- CVS Health (Atlanta, GA)
- …Using advanced clinical skills, performs crisis intervention with members experiencing behavioral health or medical crisis and refers them to the appropriate ... of Care: * Application and/or interpretation of applicable criteria and clinical guidelines, standardized case management plans, policies, procedures, and… more
- Humana (Atlanta, GA)
- …a part of our caring community and help us put health first** The **Telephonic Nurse Case Manager ** will be a member of the Case Management Team, providing ... case management throughout the continuum of care. The case manager will offer guidance. support, and...each beneficiary's capacity for self-care, to cost-effectively achieve desired clinical outcomes and to enhance quality of medical care.… more
- Highmark Health (Atlanta, GA)
- …Nursing **EXPERIENCE** **Required** + 7 years of any combination of clinical , case management and/or disease/condition management experience, provider operations ... panel of members that range in health status/severity and clinical needs. The incumbent assesses health management needs of...interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are… more
- State of Georgia (Dekalb County, GA)
- …this Job Sign Up for Job Alerts CRISIS CSU - CASE MANAGER ACCOUNTABILITY Clinical Case Manager SHIFT Tuesday - Saturday - 12:00 pm - 8:45 pm ... Case Manager - Crisis CSU Georgia... Case Manager - Crisis CSU Georgia - Dekalb -...manage aggressive behavior, and use non-violent crisis intervention and behavioral management techniques. INTER-RELATIONSHIPS + Able to interface in… more
- State of Georgia (Dekalb County, GA)
- Case Manager - Child & Adolescent...Work) + At least two years' experience in a behavioral health setting providing case management/community support ... Job Share this Job Sign Up for Job Alerts JOB SUMMARY: The Child & Adolescent Case Manager /Community Support Individual (CSI) is an integral part of the Child &… more
- CVS Health (Atlanta, GA)
- …challenges. We're uniquely positioned to meaningfully improve health outcomes and costs. As Case Manager RN, you will be responsible for assessing, planning, ... implementing, and coordinating all case management activities with members to evaluate the medical...overall wellness through integration. **You will also:** + Use clinical tools and information/data review to conduct an evaluation… more
- State of Georgia (Dekalb County, GA)
- Licensed Clinical Manager - Crisis Center Georgia - Dekalb - Decatur (https://careers.georgia.gov/jobs/65565/other-jobs-matching/location-only) Hot ... Share this Job Sign Up for Job Alerts Licensed Clinical Manager JOB SUMMARY: The Clinic ...+ Provides clinical and onsite supervision for clinical , case management, and certified peer specialist… more
- State of Georgia (Fulton County, GA)
- …and report writing * Experience with provider relations * Experience with clinical case study consultation * Demonstrated organizational skills, time management ... Assertive Community Treatment/Community Support Team/Intensive Case Management Program Specialist- Atlanta Georgia - Fulton - Atlanta… more
- State of Georgia (Dekalb County, GA)
- …a liaison in community resource activities. + Cover shift/caseload in the absence of Case Manager or Counselor. + Complete task and assigned task from multiple ... In collaboration with, during absence of, or delegated by the Director or Clinical Manager . + Assists in managing social service personnel, including staff… more
- Molina Healthcare (Atlanta, GA)
- …**KNOWLEDGE/SKILLS/ABILITIES** + Performs monthly auditing of registered nurse and other clinical functions in Utilization Management (UM), Case Management (CM), ... management, disease management or utilization management in managed care, medical or behavioral health settings. + Two years of clinical auditing/review… more
- Emory Healthcare/Emory University (Decatur, GA)
- …1. One (1) year healthcare experience in Acute Care setting. 2. Accredited Case Manager (ACM) Certification through the American Case Management ... Association or Certified Case Management (CCM) through the Commission for Case Manager Certification. **SW CM II:** **MINIMUM REQUIREMENTS** 1. Masters in… more
- CenterWell (Stone Mountain, GA)
- **Become a part of our caring community and help us put health first** The Manager Care/ Case Management is responsible for managing a team of nurses, community ... health workers, and behavioral health resources who engage high risk/high needs patients...and services they need to reach optimal health. The Manager is also responsible for building strong partnerships with… more
- CVS Health (Atlanta, GA)
- …we do it all with heart, each and every day. **Job Summary** The Care Manager -Registered Nurse is a key member of our Special Needs Plan (SNP) care team, responsible ... for coordinating care for members who often face multiple chronic medical and behavioral health conditions, as well as various social determinants of health (SDoH)… more
- Somatus (Atlanta, GA)
- …and mental well-being + Community engagement opportunities + And more! The RN Care Manager is a critical member of the care team consisting of nurses, dietitians, ... care. Responsibilities + Conduct comprehensive assessments that include the medical, behavioral , pharmaceutical, and social needs of the patient, identify gaps in… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …mentorship, development, and leadership programs and more! **Description** The RN Care Manager (RN CM) is responsible for patient care coordination from admission ... discharged from the hospital setting, ensuring and facilitating high quality clinical and cost outcomes, procuring and securing post-acute services, coordinating and… more
- State of Georgia (Fulton County, GA)
- …reviews of Requests for Special Circumstances and provides recommendations to the Statewide Manager of Behavioral Services and Division of DD. + Conducts ... Experience in providing staff supervision and quality assurance activities; Knowledge of clinical best practice standards for behavioral services to individuals… more
- Elevance Health (Atlanta, GA)
- …Carelon Behavioral Health, formerly Beacon Health Options, offers superior clinical mental health and substance use disorder management, a comprehensive employee ... impact:** + Determines the medical necessity of requests using clinical criteria. + Performs physician-level case review...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- CenterWell (Atlanta, GA)
- …patients on health maintenance and disease prevention or provide case management. Understands own work area professional concepts/standards, regulations, strategies ... screened for TB. + Excellent customer service + Strong clinical background + Strong sense of engagement to be...well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50… more
- CenterWell (Atlanta, GA)
- …Medicare/Medicaid experience a plus + Previous experience in utilization management, case management, discharge planning and/or home health or rehab + Certification ... in Case Management a plus (CCM) + Experience working with...go beyond physical health - addressing the social, emotional, behavioral and financial needs that can impact our patients'… more
- CenterWell (Atlanta, GA)
- …Intelligence Lead and support ad hoc reporting. * Develop basic modeling and business case analysis; work closely with Finance and Data teams * Coordinate with ACO ... that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more time… more