- Highmark Health (Atlanta, GA)
- …the appropriate clinical interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are enrolled in case ... management. The incumbent conducts outreach to members enrolled in case management including but is not limited to: developing...in addressing targeted populations **LICENSES AND CERTIFICATIONS** **Required** + RN license in PA or WV or DE or… more
- CVS Health (Atlanta, GA)
- …care. + Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse ( RN ) with at least 1 year of experience ... This position consists of working intensely as a telephonic case manager with patients and their care...in a hospital setting. + A Registered Nurse that holds an active, unrestricted… more
- Sharecare (Atlanta, GA)
- …of their members to ensure successful completion of member goals, while providing Complex Case Management and/or care management support through the duration of ... within a matrix organizational design. **Qualifications:** + Current multi-state compact Registered Nurse licensure in state of residence is required,… more
- Somatus (Atlanta, GA)
- …settings. + 2+ years healthcare related experience. + Current, unrestricted compact Registered Nurse license + Requires all teammates to maintain current, ... well-being + Community engagement opportunities + And more! The RN Care Manager is a critical member...and physicians. This position will be working closely with complex renal patients in their home, dialysis center, by… more
- Intermountain Health (Atlanta, GA)
- **Job Description:** The Registered Nurse ( RN ) is a professional caregiver who assumes responsibility and accountability for assessing, planning, ... implementing, and evaluating the care of patients. The staff RN utilizes the nursing process by use of technology,...**Minimum Qualifications** + Current license to practice as a Registered Nurse in state of practice. Valid… more
- Public Consulting Group (Atlanta, GA)
- …on a team. + Proven working experience in case management, including as a nurse , medical, mental health care manager or a related job + Excellent knowledge ... . PCG Health team helps our clients meet the complex financial, regulatory, and operational challenges of today's changing...plans. + Current license, certification or registration as a Registered Nurse or Social Worker **Working Conditions**… more
- CenterWell (Marietta, GA)
- …+ Graduate of an accredited School of Nursing. + Current state license as a Registered Nurse . + Proof of current CPR. + Valid driver's license, auto insurance ... sit on-site at our Marietta, GA branch location.** The ** RN Clinical Manager ** coordinates and oversees all...and reliable transportation. + Two years as a Registered Nurse with at least one-year of… more
- Emory Healthcare/Emory University (Decatur, GA)
- …and leadership programs + And more **Description** We are seeking a capable **Community Care Manager / RN or LCSW** who has acquired broad experience in caring ... longitudinal care management services for identified high risk and/orc complex Emory patients. + Utilizes clinical expertise to perform...work + Three years of experience working as a case /care manager in a healthcare setting. +… more
- Elevance Health (Atlanta, GA)
- **Behavioral Health Case Manager I** **Location** : This position is primarily a virtual role. It is highly preferred that the selected candidates live in ... HAVE AN ACTIVE, CURRENT, CLINICAL LICENSURE. The **Behavioral Health Case Manager I** is responsible for performing...will you make an impact:** + Responds to more complex cases and account specific requests. + Uses appropriate… more
- Elevance Health (Atlanta, GA)
- **Title** : Nurse Case Manager II **Location** : 740W Peachtree St NW, Atlanta, GA 30308 **VIRTUAL** : This role enables associates to work virtually ... *Required to work 2 Evening shifts/mth 11:30AM-8:00PM EST The ** Nurse Case Manager II** is...management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing,… more
- Sedgwick (Atlanta, GA)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Field Case Manager **This Field Case Manager will cover our ... **Must have as least 1.5 years of prior Field Case Manager workers compensation experience along with...knowledge and experience to assist in the management of complex medical conditions, treatment planning and recovery from illness… more
- Sedgwick (Atlanta, GA)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Field Case Manager **We are growing all across the US and are looking for ... experienced Workers Comp Field Case Managers! Required to have a minimum of** **1.5...knowledge and experience to assist in the management of complex medical conditions, treatment planning and recovery from illness… more
- Sedgwick (Atlanta, GA)
- …obtains and provides medical status updates to the customer, and assigns a Field Case Manager (FCM) for onsite visits as appropriate. Ensures that client service ... emergencies and recommends appropriate interventions. + Assigns appropriate Field Case Manager assignment and facilitates initial onsite hospital… more
- Elevance Health (Atlanta, GA)
- **Telephonic Nurse Case Manager I** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and ... states; therefore Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager I** is...management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing,… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …**MINIMUM QUALIFICATIONS:** ** RN CM:** **MINIMUM REQUIRMENTS** 1. Valid, unencumbered Registered Nurse License approved by the Georgia Board of Nursing. ... CM escalates cases, as appropriate, to management, Physician Advisor, Complex Care team and/or Ethics committee. It is the...year healthcare experience in Acute Care setting. 2. Accredited Case Manager (ACM) Certification through the American… more
- Prime Therapeutics (Atlanta, GA)
- …Patient Programs. **Education & Experience** + Associates - Nursing + Bachelors - Nursing + RN - Registered Nurse , State and/or Compact State Licensure - ... States without the need for work visa or residency sponsorship. **Additional Qualifications** + Registered Nurse ( RN ). + 5 years of post-degree clinical… more
- Elevance Health (Atlanta, GA)
- …continuum of Behavioral Health treatment strongly preferred. + Certification as a Case Manager is preferred. **Additional requirements for BH EAP/Resource ... responsible for Behavioral Health Utilization Management (BH UM) only The ** Manager Behavioral Health Services** is responsible for Behavioral Health Utilization… more
- Elevance Health (Atlanta, GA)
- …granted as required by law. **Work Shift:** 8AM -5PM CST **Behavioral Health Care Manager l** The **Behavioral Health Care Manager I** is responsible for ... and substance abuse or substance abuse disorder assessment coordination implementation case planning monitoring and evaluating to promote quality member outcomes to… more
- ChenMed (Atlanta, GA)
- …termination of clinical team members (including physicians, advanced practice clinicians, specialists, RN case managers and more). + Serves as a ... care delivery of various markets. In partnership with Market President(s), General Manager (s) and/or other senior market leaders across the region, he/she will… more
- Elevance Health (Atlanta, GA)
- …with a schedule of Wednesday - Sunday or Thursday - Monday. The **Transplant Nurse II** will be responsible for providing case and/or medical management for ... **Transplant Nurse II** **Location:** Virtual: This role enables associates...preparation for advancement to the senior level. Within the case management role will within the scope of licensure… more