- 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)
- …members. **Key Responsibilities** + This position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or ... reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year...or Maternity/ Obstetrics experience. **Preferred Qualifications** + 1+ years' Case Management experience or discharge planning, nurse … 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
- PruittHealth (Atlanta, GA)
- …with long-term care population **MINIMUM LICENSURE/CERTIFICATION REQUIRED BY LAW:** * Licensed Registered Nurse with current, unrestricted license in state of ... care and regulatory compliance within the company's standards and RN scope of practice. * Comply with PruittHealth Premier's...practice (Georgia) required. * Certified Case Manager preferred - Mandatory to apply… more
- Molina Healthcare (Atlanta, GA)
- …behavioral health setting, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... We are looking for a candidate with a MA RN licensure. Candidates with case management and...navigate online portals and databases. **Preferred Qualifications** * Certified Case Manager (CCM). To all current Molina… more
- Humana (Atlanta, GA)
- **Become a part of our caring community and help us put health first** The Telephonic Nurse Case Manager will be a member of the In-Home Case Management ... and to enhance quality of medical care. The **Telephonic Nurse Case Manager ** will collect...in Nurse (BSN). + Valid and unrestricted Registered Nurse ( RN ) license in… more
- Centene Corporation (Atlanta, GA)
- …Bachelor's degree in Nursing and 2 - 4 years of related experience. **License/Certification:** + RN - Registered Nurse - State Licensure and/or Compact State ... IN THE STATE OF GEORGIA AND HAVE AN ACTIVE RN COMPACT LICENSURE EXPERIENCE IN CASE MANAGEMENT...CARE IS IDEAL **Position Purpose:** Develops, assesses, and facilitates complex care management activities for primarily physical needs members… more
- Molina Healthcare (Atlanta, GA)
- …travel required. + RNs provide consultation, recommendations and education as appropriate to non- RN case managers. + RNs are assigned cases with members who ... behavioral health settings. Preferred License, Certification, Association Active, unrestricted Certified Case Manager (CCM) To all current Molina employees: If… 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)
- **Special Programs Case Manager I** **Location:** Atlanta, GA **Hybrid 1:** This role requires associates to be in-office **1 - 2** days per week, fostering ... is granted as required by law. The **Special Programs Case Manager I** is responsible for performing...social work counseling with broad range of experience with complex psychiatric and substance abuse or substance abuse disorder… more
- Elevance Health (Atlanta, GA)
- ** Nurse Case Manager I** **Location:** _Hybrid1:_ This role requires associates be in the office 1-2 days per week, fostering collaboration and connectivity, ... - 4:30PM (twice per month 11:30AM - 8:00PM) The ** Nurse Case Manager I** 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: This role enables associates to work virtually full-time, with the exception of required in-person training ... 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)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Field Case Manager -Sign-On Bonus Eligible **This Field Case Manager ... in this area in order to be considered. Must be CAT certified (Catotrophic Case Mangement Certification)** **PRIMARY PURPOSE OF THE ROLE:** Sedgwick Field Case … more
- Elevance Health (Atlanta, GA)
- **Behavioral Health Case Manager I** **Virtual:** This role enables associates to work virtually full-time, with the exception of required in-person training ... Time + 10:00am - 6:30pm Eastern Time The **Behavioral Case Manager ** is responsible for performing ...social work counseling with broad range of experience with complex psychiatric and substance abuse or substance abuse disorder… more
- Molina Healthcare (Atlanta, GA)
- …and/or coding experience, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM),… more
- Elevance Health (Atlanta, GA)
- **Telephonic Nurse Case Manager I** **Work schedule:** **Monday - Friday 9:00am - 5:30pm with 2-3 late evenings a month 1130am-8pm** . **Location:** This ... 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
- Elevance Health (Atlanta, GA)
- **Telephonic Nurse Case Manager I** **Location: This role enables associates to work virtually full-time, with the exception of required in-person training ... hours of receipt and meet the criteria._** 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
- 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 -Sign-On Bonus Eligible **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
- Molina Healthcare (Atlanta, GA)
- …ICT collaboration. + RNs provide consultation, recommendations, and education as appropriate to non- RN case managers. + RNs are assigned cases with members who ... Association** Active, unrestricted Transitions of Care Sub-Specialty Certification and/or Certified Case Manager (CCM) Work schedule :M - F Pacific… more