- 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)
- …high-risk maternity case management team and experience with this is required. The Case Manager RN is responsible for telephonically and/or face to face ... a high-risk maternity case management program. The Case Manager RN is empowered...designed to reduce risk factors and barriers and address complex health and social indicators which impact care planning… more
- CVS Health (Atlanta, GA)
- …heart, each and every day. **Position Summary** This Case Manager - Registered Nurse ( RN ) position is with Aetna's National Medical Excellence (NME) ... to facilitate the member's overall wellness. Case Manager - Registered Nurse +...obtain multi state Registered Nurse ( RN ) licensures **Preferred Qualifications** + Case Management… 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
- Molina Healthcare (Atlanta, GA)
- …will be supporting our Washington State Medicare plan. We are seeking a Registered Nurse with previous Case Management experience. Medicare ... MS Suite and computer savvy is very helpful. The Case Manager must be able to work...health settings. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing.… 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
- 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 training ... states; therefore, Multi-State Licensure will be required.** 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)
- **Telephonic Nurse Case Manager II** **Location: This role enables associates to work virtually full-time, with the exception of required in-person training ... hours of receipt and meet the criteria._** 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
- Sedgwick (Atlanta, 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
- 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
- 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)
- ** Nurse Care Manager II** **Carelon Health Guide**...or BS in nursing preferred. + Certification as a Case Manager is preferred. + Participation in the ... short-term position expected to end on_** **_12/31/2025 date._** The ** Nurse Care Manager II** is responsible for...providing services in multiple states . Certification as a Case Manager or a BS in a… more
- Elevance Health (Atlanta, GA)
- …to improve the delivery of care. **Title** : Behavioral Health Care Manager - Utilization Management **Location:** **Virtual** : This role enables associates to work ... and skill development. **Shift:** Monday- Friday 8:30-5:00 The Behavioral Health Care Manager (UM) job progression is primarily a provider facing role although it… 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