- Molina Healthcare (Atlanta, GA)
- …be supporting our Ohio state plan. We are looking for candidates with a RN licensure and previous care management experience. The candidate must have ... behavioral health settings. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing. Must… 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 July 21st, 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
- CVS Health (Atlanta, GA)
- …with heart, each and every day. **Position Summary** This Case Manager - Registered Nurse ( RN ) position is with Aetna's National Medical Excellence (NME) ... the member to facilitate the member's overall wellness. Case Manager - Registered Nurse +...experience as an Registered Nurse ( RN ) + 2+ years' experience in critical care… 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
- Emory Healthcare/Emory University (Atlanta, GA)
- …you will develop, implement, and evaluate systems that promote high-quality, cost-effective, and safe care . + The Assistant Nurse Manager plays a key ... **Description** **7a-3:30p / Full-Time / 40 hours** The **Assistant Nurse Manager ** plays a key leadership role...approved by the Georgia Board of Nursing. + Virtual Care Setting: If managing remote clinical … more
- CVS Health (Atlanta, GA)
- … - Perform medical necessity reviews **Required Qualifications** - 5+ years' experience as a Registered Nurse with at least 1 year of experience in a hospital ... position consists of working intensely as a telephonic case manager with patients and their care team...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 with at least 1 year of experience in a hospital ... position consists of working intensely as a telephonic case manager with patients and their care team...setting. + A Registered Nurse that holds an active, unrestricted… 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
- Centene Corporation (Atlanta, GA)
- …workplace flexibility. Job Description **MUST RESIDE IN THE ATLANTA GEORGIA AREA** ** Registered Nurse Strongly Preferred** ** RN Compact License/Multi-State ... License a Plus** **Position Purpose:** Performs care management duties to assess, plan and coordinate aspects...**License/Certification:** + LISW, LCSW, LMSW, LMFT, LMHC, LPC, or RN required Pay Range: $55,100.00 - $99,000.00 per year… 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 ... workplace flexibility. **Position Purpose:** Develops, assesses, and facilitates complex care management activities for primarily physical needs members to provide… more
- CenterWell (Marietta, GA)
- …sit on-site at our Marietta, GA branch location.** The ** RN Clinical Manager ** coordinates and oversees all direct care patient services provided by clinical ... community and help us put health first** The Clinical Manager , Home Health Nursing enables patients to stay in...School of Nursing. + Current state license as a Registered Nurse . + Proof of current CPR.… 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
- Public Consulting Group (Atlanta, GA)
- …independently and on a team. + Proven working experience in case management, including as a nurse , medical, mental health care manager or a related job + ... of case management plans. + Current license, certification or registration as a Registered Nurse or Social Worker **Working Conditions** + Office Setting **The… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …+ Ongoing mentorship, _development,_ and leadership programs + And more **Description** Assistant Nurse Manager Position Summary: + The Assistant Nurse ... financials, throughput, workflow, and scheduling. + Reporting to the Nurse Manager , you will develop, implement, and...approved by the Georgia Board of Nursing. 2. Virtual Care Setting: If managing remote clinical … more
- CenterWell (Atlanta, GA)
- …FLSA: Exempt **Work Schedule** : Full-time/40 Hours **Position Type** : Hybrid ( Remote & Field-based Travel) The **Market Executive of Operations (MEO** ) will ... **Education:** + Bachelor's degree in clinical (nursing) is required. **Experience:** + Active/unrestricted RN license to work in the state of Georgia is required. +… more
- Molina Healthcare (Atlanta, GA)
- …surveys and federal/state QI compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Manager , Health Plan Quality Interventions is responsible for developing, ... implementing, and monitoring the success of quality improvement interventions. The Manager works to coordinate resources and training within the health plan and… more
- CenterWell (Atlanta, GA)
- …as assigned. **Use your skills to make an impact** **Required Qualifications** + Licensed Registered Nurse ( RN ) with compact state licensure in state of ... The Clinical Care Coordinator is under the general supervision of the Manager of Care Coordination and under established performance criteria. This is a… more
- Humana (Atlanta, GA)
- …are currently living in Puerto Rico. + Current valid and unrestricted Registered Nurse license + Certified Case Manager (CCM) + 5 years of healthcare ... on cases with support needs. Ensures regulatory compliance by aligning care management policies, procedures, and processes to maintain TRICARE contractual standards,… more
- Cardinal Health (Atlanta, GA)
- …Rheumatology (Rheum) Customer Success contributes to Cardinal Health_** The Clinical Manager for our Rheumatology (Rheum) Customer Success team is responsible for ... the EVP of Provider Solutions. In this role, the Manager will be held primarily accountable for the overall...that will lead our Rheum program. **Location** - Fully remote with the expectation of 15-20% travel. Travel does… more