• Supplemental Care Manager

    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
    Sharecare (04/17/25)
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  • Care Manager RN

    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
    Highmark Health (05/21/25)
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  • Care Manager , Registered

    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 (04/26/25)
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  • Clinical Registered Nurse

    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
    Sharecare (05/10/25)
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  • Registered Nurse , Telehealth,…

    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 (05/20/25)
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  • Registered Nurse , Telehealth…

    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
    ChenMed (04/24/25)
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  • Case Manager , Registered

    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 (05/16/25)
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  • Registered Nurse , Case…

    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 (05/16/25)
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  • NY Registered Nurse - Case…

    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 (04/05/25)
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  • NY Registered Nurse - Case…

    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
    Public Consulting Group (05/24/25)
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  • Manager , Health Plan Quality Interventions…

    Molina Healthcare (Atlanta, 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
    Molina Healthcare (04/25/25)
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  • Care Manager ( RN )

    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
    Centene Corporation (05/15/25)
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  • Complex Case Manager RN - Pediatrics…

    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
    Highmark Health (05/15/25)
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  • Transitions of Care RN - 100%…

    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
    Elevance Health (05/20/25)
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  • RN Clinical Manager , Home Health

    CenterWell (Decatur, GA)
    …of Science in Nursing (BSN) strongly preferred. **License/Certifications:** + Active and unrestricted Registered Nurse ( RN ) license or Compact State RN ... our Decatur, GA branch.** 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
    CenterWell (05/11/25)
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  • Transplant Care Nurse RN

    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
    Highmark Health (04/25/25)
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  • RN Field Case Manager

    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
    Sedgwick (05/09/25)
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  • RN Branch Director, Home Health

    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
    CenterWell (04/24/25)
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  • Field Case Manager

    Sedgwick (Atlanta, GA)
    …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Field Case Manager **Must be located in the Greater Atlanta GA, or surrounding, areas to ... on the health and lives of others, and a remote work environment that allows face to face interaction...more. + Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs.… more
    Sedgwick (05/15/25)
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  • Divisional Director of Care Management,…

    CenterWell (Atlanta, GA)
    …with clinical-operational divisional dyads (Division CMO/Division Ops Leader) on care integration team foundational programs and future strategic opportunities for ... managing populations and coordinating care to reduce acute and post-acute care ...required,_ _advanced clinical professional license strongly preferred such as RN , MSW/LCSW, NP, PA, MD/DO_ + Excellent verbal and… more
    CenterWell (05/23/25)
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