- 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)
- …heart, each and every day. **Position Summary** This Case Manager - Registered Nurse ( RN ) position is with Aetna's National Medical Excellence (NME) ... to facilitate the member's overall wellness. Case Manager - Registered Nurse +...obtain multi state Registered Nurse ( RN ) licensures **Preferred Qualifications** + Case Management… 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
- 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
- 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
- Molina Healthcare (Atlanta, GA)
- …to address concerns. + RNs provide consultation, recommendations and education as appropriate to non- RN case managers. + RNs are assigned cases with members who ... health settings. Preferred License, Certification, Association Active, unrestricted Certified Case Manager (CCM) **Bilingual (Spanish)** **WORK SCHEDULE:**… more
- Elevance Health (Atlanta, GA)
- …and insightful analytics to improve the delivery of care. **Title:** Behavioral Health Case Manager I **Location:** Atlanta, GA - 740 W Peachtree Street ... flexibility, responsiveness to client needs, and direct, hands-on engagement. The **Behavioral Health Case Manager I** is responsible for performing case … more
- Elevance Health (Atlanta, GA)
- **Telephonic Nurse Case Manager II** **Location:** **This role enables associates to work virtually full-time, with the exception of required in-person ... hours of receipt and meet the criteria._** The **Telephonic Nurse Case Manager II** is...management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing,… more
- Elevance Health (Atlanta, GA)
- **Telephonic Nurse Case Manager II** **Location: Virtual: This role enables associates to work virtually full-time, with the exception of required in-person ... hours of receipt and meet the criteria._** The **Telephonic 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)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Telephonic Case Manager **PRIMARY PURPOSE OF THE ROLE:** While partnering with the ... injured worker, employer, and medical providers, create a case management strategy to facilitate medical recovery and a successful return to work through advocacy,… more
- Sedgwick (Atlanta, GA)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Field Case Manager **Must be located in the Greater Atlanta GA, or surrounding, ... be considered** **PRIMARY PURPOSE OF THE ROLE:** Sedgwick Field Case Managers work face to face with their injured...knowledge and experience to assist in the management of complex medical conditions, treatment planning and recovery from illness… more
- Elevance Health (Atlanta, GA)
- **Special Program Case Manager I** **Location:** Must be a resident of Georgia **Hybrid 1:** This role requires associates to be in-office 1 - 2 days per week, ... considered. **Hours** : Standard business hours, Monday through Friday. The **Special Program Case Manager I** is responsible for performing case management… more
- Elevance Health (Atlanta, GA)
- **Telephonic Nurse Case Manager II** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person ... will drive the future of health care The **Telephonic Nurse Case Manager II** is...management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing,… more
- Elevance Health (Atlanta, GA)
- ** Nurse Care Manager II/Sr** **Carelon Health...AS or BS in nursing preferred. Certification as a Case Manager is preferred. + Participation in ... will be determined by relevant years of experience** The ** Nurse Care Manager II/ Nurse Care...or BS in nursing preferred. + Certification as a Case Manager is preferred. + Certification in… more
- Humana (Atlanta, GA)
- …to senior leaders **Preferred Qualifications** + Bachelor's degree + Certified Case Manager + Registered Nurse + Licensed Social Worker **Additional ... strategic vision. This professional contributes to initiatives that solve complex business challenges through research, collaboration, and thoughtful documentation.… more
- Elevance Health (Atlanta, GA)
- …us and together we will drive the future of health care. The **Medical Management Nurse ** is responsible for reviewing the most complex or challenging cases that ... consultation to the Medical Director on particularly peculiar or complex cases as the nurse deems appropriate....skills and nursing judgment and experience. + Collaborates with case management nurses on discharge planning, ensuring the patient… 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)
- …development. **HOURS:** Monday through Friday, 12:00 - 8:30 pm, EST. The **Transplant Nurse II** will be responsible for providing case and/or medical management ... **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