- 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)
- …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)
- …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
- 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
- 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
- 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...the next round, a recruiter will be in touch. \# nurse #fieldcasemanager # RN #workerscompensation \#LI-DV1 **** _As… 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 ... health settings. Preferred License, Certification, Association Active, unrestricted Certified Case Manager (CCM) Preferred languages (Korean/English) To all… 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)
- …and leadership programs + And more **Description** We are seeking a capable **Community Care Manager / RN or LCSW** who has acquired broad experience in caring ... longitudinal care management services for identified high risk and/orc complex Emory patients. + Utilizes clinical expertise to perform...work + Three years of experience working as a case /care manager in a healthcare setting. +… more
- Elevance Health (Atlanta, GA)
- ** Nurse Case Manager II** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person training sessions, ... and ensures essential face-to-face onboarding and skill development. The ** Nurse Case Manager II** will...within the scope of licensure for transplant members with complex and chronic care needs by assessing, developing, implementing,… more
- Elevance Health (Atlanta, GA)
- **Behavioral Health Case Manager II** **Location:** This field-based role enables associates to primarily operate in the field, traveling to client sites or ... zone, Virtual with ~50% local fieldwork.** The **Behavioral Health Case Manager II** is responsible for performing...licensure for members with behavioral health, substance abuse, and/or complex medical needs. **How you will make an impact:**… more
- ChenMed (Decatur, GA)
- …and exercise of independent judgment **EDUCATION AND EXPERIENCE CRITERIA:** + A valid, active Registered Nurse ( RN ) license in State of employment plus one ... We're rapidly expanding and we need great people to join our team. The Manager , Post-Acute Complex Care is a regional leadership position accountable for the… more
- Elevance Health (Atlanta, GA)
- **Telephonic Nurse Case Manager Senior** **Location: Virtual: This role enables associates to work virtually full-time, with the exception of required ... hours of receipt and meet the criteria._** The **Telephonic Nurse Case Manager Senior** 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 Senior** **Location: Virtual: This role enables associates to work virtually full-time, with the exception of required ... hours of receipt and meet the criteria._** The **Telephonic Nurse Case Manager Senior** 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 (Alpharetta, GA)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Field Case Manager **Must be located in the Greater Atlanta GA, or surrounding, ... 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
- Highmark Health (Atlanta, GA)
- …industry, corporate, state, and federal law standards and are within the care manager 's professional discipline. + For assigned case load, create care plans ... :** **JOB SUMMARY** This job implements effective complimentary utilization and case management strategies for an assigned member panel. Provides oversight over… 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
- Elevance Health (Atlanta, GA)
- **Behavioral Health Care Manager I** **Location:** **Georgia.** Virtual: This role enables associates to work virtually full-time, with the exception of required ... and ensures essential face-to-face onboarding and skill development. The **BH Care Manager I** is responsible for managing psychiatric and substance abuse or… more