BlueCross BlueShield of Tennessee jobs in Chattanooga, TN - 28 jobs

The BlueCare Manager of Medical Management role is an exciting opportunity for a dynamic leader to oversee three established teams dedicated to delivering high‑quality home health and durable medical equipment (DME) services for Medicaid members. In this position, you'll guide daily operations, oversee prior authorization and home health case management, and play a critical part in ensuring medically complex members receive the services they need to safely remain in their homes. You'll also carry significant responsibility for TennCare‑specific deliverables and have the opportunity to help drive an enterprise‑wide DME vendor and network implementation this year. What We're Looking For A leader to oversee three strong, existing teams focused on home health and DME services Experience supporting Medicaid or similar populations preferred What You'll Do Manage prior authorization for home health and DME services Provide oversight of home health case managers supporting medically complex members Ensure members receive timely, medically necessary in‑home services and supports Key Differentiators Significant responsibility for TennCare deliverables related to home health Key participant in a major enterprise DME vendor and network implementation Opportunity to influence high‑visibility, compliance‑driven work Preference for the following experiences: TennCare/BlueCare Home Health Project Management Job Responsibilities Providing clinical expertise in the development of programs and educational material pertaining to clinical management; providing guidance to staff who work directly on the programs. Participating in the development of effective strategies, policies, and procedures related to clinical management programs. Developing and implementing clinical programs to achieve improved rates, the highest accreditation, and improvement in the health of the population. Managing a team(s) of clinical staff to assure effectiveness of programs and appropriate professional evaluation of clinical services. Regular overnight travel is not required, but may be requested on occasion. Various immunizations and/or associated medical tests may be required for this position. Job Qualifications Experience 3 years - Utilization Management, or Case Management experience required 5 years - Experience in the Health Insurance Industry 3 years - Experience in management or supervisory/team lead capacity. Skills\Certifications Extensive knowledge of all aspects of Utilization Management, Care Management, and Behavioral Health. License If a Registered Nurse (RN) must have an active license in the state of Tennessee or hold a license in the state of their residence if the state is participating in the Nurse Licensure Compact Law or the ability to secure the license immediately upon selection Number of Openings Available 1 Worker Type: Employee Company: VSHP Volunteer State Health Plan, Inc Applying for this job indicates your acknowledgement and understanding of the following statements: BCBST will recruit, hire, train and promote individuals in all job classifications without regard to race, religion, color, age, sex, national origin, citizenship, pregnancy, veteran status, sexual orientation, physical or mental disability, gender identity, or any other characteristic protected by applicable law. Further information regarding BCBST's EEO Policies/Notices may be found by reviewing the following page: BCBST's EEO Policies/Notices BlueCross BlueShield of Tennessee is not accepting unsolicited assistance from search firms for this employment opportunity. All resumes submitted by search firms to any employee at BlueCross BlueShield of Tennessee via-email, the Internet or any other method without a valid, written Direct Placement Agreement in place for this position from BlueCross BlueShield of Tennessee HR/Talent Acquisition will not be considered. No fee will be paid in the event the applicant is hired by BlueCross BlueShield of Tennessee as a result of the referral or through other means.

This role Supports the Board of Directors for BlueCross BlueShield of Tennessee, Inc. (BCBST), the governing boards for BCBSTs subsidiaries and affiliates, and BCBST senior leadership in all duties related to corporate governance for the BCBST enterprise. Job Responsibilities Ensures that the Board has resources and information required for discharging its fiduciary duties and complying with and satisfying corporate governance obligations and responsibilities Supports the Board, subsidiary and affiliate boards, and BCBST senior leadership on issues relating to board composition, structure, organization, and board and governance processes and related matters Oversees and manages operations for the board of BCBST and its subsidiaries and affiliates, including preparing documents and other materials in preparation for and follow up to all meetings Coordinating logistics for Board meetings, retreats, and other events, such as facilities, schedules, and director and management travel, dining, and accommodations Oversees and manages BCBST out-of-state business, such as licensure and reporting requirements, and BlueCross BlueShield Association licensure and related matters Job Qualifications Education Bachelor's Degree or equivalent work experience required. Equivalent experience is defined as 4 years of professional work experience in a corporate environment Experience 5 years - Professional staff with progressive management and leadership responsibilities 1 year - Experience in legal corporate governance required Skills\Certifications Proficient in Microsoft Office (Outlook, Word, Excel and Powerpoint) Excellent oral and written communication skills and analytic capabilities Demonstrated leadership capabilities for multi-faceted teams and projects Capable of high performance within high stress, fast-paced environment with multiple workstreams progressing simultaneously Number of Openings Available 1 Worker Type: Employee Company: BCBST BlueCross BlueShield of Tennessee, Inc. Applying for this job indicates your acknowledgement and understanding of the following statements: BCBST will recruit, hire, train and promote individuals in all job classifications without regard to race, religion, color, age, sex, national origin, citizenship, pregnancy, veteran status, sexual orientation, physical or mental disability, gender identity, or any other characteristic protected by applicable law. Further information regarding BCBST's EEO Policies/Notices may be found by reviewing the following page: BCBST's EEO Policies/Notices BlueCross BlueShield of Tennessee is not accepting unsolicited assistance from search firms for this employment opportunity. All resumes submitted by search firms to any employee at BlueCross BlueShield of Tennessee via-email, the Internet or any other method without a valid, written Direct Placement Agreement in place for this position from BlueCross BlueShield of Tennessee HR/Talent Acquisition will not be considered. No fee will be paid in the event the applicant is hired by BlueCross BlueShield of Tennessee as a result of the referral or through other means.

Explore opportunities with LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve. Find a home for your career here. Join us and embrace a culture of Caring. Connecting. Growing together. As the Physical Therapist Assistant (PTA), you will perform treatments and provide exercise instruction and patient education aimed at improving and enhancing the patient's well-being, while following the established plan of care. Primary Responsibilities: * Responsible for following all state specific laws governing the provision of physical therapy in home care, to follow the treatment set only as defined by the supervising PT; to perform only those procedures that he/she is qualified and trained to perform and to make all recommendations for changes in the plan of care to the supervising Physical Therapist * Instructs and aids patients in active and passive exercise, muscle re-education, gait, functional, ADL, transfer, safety, and prosthetic training * Observes, records, and reports to the supervising PT, the nurse supervisor, and/or the physician the patient's response to treatment and changes in the patient's condition. Coordinates care with the other members of the healthcare team as appropriate * Instructs patient, family, caregiver, and other members of the health care team in the areas of therapy within the scope of the Physical Therapy Assistant * Visit patients within the service area You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: * Licensed, registered, or certified to assist in physical therapy in state of practice. * Current CPR certification * Current driver's license, vehicle insurance, and access to a dependable vehicle or public transportation. * Ability to function in any home situation regardless of age, race, creed, color, sex, disability, or financial condition of the client $49,500 - $109,300 annual total cash target pay $28.56 - $63.06 per visit point $23.8 - $52.55 hourly rate Annual total cash compensation for this role assumes full-time employment (40 weekly hours) at full productivity and generally follows the range above. Total cash compensation includes earnings from per visit point pay and hourly pay and is based on several factors including but not limited to local labor markets, education, work experience and may increase over time based on productivity and performance in the role. This role receives two types of compensation depending on the work being performed. When conducting visits, you will be paid per visit point rate compensation. Your per visit pay will be calculated by multiplying your per visit point rate by the productivity points you accrue for various types of visits. Each type of visit is assigned a certain number of productivity points that is inclusive of "direct" and "indirect" patient care activities. Visits are assigned based on patient and business needs. The number of visits performed each week will vary based on individual productivity targets and the productivity points assigned to the visits performed. You will be paid your hourly rate for certain non-visit activities such as orientation. We comply with all minimum wage laws as applicable. In addition to your pay, we offer benefits such as, a comprehensive benefits package, recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

Design That Makes Care Feel Clear Join our Design team, where creativity meets purpose. At the heart of our not-for-profit mission lies a commitment to our 3.4 million members - and we're looking for a Senior Digital Designer to help bring that mission to life through meaningful, accessible and engaging communications. As a key member of the Design team, you'll use your skills to push boundaries and create meaningful digital experiences, accessible visual communications and multi‑platform assets that build trust and clarity. With at least 4 years of professional design experience, you'll collaborate across departments to ensure our work represents the highest standards of design. If you're ready to combine creativity with purpose, we want to hear from you. Note: Sponsorship is not available for this role. Job Responsibilities Champion an innovation mind-set and a variety of innovation approaches (e.g., human-centered design thinking, design sprinting, lean development, AI-based tools) to design, develop, prototype and test innovative products and services. Concept digital projects of a moderate level of complexity and across multiple formats. Rapidly iterate, delivering wireframes and prototypes to bring ideas to life. Prepare digital assets for proper hand off to developers. Under the leadership of a Digital Art Director, support project execution from start to finish with a clear understanding of strategy, project objectives, UX standards, timelines and budget. Document member insights and pain points to inform development of design concepts. Build member experience journey maps and service maps, and coordinates experience improvement documentation Ability to contribute to the development of omni-channel materials, including print materials and package print materials for print production, if needed. Job Qualifications Education Bachelor's Degree in Design, UX, Communications, Marketing, or a related field or equivalent, relevant work experience required. Equivalent experience is defined as 4 years of professional work experience in a corporate environment. Experience 4 years - Experience with digital and/or experience design, creative prototyping, strategy consulting, marketing, or related consumer-focused function required. Skills/Certifications Strong design skills, meticulous attention to details and the ability to think strategically to create multiple solutions addressing the needs of our members High level of proficiency in Figma with strong knowledge of digital development processes. Proficient in Adobe CC with emphasis on Photoshop, Illustrator and InDesign. with knowledge of printing processes Natural curiosity with a passion for problem solving and delivering results Excellent communication, interpersonal and presentation skills with strong attention to detail Demonstrated ability to support multiple projects and priorities Ability to support qualitative, quantitative, and secondary research insights and strategies Ability to work independently under general supervision and collaboratively as part of a team in a fast-paced environment Number of Openings Available 1 Worker Type: Employee Company: BCBST BlueCross BlueShield of Tennessee, Inc. Applying for this job indicates your acknowledgement and understanding of the following statements: BCBST will recruit, hire, train and promote individuals in all job classifications without regard to race, religion, color, age, sex, national origin, citizenship, pregnancy, veteran status, sexual orientation, physical or mental disability, gender identity, or any other characteristic protected by applicable law. Further information regarding BCBST's EEO Policies/Notices may be found by reviewing the following page: BCBST's EEO Policies/Notices BlueCross BlueShield of Tennessee is not accepting unsolicited assistance from search firms for this employment opportunity. All resumes submitted by search firms to any employee at BlueCross BlueShield of Tennessee via-email, the Internet or any other method without a valid, written Direct Placement Agreement in place for this position from BlueCross BlueShield of Tennessee HR/Talent Acquisition will not be considered. No fee will be paid in the event the applicant is hired by BlueCross BlueShield of Tennessee as a result of the referral or through other means.

Join our team as Counsel and play a pivotal role in shaping the legal strategy that drives our business forward. In this position, you work with our group health plan contracting team to draft and negotiate complex contracts, prepare legal memoranda, and contribute to major legal initiatives that impact our organization. We value professionals who combine sharp analytical skills with clear communication, sound judgment, and the ability to translate complex legal concepts into actionable business insights. Experience with group health plan contracts or extensive drafting and negotiation of other types of complex contracts is highly preferred. If you're ready to work independently, build strong relationships, and make a meaningful impact, this is an opportunity to bring your expertise to a dynamic, collaborative environment. Job Responsibilities Provide legal support and guidance to business leaders throughout the Enterprise, including advising on legal considerations and risks affecting business initiatives and operations. Develop and maintain strong, professional business relationships with internal and external clients. Assists and supports more senior attorneys with management of legal matters and projects. Draft and revise legal documents, including contracts and legal memoranda. Job Qualifications Education/Licensure Juris Doctorate from an accredited institution Must be a member of the TN bar, or licensed in another state and become a member of the TN bar as required by the state bar. Experience 5 years - Private practice or in-house legal department experience required Skills Strong analytical, planning, organizational and research skills Strong oral and written communication skills Ability to interpret and translate complex concepts into information meaningful to business personnel. Ability to work independently on multiple tasks involving critical deadlines with little or no supervision as well as part of a team Number of Openings Available 1 Worker Type: Employee Company: BCBST BlueCross BlueShield of Tennessee, Inc. Applying for this job indicates your acknowledgement and understanding of the following statements: BCBST will recruit, hire, train and promote individuals in all job classifications without regard to race, religion, color, age, sex, national origin, citizenship, pregnancy, veteran status, sexual orientation, physical or mental disability, gender identity, or any other characteristic protected by applicable law. Further information regarding BCBST's EEO Policies/Notices may be found by reviewing the following page: BCBST's EEO Policies/Notices BlueCross BlueShield of Tennessee is not accepting unsolicited assistance from search firms for this employment opportunity. All resumes submitted by search firms to any employee at BlueCross BlueShield of Tennessee via-email, the Internet or any other method without a valid, written Direct Placement Agreement in place for this position from BlueCross BlueShield of Tennessee HR/Talent Acquisition will not be considered. No fee will be paid in the event the applicant is hired by BlueCross BlueShield of Tennessee as a result of the referral or through other means.

Explore opportunities with SunCrest Home Health, a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve. Find a home for your career here. Join us and embrace a culture of Caring. Connecting. Growing together. As a Psychiatric Registered Nurse in Home Health, you will deliver professional nursing care directly in patients' homes. You assess their needs, develop personalized care plans, implement treatment strategies, and evaluate outcomes to ensure high-quality, compassionate care for each individual. Primary Responsibilities: * Make initial nursing evaluation visits within 24-48 hours of referral or as directed by the physician * Assess and reassess patients' physical condition, mental status, and suicidal potential * Initiate and revise treatment plans according to psychiatric nursing standards * Instruct and supervise family members in patient care and maintaining a safe environment * Provide specialized nursing services and perform physician-ordered treatments * Assist families in identifying daily living challenges and accessing community resources * Maintain accurate patient records, including medications and treatments * Report significant changes in patient condition to physicians and appropriate personnel * Provide counseling and crisis intervention to patients and families * Participate in agency in-service programs and nursing reports * Comply with the Care Management Model and perform 60-day recertification reviews * Collaborate with physicians and interdisciplinary teams on patient care * Participate in staff conferences and quality assurance/quality improvement processes * Perform other duties as assigned You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: * Current, unrestricted RN license in state of practice * Current CPR certification * Valid driver's license, vehicle insurance, and access to a dependable vehicle or public transportation * Recent experience in psychiatric nursing within the last five years OR documentation of psychiatric retraining or continuing education (CEUs) Preferred Qualification: * Oasis Certification Pay Range $64,100 to $141,500 annual total cash target pay $36.98 to $81.63 per visit point $30.82 to $68.03 hourly rate Annual total cash compensation for this role assumes full-time employment (40 weekly hours) at full productivity and generally follows the range above. Total cash compensation includes earnings from per visit point pay and hourly pay and is based on several factors including but not limited to local labor markets, education, work experience and may increase over time based on productivity and performance in the role. This role receives two types of compensation depending on the work being performed. When conducting visits, you will be paid per visit point rate compensation. Your per visit pay will be calculated by multiplying your per visit point rate by the productivity points you accrue for various types of visits. Each type of visit is assigned a certain number of productivity points that is inclusive of "direct" and "indirect" patient care activities. Visits are assigned based on patient and business needs. The number of visits performed each week will vary based on individual productivity targets and the productivity points assigned to the visits performed. You will be paid your hourly rate for certain non-visit activities such as orientation. We comply with all minimum wage laws as applicable. In addition to your pay, we offer benefits such as, a comprehensive benefits package, recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

The Member Benefits Administration Division at BCBST is looking to add a PBX Operator to our team! This position will receive and route incoming telephone calls. Previous call center or switchboard experience is preferred. In this role, you'll have the opportunity to connect with all lines of business within BCBST by answering and re-directing phone calls to the appropriate team or individual, to suit the callers' needs. Experience in MBA is highly preferred. Commercial Ops experience is a plus. This remote role will have a rotating shift to cover the hours of Monday to Friday, 8:00 a.m. - 6:00 p.m. EST. Does this opportunity sound like a great match? If so, we look forward to receiving your application. Job Responsibilities Addressing minor issues and complaints. Ensuring all customer communication is clearly documented. Answering inbound customer service calls; redirecting phone calls when appropriate. Ensuring all calls are accurately and quickly routed to the proper area. Job Qualifications Education High School Diploma or equivalent Experience 1 year - Customer Service telephone experience required Skills\Certifications Proficient in Microsoft Office (Outlook, Word, Excel and Powerpoint) Proficient oral and written communication skills Proficient interpersonal and organizational skills Customer service oriented Number of Openings Available 1 Worker Type: Employee Company: BCBST BlueCross BlueShield of Tennessee, Inc. Applying for this job indicates your acknowledgement and understanding of the following statements: BCBST will recruit, hire, train and promote individuals in all job classifications without regard to race, religion, color, age, sex, national origin, citizenship, pregnancy, veteran status, sexual orientation, physical or mental disability, gender identity, or any other characteristic protected by applicable law. Further information regarding BCBST's EEO Policies/Notices may be found by reviewing the following page: BCBST's EEO Policies/Notices BlueCross BlueShield of Tennessee is not accepting unsolicited assistance from search firms for this employment opportunity. All resumes submitted by search firms to any employee at BlueCross BlueShield of Tennessee via-email, the Internet or any other method without a valid, written Direct Placement Agreement in place for this position from BlueCross BlueShield of Tennessee HR/Talent Acquisition will not be considered. No fee will be paid in the event the applicant is hired by BlueCross BlueShield of Tennessee as a result of the referral or through other means.

Join Our Team as a Provider Research Specialist with Provider Operation Process Support! Are you passionate about ensuring accuracy and efficiency in healthcare operations? BlueCross BlueShield of Tennessee's Provider Operation Process Support team is looking for a detail-oriented Research Specialist to join our mission of improving healthcare access and affordability. In this role, you will: Audit incoming applications to ensure all required information is documented or attached. Handle multiple applications simultaneously with using BPM, Cactus, CAQH, and Facets Communicate effectively with providers and internal teams to resolve any issues and ensure smooth operations. Preferred skills include: Strong multitasking abilities and proficiency in using multiple applications. Excellent communication skills for interacting with providers and internal teams. Back office or auditing experience. Experience with credentialing software such as Cactus and familiarity with Facets. If you are a strategic thinker with exceptional analytical skills, we want to hear from you. Help us shape the future of healthcare by enrolling providers to work with BCBST, making a meaningful difference in the lives of our members. Job Responsibilities Monitors provider system data files and creates and maintains contract fact sheets for each contracted provider, including but not limited to: participation in all BCBST networks, special arrangements, and reimbursement data in all BCBST systems. Works closely with Provider Relations and Provider Service Organization staff to resolve provider and member problems or complaints related to provider participation status. Investigates all information associated with contract(s) to ensure accuracy and completeness (i.e., profile form, change forms, provider leaving group forms, signature pages, reimbursement schedules, escalation, incentive, pre-application information, credentialing information and electronic commerce information). Works closely with the provider community to get corrected data needed from the research of the contracts and forms received prior to having contract data entered and maintained in the FACETS system. Job Qualifications Education High School Diploma or equivalent Experience 3 years - Experience in a Support function or Customer Service, experience with the military, or coursework towards a related degree. Skills\Certifications Proficient in Microsoft Office (Outlook, Word, Excel and PowerPoint) Proficient oral and written communication skills Proficient interpersonal and organizational skills This position is a BBNE, Grade 09, Incentive AEP Must have BCBST Research Specialist experience Number of Openings Available 1 Worker Type: Employee Company: BCBST BlueCross BlueShield of Tennessee, Inc. Applying for this job indicates your acknowledgement and understanding of the following statements: BCBST will recruit, hire, train and promote individuals in all job classifications without regard to race, religion, color, age, sex, national origin, citizenship, pregnancy, veteran status, sexual orientation, physical or mental disability, gender identity, or any other characteristic protected by applicable law. Further information regarding BCBST's EEO Policies/Notices may be found by reviewing the following page: BCBST's EEO Policies/Notices BlueCross BlueShield of Tennessee is not accepting unsolicited assistance from search firms for this employment opportunity. All resumes submitted by search firms to any employee at BlueCross BlueShield of Tennessee via-email, the Internet or any other method without a valid, written Direct Placement Agreement in place for this position from BlueCross BlueShield of Tennessee HR/Talent Acquisition will not be considered. No fee will be paid in the event the applicant is hired by BlueCross BlueShield of Tennessee as a result of the referral or through other means.

Join our collaborative Stars team dedicated to improving HEDIS preventative screening performance for our BlueCare Plus DSNP members. This role blends provider engagement, event coordination, and meaningful impact on the member population. What You'll Be Part Of A team focused on Stars improvement for the BlueCare Plus (DSNP) line of business Direct impact on HEDIS preventative screening measures What You'll Do Build relationships with provider offices to coordinate and execute wellness events Engage multiple partners (providers, vendors, Member Outreach, Transportation) Drive gap‑closure success through event planning, member attendance efforts, and follow‑up reporting Travel about 50% of the time across Tennessee (with flexibility to choose regions) Training & Ramp-Up Primarily on‑the‑job training First two weeks focused on core duties, DSNP population needs, and Stars processes Preferred Skills & Attributes Works independently and is highly self‑motivated Strong understanding of relevant HEDIS Stars measures Experience with the BlueCare Plus DSNP population (highly preferred) Job Responsibilities Monitoring health education programs trending and analysis of findings and making improvements. Implementing outreach programs to members and providers to facilitate an increase in the number of preventative health services. Supports the planning and execution of community outreach initiatives which focus on improving the Stars quality scores, improving the overall member experience and improving member health outcomes. Ensuring quality and performance standards as defined by CMS, BCBSA, BCBST and all accrediting bodies. Travel is required throughout TN for member or provider events ~ 50+% Job Qualifications Education Bachelors degree or equivalent work experience in Business, Public Relations, Marketing/ Advertising, or related field Experience 2 years - Experience in the healthcare industry required 1 year - Marketing and/or communications experience required 1 year - Project management, account management or similar experience required 1 year - Experience in a member/customer-focused position is required. Skills\Certifications Demonstrated ability to effectively work with senior leadership teams Proficient in Microsoft Office (Outlook, Word, Excel and PowerPoint) Accuracy and attention to detail Capacity to solve problems and manage multiple assignments with critical deadlines Excellent oral and written communication skills Strong interpersonal and organizational skills Strong analytical skills Number of Openings Available 1 Worker Type: Employee Company: BCBST BlueCross BlueShield of Tennessee, Inc. Applying for this job indicates your acknowledgement and understanding of the following statements: BCBST will recruit, hire, train and promote individuals in all job classifications without regard to race, religion, color, age, sex, national origin, citizenship, pregnancy, veteran status, sexual orientation, physical or mental disability, gender identity, or any other characteristic protected by applicable law. Further information regarding BCBST's EEO Policies/Notices may be found by reviewing the following page: BCBST's EEO Policies/Notices BlueCross BlueShield of Tennessee is not accepting unsolicited assistance from search firms for this employment opportunity. All resumes submitted by search firms to any employee at BlueCross BlueShield of Tennessee via-email, the Internet or any other method without a valid, written Direct Placement Agreement in place for this position from BlueCross BlueShield of Tennessee HR/Talent Acquisition will not be considered. No fee will be paid in the event the applicant is hired by BlueCross BlueShield of Tennessee as a result of the referral or through other means.

BCBST's BlueBridge Internship program is seeking an Intern for the Financial Accounting and Reporting Division! About the Program: BCBST's BlueBridge Internship Program offers hands-on experience, professional collaboration, and opportunities to build real-world skills in accounting and finance. Financial Accounting and Reporting Internship Role Overview: This remote internship provides rotational exposure across accounting and finance teams. Interns will perform meaningful work and gain insight into areas they may want to pursue professionally. Key Details: Start Date: May 2026 | Duration: 12 months (May 2026-May 2027) Hours: Minimum 20 hours per week (scheduled consistently across the week with flexibility in daily hours) Location: Remote, with preference for students in Tennessee or the Southeast Paid Position Requirements: Completion of Intermediate I Accounting coursework Majors in Accounting or Finance preferred Rising seniors or graduate-level students encouraged Proficiency in Excel preferred Strong initiative and ability to work independently If you're ready to gain valuable experience and make industry connections, apply today! Job Qualifications Education Active college students (in an accredited college or university) who have completed a minimum of two years of college are eligible. Recent college graduates and students enrolled in a Masters or Doctoral program (in an accredited college or university) are also eligible. Must provide transcripts. Active full-time BCBST employees are not eligible to participate in the program. Experience Varies based on division. Please see Job Specific Requirements section below for this internship's specific responsibilities and preferred qualifications. Skills/Certifications Able to prioritize, work independently, and effectively manage time and resources. Effective communication skills: written and verbal. Proficient computer skills and Microsoft Office experience (Outlook, Word, Excel and PowerPoint) Appropriate decision-making skills required. GPA requirement Must have a 2.75 GPA or higher Number of Openings Available 1 Worker Type: Intern (Trainee) Company: BCBST BlueCross BlueShield of Tennessee, Inc. Applying for this job indicates your acknowledgement and understanding of the following statements: BCBST will recruit, hire, train and promote individuals in all job classifications without regard to race, religion, color, age, sex, national origin, citizenship, pregnancy, veteran status, sexual orientation, physical or mental disability, gender identity, or any other characteristic protected by applicable law. Further information regarding BCBST's EEO Policies/Notices may be found by reviewing the following page: BCBST's EEO Policies/Notices BlueCross BlueShield of Tennessee is not accepting unsolicited assistance from search firms for this employment opportunity. All resumes submitted by search firms to any employee at BlueCross BlueShield of Tennessee via-email, the Internet or any other method without a valid, written Direct Placement Agreement in place for this position from BlueCross BlueShield of Tennessee HR/Talent Acquisition will not be considered. No fee will be paid in the event the applicant is hired by BlueCross BlueShield of Tennessee as a result of the referral or through other means.

Explore opportunities with SunCrest Home Health, a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve. Find a home for your career here. Join us and embrace a culture of Caring. Connecting. Growing together. As the Registered Nurse in Home Health you will provide and direct provisions of nursing care to patients in their homes as prescribed by the physician and in compliance with applicable laws, regulations, and agency policies. You will also coordinate total plan of care with other health care professionals involved in care and helps to achieve and maintain continuity of patient care by planning and exchanging information with physician, agency personnel, patient, family, and community resources. Primary Responsibilities: * Clinical Competence * Initiates, develops, implements, and revises the plan of care in collaboration with the physician and other health care professionals * Supervises care provided by home health aides and licensed practical/vocational nurses, provides instruction, and assigns tasks according to State and federal regulations * Provides required supervisory visits * Documentation and Care Delivery * Provides high-quality clinical services within the scope of practice and infection control standards, in accordance with the plan of care, and in coordination with other health care team members * Completes comprehensive assessments (OASIS) including medication reconciliation accurately and timely * Documents patient visits per policy and payer requirements, and syncs timely per LHC policy * Quality * Makes initial and/or comprehensive nursing evaluation visits, ensures patients meet home health eligibility and medical necessity guidelines, determines primary focus of care, develops the plan of care within State guidelines with the physician, and submits accurate documentation * Communicates relevant information timely and effectively with appropriate agency staff, including patient care issues, visit assignments, schedule changes, orders, OASIS data sets, coding requests, and coordination with other clinicians * Communicates timely and effectively with physicians, patients, and family members to ensure quality care and service excellence * Teamwork * Takes direction from Clinical Director and Executive Director professionally and completes assigned tasks timely, including required learning * Assists in the orientation of new agency personnel and serves as a preceptor to other staff and students * Actively participates in survey/survey readiness activities and performance improvement plans, works to reduce unnecessary patient hospitalizations, improve patient safety, and implements processes and best practices to ensure positive patient outcomes * Participates in on-call and weekend rotation as needed to meet patient needs * Adheres to and participates in the agency's utilization management model You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: * Current and unrestricted RN licensure in state of practice * 1+ years of Home Health experience * Current Driver's License, vehicle insurance, and access to a dependable vehicle or public transportation * Current CPR Certification * Ability to function in any home situation regardless of age, race, creed, color, sex, disability, or financial condition of the client Preferred Qualifications: * Ability to work independently * Solid communication, writing, and organizational skills Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $28.27 to $50.48 per hour based on full-time employment. We comply with all minimum wage laws as applicable At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

Are you passionate about making a meaningful impact on the lives of individuals facing mental health challenges, while working behind the scenes? If so, Utilization Management might be the perfect fit for you! In this role, you'll play a critical part in shaping care decisions and improving outcomes, all without direct, face-to-face interaction. What You'll Do Apply your knowledge of Behavioral Health and Withdrawal Management diagnoses. Navigate the continuum of care and levels of care for Behavioral Health and Withdrawal Management. Present cases confidently and effectively during clinical rounds. Work independently with minimal supervision. Excel in a fast-paced, dynamic environment. Our Ideal Candidates will have an RN or Social Work license and: 3 years - Clinical behavioral health / substance use disorder experience required 1 year - Must be knowledgeable about community care resources and levels of behavioral health care available. Along with: 3+ years of experience in Psychiatric and/or Substance Use treatment. Background in Behavioral Health settings (both inpatient and outpatient). Prior experience in Utilization Management or Managed Care. Strong communication and presentation skills. Ability to work autonomously and manage time effectively. Adaptability and resilience in a rapidly changing work environment. Why Choose Us? This is more than a job; it's an opportunity to make a lasting difference in people's lives while leveraging your expertise in a collaborative, supportive setting. Job Responsibilities Assists non-clinical staff in performance of administrative reviews Initiate referrals to ensure appropriate coordination of care. Seek the advice of the Medical Director when appropriate, according to policy. Performing comprehensive provider and member appeals, denial interpretation for letters, retrospective claim review, special review requests, and UM pre-certifications and appeals, utilizing medical appropriateness criteria, clinical judgement, and contractual eligibility. Various immunizations and/or associated medical tests may be required for this position. Job Qualifications License Current, active unrestricted Tennessee license in Nursing (RN) or behavioral health field (Master's level or above) (Ph.D., LCSW/LMSW, LLP, MHC, LPC, etc.) required. RN may hold a license in the state of their residence if the state is participating in the Nurse Licensure Compact Law. Experience 3 years - Clinical behavioral health / substance use disorder experience required Skills\Certifications Must be knowledgeable about community care resources and levels of behavioral health care available. Proficient in Microsoft Office (Outlook, Word, Excel and PowerPoint) Independent, Sound decision-making and problem-solving skills Excellent oral and written communication skills Strong interpersonal and organizational skills Strong analytical skills Positive relationship building skills and ability to engage with diverse populations Ability to quickly identify and prioritize member needs and provide structured and focused support and interventions Number of Openings Available 1 Worker Type: Employee Company: BCBST BlueCross BlueShield of Tennessee, Inc. Applying for this job indicates your acknowledgement and understanding of the following statements: BCBST will recruit, hire, train and promote individuals in all job classifications without regard to race, religion, color, age, sex, national origin, citizenship, pregnancy, veteran status, sexual orientation, physical or mental disability, gender identity, or any other characteristic protected by applicable law. Further information regarding BCBST's EEO Policies/Notices may be found by reviewing the following page: BCBST's EEO Policies/Notices BlueCross BlueShield of Tennessee is not accepting unsolicited assistance from search firms for this employment opportunity. All resumes submitted by search firms to any employee at BlueCross BlueShield of Tennessee via-email, the Internet or any other method without a valid, written Direct Placement Agreement in place for this position from BlueCross BlueShield of Tennessee HR/Talent Acquisition will not be considered. No fee will be paid in the event the applicant is hired by BlueCross BlueShield of Tennessee as a result of the referral or through other means.

Explore opportunities with Elk Valley Health Services, a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve. Find a home for your career here. Join us and embrace a culture of Caring. Connecting. Growing together. As the Registered Nurse you will provide and direct provisions of nursing care to patients in their homes as prescribed by the physician and in compliance with applicable laws, regulations, and agency policies. You will also coordinate total plan of care with other health care professionals involved in care and helps to achieve and maintain continuity of patient care by planning and exchanging information with physician, agency personnel, patient, family, and community resources. Primary Responsibilities: * Provide high-quality clinical services within scope of practice and infection control standards * Coordinate care with other members of the patient/client's care team from admission to discharge * Complete clinical nursing assessments per federal/state program requirements and payer needs * Ensure patient/client eligibility and medical necessity for services as defined by payer and agency policy * Develop and revise individualized plans of care/service plans with other community providers * Ensure plan of care frequency and duration meets patient needs and initiate revisions with physician approval You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: * Current and unrestricted RN licensure in the state of practice * Current driver's license, vehicle insurance and access to a dependable vehicle or public transportation * Current CPR certification * Ability to function in any home situation regardless of age, race, creed, color, sex, disability, or financial condition of the client Preferred Qualifications: * 1+ years of RN experience * Able to work independently * Good communication, writing, and organizational skills Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $28.27 to $50.48 per hour based on full-time employment. We comply with all minimum wage laws as applicable. #LHCJobs At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

Explore opportunities with LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve. Find a home for your career here. Join us and embrace a culture of **Caring. Connecting. Growing together.** As the Physical Therapist Assistant (PTA), you will perform treatments and provide exercise instruction and patient education aimed at improving and enhancing the patient's well-being, while following the established plan of care. **Primary Responsibilities:** + Responsible for following all state specific laws governing the provision of physical therapy in home care, to follow the treatment set only as defined by the supervising PT; to perform only those procedures that he/she is qualified and trained to perform and to make all recommendations for changes in the plan of care to the supervising Physical Therapist + Instructs and aids patients in active and passive exercise, muscle re-education, gait, functional, ADL, transfer, safety, and prosthetic training + Observes, records, and reports to the supervising PT, the nurse supervisor, and/or the physician the patient's response to treatment and changes in the patient's condition. Coordinates care with the other members of the healthcare team as appropriate + Instructs patient, family, caregiver, and other members of the health care team in the areas of therapy within the scope of the Physical Therapy Assistant + Visit patients within the service area You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. **Required Qualifications:** + Licensed, registered, or certified to assist in physical therapy in state of practice. + Current CPR certification + Current driver's license, vehicle insurance, and access to a dependable vehicle or public transportation. + Ability to function in any home situation regardless of age, race, creed, color, sex, disability, or financial condition of the client $49,500 - $109,300 annual total cash target pay $28.56 - $63.06 per visit point $23.8 - $52.55 hourly rate Annual total cash compensation for this role assumes full-time employment (40 weekly hours) at full productivity and generally follows the range above. Total cash compensation includes earnings from per visit point pay and hourly pay and is based on several factors including but not limited to local labor markets, education, work experience and may increase over time based on productivity and performance in the role. This role receives two types of compensation depending on the work being performed. When conducting visits, you will be paid per visit point rate compensation. Your per visit pay will be calculated by multiplying your per visit point rate by the productivity points you accrue for various types of visits. Each type of visit is assigned a certain number of productivity points that is inclusive of "direct" and "indirect" patient care activities. Visits are assigned based on patient and business needs. The number of visits performed each week will vary based on individual productivity targets and the productivity points assigned to the visits performed. You will be paid your hourly rate for certain non-visit activities such as orientation. We comply with all minimum wage laws as applicable. In addition to your pay, we offer benefits such as, a comprehensive benefits package, recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. _At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._ _UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._ _UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment._

The BlueCare **Manager of Medical Management** role is an exciting opportunity for a dynamic leader to oversee three established teams dedicated to delivering high‑quality home health and durable medical equipment \(DME\) services for Medicaid members\. In this position, you'll guide daily operations, oversee prior authorization and home health case management, and play a critical part in ensuring medically complex members receive the services they need to safely remain in their homes\. You'll also carry significant responsibility for TennCare‑specific deliverables and have the opportunity to help drive an enterprise‑wide DME vendor and network implementation this year\. **What We're Looking For** + A leader to oversee **three strong, existing teams** focused on home health and DME services + Experience supporting Medicaid or similar populations preferred **What You'll Do** + Manage **prior authorization** for home health and DME services + Provide **oversight of home health case managers** supporting medically complex members + Ensure members receive timely, medically necessary in‑home services and supports **Key Differentiators** + Significant responsibility for **TennCare deliverables** related to home health + Key participant in a major **enterprise DME vendor and network implementation** + Opportunity to influence high‑visibility, compliance‑driven work **Preference for the following experiences:** + TennCare/BlueCare + Home Health + Project Management **Job Responsibilities** + Providing clinical expertise in the development of programs and educational material pertaining to clinical management; providing guidance to staff who work directly on the programs\. + Participating in the development of effective strategies, policies, and procedures related to clinical management programs\. + Developing and implementing clinical programs to achieve improved rates, the highest accreditation, and improvement in the health of the population\. + Managing a team\(s\) of clinical staff to assure effectiveness of programs and appropriate professional evaluation of clinical services\. + Regular overnight travel is not required, but may be requested on occasion\. + Various immunizations and/or associated medical tests may be required for this position\. **Job Qualifications** _Experience_ + 3 years \- Utilization Management, or Case Management experience required + 5 years \- Experience in the Health Insurance Industry + 3 years \- Experience in management or supervisory/team lead capacity\. _Skills\\Certifications_ + Extensive knowledge of all aspects of Utilization Management, Care Management, and Behavioral Health\. _License_ + If a Registered Nurse \(RN\) must have an active license in the state of Tennessee or hold a license in the state of their residence if the state is participating in the Nurse Licensure Compact Law or the ability to secure the license immediately upon selection **Number of Openings Available** 1 **Worker Type:** Employee **Company:** VSHP Volunteer State Health Plan, Inc **Applying for this job indicates your acknowledgement and understanding of the following statements:** BCBST will recruit, hire, train and promote individuals in all job classifications without regard to race, religion, color, age, sex, national origin,citizenship, pregnancy, veteran status, sexual orientation, physical or mental disability, gender identity, or any other characteristic protected by applicable law\. Further information regarding BCBST's EEO Policies/Notices may be found by reviewing the following page: BCBST's EEO Policies/Notices \(****************************************************************** **BlueCross BlueShield of Tennessee is not accepting unsolicited assistance from search firms for this employment opportunity\. All resumes submitted by search firms to any employee at BlueCross BlueShield of Tennessee via\-email, the Internet or any other method without a valid, written Direct Placement Agreement in place for this position from BlueCross BlueShield of Tennessee HR/Talent Acquisition will not be considered\. No fee will be paid in the event the applicant is hired by BlueCross BlueShield of Tennessee as a result of the referral or through other means\.** As Tennessee's largest health benefit plan company, we've been helping Tennesseans find their own unique paths to good health since 1945\. More than that, we're your neighbors and friends - fellow Tennesseans with deep roots of caring tradition, a focused approach to physical, financial and community good health for today, and a bright outlook for an even healthier tomorrow\. At BCBST, we empower our employees to thrive both independently and collaboratively, creating a collective impact on the lives of our members\. We seek talented individuals who excel in a team environment, share responsibility, and embrace accountability\. We're also seeking candidates who are proficient in the Microsoft Office suite, including Microsoft Teams, organized, and capable of managing multiple assignments or projects simultaneously\. Additional, strong interpersonal abilities along with strong oral and written communication skills are important across all roles at BCBST\. BCBST is a remote\-first organization with many employees working primarily from their homes\. Each position within the company is classified as either fully remote, partially remote, or office based\. BCBST hires employees for remote positions from across the U\.S\. with the exception of the following states: California, Massachusetts, New Hampshire, New Jersey, and New York\. Applicants living in these states may move to an approved state prior to starting a position with BCBST at their own expense\.If the position requires the individual to reside in Chattanooga, TN, they may be eligible for relocation assistance\.

Explore opportunities with SunCrest Home Health, a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve. Find a home for your career here. Join us and embrace a culture of Caring. Connecting. Growing together. As a Psychiatric Registered Nurse in Home Health, you will deliver professional nursing care directly in patients' homes. You assess their needs, develop personalized care plans, implement treatment strategies, and evaluate outcomes to ensure high-quality, compassionate care for each individual. Primary Responsibilities: * Make initial nursing evaluation visits within 24-48 hours of referral or as directed by the physician * Assess and reassess patients' physical condition, mental status, and suicidal potential * Initiate and revise treatment plans according to psychiatric nursing standards * Instruct and supervise family members in patient care and maintaining a safe environment * Provide specialized nursing services and perform physician-ordered treatments * Assist families in identifying daily living challenges and accessing community resources * Maintain accurate patient records, including medications and treatments * Report significant changes in patient condition to physicians and appropriate personnel * Provide counseling and crisis intervention to patients and families * Participate in agency in-service programs and nursing reports * Comply with the Care Management Model and perform 60-day recertification reviews * Collaborate with physicians and interdisciplinary teams on patient care * Participate in staff conferences and quality assurance/quality improvement processes * Perform other duties as assigned You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: * Current, unrestricted RN license in state of practice * Current CPR certification * Valid driver's license, vehicle insurance, and access to a dependable vehicle or public transportation * Recent experience in psychiatric nursing within the last five years OR documentation of psychiatric retraining or continuing education (CEUs) Preferred Qualification: * Oasis Certification Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $28.27 to $50.48 per hour based on full-time employment. We comply with all minimum wage laws as applicable. #LHCJobs At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

Become a part of our caring community and help us put health first Make a meaningful impact every day as a CenterWell Home Health nurse. You'll provide personalized, one-on-one care that helps patients regain independence in the comfort of their homes. Working closely with a dedicated team of physicians and clinicians, you'll develop and manage care plans that support recovery and help patients get back to the life they love. Primary territory - Bradley, Polk, McMinn, Meigs, Rhea counties As a Home Health LPN, you will: * Provide professional nursing services under the direction of a RN in compliance with the state's Nurse Practice Act, any applicable licensure/certification requirement, applicable healthcare standards, governmental laws and regulations, and Centerwell Home Health Services policies and procedures. * Provide skilled nursing interventions in the treatment of the patient/clients illness, rehabilitative needs and preventative care. Utilize a holistic approach in the provision of problem specific therapeutic interventions, teaching and training activities in accordance with the plan of care. * Apply knowledge and skills in accordance with accepted standards of clinical practice to facilitate problem resolution and achieve individualized patient goals and outcomes. * Confer with the RN Supervisor regarding needed changes in the Plan of Treatment. Accept verbal orders from physician were permitted by state law/regulations/Nurse Practice Act and communicate these orders to the RN Supervisor. * Utilize a systematic, individualized goal/outcome driven approach in implementing the nursing plan of care. * Maintain contact with patients, physicians, clinical manager(s), other members of the healthcare team in a timely manner regarding patient/family needs and status changes. Participate in care coordination activities and discharge planning as appropriate. * Maintain the highest standards of professional conduct in relation to information that is confidential in nature. Share information only when the recipient's right to access is clearly established and the sharing of such information is dearly in the best interests of the patient. * Appropriately communicate to ensure adherence to professional standards in the provision of and availability of supplies, materials and equipment needed to safely and effectively implement the plan of care. * Prepare, submit and maintain documentation as required by the Company and/or facility. Visit/shift notes documented on day services are rendered. Use your skills to make an impact * Graduate of an accredited Licensed Practical Nursing Program or accredited School of Vocational Nursing. * Current nursing license in the practicing state. * Valid drivers license, auto insurance and reliable transportation. * Current CPR certification. * Two years experience as an LPN/LVN in a clinical setting, preferably in a home health or hospice setting. Pay Range * $28.00 - $40.00 - pay per visit/unit * $44,600 - $61,400 per year base pay Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $53,000 - $73,000 per year Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. About Us About CenterWell Home Health: CenterWell Home Health specializes in personalized, comprehensive home care for patients managing a chronic condition or recovering from injury, illness, surgery or hospitalization. Our care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers - all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives. About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation's largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first - for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one. Equal Opportunity Employer It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

Explore opportunities with LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve. Find a home for your career here. Join us and embrace a culture of Caring. Connecting. Growing together. As the Physical Therapist in Home Health, you will be completing assessments and evaluations of patient care needs related to functional status/mobility, endurance/stamina, pain and other medical conditions. Based on this assessment and evaluation, you will work to help determine a treatment plan, perform interventions aimed at improving and enhancing the patient's well-being, and evaluate the patient's progress. Primary Responsibilities: * Evaluates the patient's functional status and physical therapy needs. Assists the physician in the development of the therapy plan of care * Provides services within the scope of practice as defined by the state laws governing the practice of physical therapy, in accordance with the plan of care, and in coordination with other members of the health care team * Observes and reports the patient's response to treatment and any changes in his/her condition to the supervising nurse and/or the physician * Treats patients to relieve pain, develop and restore function, and/or maintain maximum functioning using acceptable standards of practice * Instructs and informs participating members of the health care team, the patient, and the family/caregivers regarding the plan of care, functional limitations, and progress toward goals * Visits patients according to Plan of Treatment, completes a progress note for each visit, and submits progress notes per LHC policy * Completes all patient evaluations and develops the PT plan of care within state specific guidelines * Reports outcomes of evaluation, goals, and anticipated projected frequency of care You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: * Current Physical Therapy licensure in state of practice * Current CPR certification * Current driver's license and vehicle insurance, access to a dependable vehicle, or public transportation * Ability to function in any home situation regardless of age, race, creed, color, sex, disability, or financial condition of the client $77,400 - $171,000 annual total cash target pay $44.65 - $98.65 per visit point $37.21 - $82.21 hourly rate Annual total cash compensation for this role assumes full-time employment (40 weekly hours) at full productivity and generally follows the range above. Total cash compensation includes earnings from per visit point pay and hourly pay and is based on several factors including but not limited to local labor markets, education, work experience and may increase over time based on productivity and performance in the role. This role receives two types of compensation depending on the work being performed. When conducting visits, you will be paid per visit point rate compensation. Your per visit pay will be calculated by multiplying your per visit point rate by the productivity points you accrue for various types of visits. Each type of visit is assigned a certain number of productivity points that is inclusive of "direct" and "indirect" patient care activities. Visits are assigned based on patient and business needs. The number of visits performed each week will vary based on individual productivity targets and the productivity points assigned to the visits performed. You will be paid your hourly rate for certain non-visit activities such as orientation. We comply with all minimum wage laws as applicable. In addition to your pay, we offer benefits such as, a comprehensive benefits package, recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

Explore opportunities with SunCrest Home Health, a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve. Find a home for your career here. Join us and embrace a culture of Caring. Connecting. Growing together. As the Registered Nurse in Home Health you will provide and direct provisions of nursing care to patients in their homes as prescribed by the physician and in compliance with applicable laws, regulations, and agency policies. You will also coordinate total plan of care with other health care professionals involved in care and helps to achieve and maintain continuity of patient care by planning and exchanging information with physician, agency personnel, patient, family, and community resources. Primary Responsibilities: * Clinical Competence * Initiates, develops, implements, and revises the plan of care in collaboration with the physician and other health care professionals * Supervises care provided by home health aides and licensed practical/vocational nurses, provides instruction, and assigns tasks according to State and federal regulations * Provides required supervisory visits * Documentation and Care Delivery * Provides high-quality clinical services within the scope of practice and infection control standards, in accordance with the plan of care, and in coordination with other health care team members * Completes comprehensive assessments (OASIS) including medication reconciliation accurately and timely * Documents patient visits per policy and payer requirements, and syncs timely per LHC policy * Quality * Makes initial and/or comprehensive nursing evaluation visits, ensures patients meet home health eligibility and medical necessity guidelines, determines primary focus of care, develops the plan of care within State guidelines with the physician, and submits accurate documentation * Communicates relevant information timely and effectively with appropriate agency staff, including patient care issues, visit assignments, schedule changes, orders, OASIS data sets, coding requests, and coordination with other clinicians * Communicates timely and effectively with physicians, patients, and family members to ensure quality care and service excellence * Teamwork * Takes direction from Clinical Director and Executive Director professionally and completes assigned tasks timely, including required learning * Assists in the orientation of new agency personnel and serves as a preceptor to other staff and students * Actively participates in survey/survey readiness activities and performance improvement plans, works to reduce unnecessary patient hospitalizations, improve patient safety, and implements processes and best practices to ensure positive patient outcomes * Participates in on-call and weekend rotation as needed to meet patient needs * Adheres to and participates in the agency's utilization management model You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: * Current and unrestricted RN licensure in state of practice * 1+ years of Home Health experience * Current Driver's License, vehicle insurance, and access to a dependable vehicle or public transportation * Current CPR Certification * Ability to function in any home situation regardless of age, race, creed, color, sex, disability, or financial condition of the client Preferred Qualifications: * Ability to work independently * Solid communication, writing, and organizational skills Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $28.27 to $50.48 per hour based on full-time employment. We comply with all minimum wage laws as applicable At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.