- Trinity Health (Lavonia, GA)
- **Employment Type:** Full time **Shift:** **Description:** The RN Case Manager (RN CM), works in collaboration with a multidisciplinary team by identifying and ... level of care throughout hospitalization in compliance with CMS and organizational utilization management requirements. RN CM helps to ensure medical necessity is… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …workflow. + The UR Manager will be responsible for collaborating with Case Management/ Utilization Review Leadership in order to successfully implement ... And more **Work Location:** Atlanta, GA **Description** + The Manager , Utilization Review (UR) is...adheres to established policies and procedures. + The UR Manager will ensure Case Management systems and… more
- Molina Healthcare (Macon, GA)
- …experience. **Preferred License, Certification, Association** Any of the following: Certified Case Manager (CCM), Certified Professional in Healthcare Management ... who be licensed in the state they reside. We are looking for a RN Manager to manage a utilization management team supporting 14 Marketplace plans. Home office… more
- HCA Healthcare (Waycross, GA)
- …years of experience in Case Management is highly preferred. + Certification in Case Management or Utilization Review is preferred. + InterQual experience ... satisfaction and personal growth, we encourage you to apply for our RN Case Manager opening. We promptly review all applications. Highly qualified candidates… more
- HCA Healthcare (Augusta, GA)
- …Prior Case Management experience required for PRN positions. + Certification in case management or utilization review preferred. + InterQual experience ... satisfaction and personal growth, we encourage you to apply for our RN Case Manager PRN opening. We review all applications. Qualified candidates will be… more
- HCA Healthcare (Savannah, GA)
- …in case management or critical care is preferred. + Certification in case management or utilization review is preferred. + InterQual experience ... satisfaction and personal growth, we encourage you to apply for our RN Case Manager PRN opening. We review all applications. Qualified candidates will be… more
- HCA Healthcare (Savannah, GA)
- …in Case Management or Critical Care is preferred. + Certification in Case Management or Utilization Review is preferred. + InterQual experience ... apart from any other healthcare provider. We are seeking an RN Case Manager to join our healthcare family. **Benefits** Memorial Health University Medical… more
- HCA Healthcare (Vidalia, GA)
- …years of experience in Case Management is highly preferred. + Certification in Case Management or Utilization Review is preferred. + InterQual experience ... your career path, we encourage you to apply for our Registered Nurse Case Manager opening. We review all applications. Qualified candidates will be contacted… more
- CVS Health (Atlanta, GA)
- …care for members. - This position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or self-insured ... Health. Founded in 1993, AHH is URAC accredited in Case Management, Disease Management and Utilization Management....lower levels of care - 1+ years' experience in Utilization Review - CCM and/or other URAC… 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 ... Health. Founded in 1993, AHH is URAC accredited in Case Management, Disease Management and Utilization Management....lower levels of care. + 1+ years' experience in Utilization Review . + CCM and/or other URAC… more
- HCA Healthcare (Savannah, GA)
- …in case management or critical care is preferred. + Certification in case management or utilization review is preferred. + InterQual experience ... join an organization that invests in you as a Registered Nurse (RN) Case Manager ? At Memorial Health University Medical Center, in the beautiful and historic… more
- Elevance Health (GA)
- **Telephonic Nurse Case Manager I** **Location: Virtual:** This role enables associates to work virtually full-time, with the exception of required in-person ... assessment within 48 hours of receipt and meet the criteria._** The **Telephonic Nurse Case Manager I** is responsible for telephonic care management within the… more
- Cardinal Health (Atlanta, GA)
- …get life-changing therapies to patients who need them-faster.** **_Responsibilities_** The Senior Case Manager supports patient access to therapy through patient ... develop and execute effective solutions. + Provide guidance and training to junior case managers on best practices in case management, patient interaction, and… more
- CenterWell (Marietta, GA)
- …action through the utilization of Performance Improvement principles. + Responsible for review of the appropriate number of Case Managers and clinical staff ... community and help us put health first** The Clinical Manager , Home Health Nursing enables patients to stay in...clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the… more
- Cisco (Atlanta, GA)
- …and deliver exceptional value to our customers. Your Impact As a Customer Success Manager , you play a crucial role in helping our customers successfully adopt and ... You are proactive and strategic, with a passion for driving software utilization to accelerate business outcomes. You excel at crafting and implementing Technical… more
- AdventHealth (Calhoun, GA)
- …areas: Atlanta and Chattanooga **The role you'll contribute:** The RN Care Manager in collaboration with the patient/family, social workers, nurses, physicians and ... and progression through the continuum of care. The RN Care Manager ensures efficient and cost-effective care through appropriate resources monitoring, and… more
- Emory Healthcare/Emory University (Decatur, GA)
- …conveying an impression which reflects favorably upon the organization. In collaboration with Utilization Review , the SW CM (PRN) will initiate and facilitate ... you ever thought possible. **Description** The **Social Work Care Manager (PRN)** is responsible for patient care coordination from...well as the care team. Through continuous assessment and review , the SW CM (PRN) will apply critical thinking… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …an impression which reflects favorably upon the organization. In collaboration with Utilization Review , the SW CM will initiate and facilitate discussions ... you ever thought possible. **Description** The **Social Work Care Manager (WEO)** is responsible for patient care coordination from...well as the care team. Through continuous assessment and review , the SW CM will apply critical thinking to… more
- Amazon (Atlanta, GA)
- …leading examples of innovation in the areas of security, safety, space utilization , efficiency, and cost effectiveness. We are the global team responsible for ... known for changing the face of cloud computing. As a Construction Estimating Manager , you will be responsible for developing and maintaining the cost database, while… more
- Highmark Health (Atlanta, GA)
- …Inc. **Job Description :** **JOB SUMMARY** This job implements effective complimentary utilization and case management strategies for an assigned member panel. ... industry, corporate, state, and federal law standards and are within the care manager 's professional discipline. + For assigned case load, create care plans… more