- Sharecare (Atlanta, GA)
- …affordable for everyone. To learn more, visit www.sharecare.com . Job Summary: The Supplemental Care Manager supports the Value Based Care Management program ... Care Management with CareFirst members. The Supplemental Care Manager will ensure that the ongoing...a matrix organizational design. Qualifications: + Current multi-state compact Registered Nurse licensure in state of residence… more
- Highmark Health (Atlanta, GA)
- …consistent with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable ... + Experience in a clinical setting **Preferred** + Experience in UM/CM/QA/Managed Care **LICENSES AND CERTIFICATIONS** **Required** + Current RN state licensure… more
- Sharecare (Atlanta, GA)
- …**Monday June 16th, 2025** **Salary:** **$85,000 annually, plus comprehensive benefits package** The Care Manager supports the implementation of the Value Based ... telephonic Case or Care Management with CareFirst members. The Care Manager partners with members, caregivers, providers, and the interdisciplinary… more
- Sharecare (Atlanta, GA)
- …support in an appropriate, efficient and cost-effective manner while ensuring high quality care . The Clinical Registered Nurse coordinates with the Primary ... the lens of their personal health and making high-quality care more accessible and affordable for everyone. To learn...management program intervention guidelines. A Clinical Registered Nurse is supervised by an Operations Manager … more
- ChenMed (Riverdale, GA)
- …rapidly expanding and we need great people to join our team. The Part Time Registered Nurse , Virtual Care , is responsible for providing telephonic emergency ... triage and directional patient care advice for general and specific illnesses, health related...Providing on-call coverage, the incumbent in this role provides remote clinical advice and assessments within license and as… more
- ChenMed (Decatur, GA)
- …rapidly expanding and we need great people to join our team. The Registered Nurse , Telehealth is responsible for providing telephonic triage directional patient ... care advice for general and specific illnesses, health related...and their families. The incumbent in this role provides remote clinical advice and assessments within license and as… more
- CVS Health (Atlanta, GA)
- …. + Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse ( RN ) with at least 1 year of experience in ... position consists of working intensely as a telephonic case manager with patients and their care team...a hospital setting. + A Registered Nurse that holds an active, unrestricted… more
- CVS Health (Atlanta, GA)
- …. - Perform medical necessity reviews. **Required Qualifications** - 5+ years' experience as a Registered Nurse ( RN ) with at least 1 year of experience in ... position consists of working intensely as a telephonic case manager with patients and their care team...a hospital setting. - A Registered Nurse that holds an active, unrestricted… more
- Public Consulting Group (Atlanta, GA)
- …learn more, visit www.publicconsultinggroup.com . PCG is currently seeking a qualified Registered Nurse to perform as a Case Manager . The Case Manager ... Proven working experience in case management, including as a nurse , medical, mental health care manager...plans. + Current license, certification or registration as a Registered Nurse or Social Worker **Working Conditions**… more
- Help at Home (Waycross, GA)
- …who keep our clients safe and comfortable in their homes and communities. **The RN Case Manager will support clients and caregivers throughout our Brunswick and ... at Home is the nation's leading provider of high-quality care and support solutions.Our goal is to enable the...Waycross, GA territory.** **A typical day for an RN Case Manager includes:** + Conducting initial… more
- Molina Healthcare (Savannah, GA)
- …care providers. **JOB QUALIFICATIONS** **Required Education** Active, unrestricted RN License. **Required Experience** 5+ years' experience in managed healthcare, ... accreditation surveys and federal/state QI compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Manager , Health Plan Quality Interventions is responsible for developing,… 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 ... perspective on workplace flexibility. NOTE: This is a fully remote role for applicants based in either Florida or...Preference will be granted to applicants with a compact RN license or who are bilingual in English and… more
- Highmark Health (Atlanta, GA)
- …in case management including but is not limited to: developing a care plan, encouraging behavior changes, identifying and addressing barriers, helping members to ... coordinate care , and identifying various resources to assist members in...in addressing targeted populations **LICENSES AND CERTIFICATIONS** **Required** + RN license in PA or WV or DE or… more
- Elevance Health (Atlanta, GA)
- **Transitions of Care RN - 100% Virtual** **Location** : Virtual: This role enables associates to work virtually full-time, with the exception of required ... weekends and holidays per business needs. The **Transitions of Care RN - 100% Virtual** is responsible for...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- CenterWell (Columbus, GA)
- …of Science in Nursing (BSN) strongly preferred. **License/Certifications:** + Active and unrestricted Registered Nurse ( RN ) license or Compact State RN ... Columbus, GA branch location.** The ** RN Clinical Manager ** coordinates and oversees all direct care ...insurance and reliable transportation. + Two years as a Registered Nurse with at least one-year of… more
- Highmark Health (Atlanta, GA)
- …established industry, corporate, state, and federal law standards and are within the care manager 's professional discipline. + For assigned case load, create ... in case management including but is not limited to: developing a care plan, encouraging behavior changes, identifying and addressing barriers, helping members to… more
- Trinity Health (Watkinsville, GA)
- **Employment Type:** Part time **Shift:** **Description:** **Contingent Hospice RN Case Manager ** St. Mary's Home Care and Hospice located in Athens, GA ... our Virtual Care Center RNs. **Contingent Hospice RN Case Manager position summary** Our Hospice...an approved nursing education program + Licensure as a Registered Nurse in the State of Georgia… more
- Sedgwick (Atlanta, GA)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance RN Field Case Manager **We are only considering full time employees at this ... time.** **Looking for** **experienced** **Workers Comp RN Field Case Manager Nurses across multiple...the next round, a recruiter will be in touch. \# nurse #fieldcasemanager # RN #workerscompensation \#LI-DV1 **** _As… more
- CenterWell (Atlanta, GA)
- …Type** : On-site **Branch Location** : Sandy Springs, GA **This is not a remote or work-from-home position. This position requires you to sit on-site at our Sandy ... Springs, GA branch location.** The ** RN Branch Director** is accountable for managing the day-to-day...to ensure the following: operational efficiencies, quality of patient care , regulatory compliance, support of business development & patient… more
- Healthfirst (GA)
- …knowledge of the relevant product line + Relevant work experience preferably as a Care Manager + Demonstrated ability to manage large caseloads and effectively ... **This position is 100% Remote **Duties and Responsibilities:** + Advocates, informs, and...to identify barriers and opportunities for intervention. + Develops care plans that align with the physicians treatment plans… more