- 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
- AdventHealth (Calhoun, GA)
- …Catoosa, Murray, Floyd and Bartow. **The role you'll contribute:** The Home Health Registered Nurse ( RN ) Care Manager is a professional nurse who ... care patient's care based on individual patient needs. The RN Care Manager is responsible for independent...experience in a Medicare-certified home health agency as a case - manager . Bachelors degree in nursing **LICENSURE,… 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
- 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...**Specialty Pharmacy or Oncology.** **Preferred Qualifications** + 1+ years' Case Management experience or discharge planning, nurse … more
- Emory Healthcare/Emory University (Atlanta, GA)
- …**Description** We're seeking a **PRN Registered Nurse , Care Manager ** responsible for coordinating clinically complex patients' care across a continuum; ... ongoing educational opportunities to enhance health care teams knowledge of case management services; + Participates in and facilitates patient/family education and… more
- Healthfirst (GA)
- …options, and discharge planning across a variety of treatment settings for high risk, complex populations + Certified Case Manager + Interqual, Milliman, ... as assigned **Minimum Qualifications:** + Associates degree + New York State Registered Nurse + Work experience demonstrating verbal and written communication… 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
- Emory Healthcare/Emory University (Atlanta, GA)
- …incentives + Ongoing mentorship, development, and leadership programs and more! **Description** The RN Care Manager ( RN CM) is responsible for patient ... CM escalates cases, as appropriate, to management, Physician Advisor, Complex Care team and/or Ethics committee. It is the...party payers and federal and state regulatory agencies. The RN CM will ensure proper use of Case… 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
- Sedgwick (Atlanta, GA)
- …a 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! If you have at least** **1.5 years...knowledge and experience to assist in the management of complex medical conditions, treatment planning and recovery from illness… more
- Sedgwick (Alpharetta, GA)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Field Case Manager -Sign on Bonus Eligible **Must be located in the Greater ... 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)
- **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
- Elevance Health (Atlanta, GA)
- **Behavioral Health Care Manager II** This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing ... essential face-to-face onboarding and skill development. The **Behavioral Health Care Manager II** is responsible for managing requests for Applied Behavior Analysis… 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
- Elevance Health (Atlanta, GA)
- **Telephonic Nurse Disease Management II** **Sign-on Bonus: $2000** **Location:** This role enables associates to work virtually full-time, with the exception of ... us, and together we will drive the future of health care. The **Telephonic** ** Nurse Disease Management II** is responsible for participating in and delivery of more… more