoom, CRM
Partner, AI-Enabled CDI, Care Management, and Utilization Management Transformation
Boston or Chicago or New York City or Washington or Nashville or United States
$250k-$350k/yrRemoteFull Time
Chartis: Strategic consulting and data analytics for the healthcare sector.
10+ YOEBachelor's required (advanced preferred), 10+ years in CDI/care management/utilization management or healthcare consulting, deep knowledge of DRGs/denial prevention, EHR workflows, AI-enabled solutions, and strong executive communication.
Diversicare: Operates skilled nursing and long-term care facilities.
Associate degree or higher; active RN or multistate LPN license preferred, with post-acute care, care coordination, or case management experience and electronic health record proficiency.
Electronic Medical Record (EMR), electronic health record, HIPAA
Sound Physicians: Physician-led medical group providing comprehensive hospital-based clinical services.
8+ YOE3+ MgmtBachelor's required; 8+ years in ACO/value-based care; 3+ years managing direct reports; expertise in ACO financials, partner engagement, and governance.
CCLF, QEXPU, quality registry data, Copilot Studio
Richardson or Helena or Albuquerque or Tulsa or Chicago or Nashville
$56k-$124k/yrRemoteFull Time
Health Care Service Corporation: Provides health insurance and managed care to millions of members.
4+ YOE4+ MgmtBachelor's in business/medical or 4+ years managed care experience; 4 years leadership and 4 years performing delegated oversight; project management; knowledge of TDI, NCQA, URAC; Word/Excel/PowerPoint/Lotus Notes proficiency; <10% travel.
Microsoft Word, Microsoft Excel, Microsoft PowerPoint, Lotus Notes, Visio
Elevance HealthNYSE: ELV: Provides health insurance plans and integrated healthcare services.
2+ YOEAS in nursing (or equivalent), current unrestricted RN license, minimum 2 years condition-specific clinical or home health/discharge planning experience; case management and Spanish bilingualism preferred.
Director, Clinically Integrated Network - Commonwealth Region
Brentwood or Louisville
RemoteFull Time
Spring View Hospital: Community hospital providing acute care and specialty medical services.
7+ YOE7+ MgmtBachelor's required (Master's preferred), 7-10 years healthcare leadership in multi-group practice or integrated system, CIN/ACO experience preferred, knowledge of provider contracting and care management, ability to travel up to 25%, US work authorization required.
Navitus Health Solutions: Transparent pharmacy benefit management and specialty pharmacy provider.
3+ YOEPharmD, active state pharmacist license, 3 years clinical or managed care experience preferred, strong communication, Excel/Office proficiency, remote/hybrid options.
Microsoft Excel, Microsoft PowerPoint, Microsoft Word
Physician, Family Medicine – Telemedicine Opportunity – DrHouse
Nashville or Memphis or Knoxville or Chattanooga or Clarksville or Tennessee
$100-$200/hrRemotePart Time
DrHouse: Online platform providing on-demand virtual doctor visits and prescriptions.
Board-certified physician (MD/DO) licensed in Tennessee; experience with telemedicine and EHR; managing primary, urgent, and chronic care; strong communication and clinical judgment.