- Humana (Atlanta, GA)
- **Become a part of our caring community and help us put health first** The Care Manager , Telephonic Nurse 2 employs a variety of strategies, approaches and ... business there is limited day to day flexibility in care manager 's schedule. **Duties:** + Telephonically assess...skills to make an impact** **Required Qualifications** + Active Registered Nurse ( RN ) license with… more
- Molina Healthcare (Atlanta, GA)
- …behavioral health settings. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing. Must ... assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long...We are seeking a candidate with a WA state RN licensure to support the Washington State Plan. Candidates… 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)
- … more accessible and affordable for everyone. To learn more, visit www.Sharecare.com. The Care Manager supports the implementation of the Value Based Care ... telephonic Case or Care Management with CareFirst members. The Care Manager partners with members, caregivers, providers, and the interdisciplinary… more
- Centene Corporation (Atlanta, GA)
- …perspective on workplace flexibility. **Must reside in the State of Georgia.** **Now Hiring: Remote Care Manager RNs - Join Centene's Ambetter Marketplace ... **Centene is expanding our team and currently hiring a Remote Care Manager RNs to...2 - 4 years of related experience. **License/Certification:** + RN - Registered Nurse -… 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)
- …We're uniquely positioned to meaningfully improve health outcomes and costs. As Case Manager RN , you will be responsible for assessing, planning, implementing, ... with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we...the client and the member's provider. **Required Qualifications** + Registered Nurse that must reside in the… more
- CVS Health (Atlanta, GA)
- …do it all with heart, each and every day. **Position Summary** This RN Case Manager role is 100% remote and the employee can live in any state and telework, ... with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we...be required in the event of clinical audits. The RN Case Manager is responsible for telephonically… more
- Molina Healthcare (Atlanta, GA)
- …and/or coding experience, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... JOB DESCRIPTION **Job Summary** The Medical Claim Review Nurse provides support for medical claim review activities....care . For this position we are seeking an RN with previous Inpatient Hospital, Skilled Nursing Facility experience,… 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
- Belle (Atlanta, GA)
- …Role Belle is seeking a full-time, remote Telephonic Nurse Case Manager to help deliver high-quality, member-centered care . In this role, you will play ... the knee. As these issues arise, a team of remote nurses coordinate care with other healthcare...the member experience Experience, Skills, & Personality + Active Registered Nurse ( RN ) license with… more
- CVS Health (Atlanta, GA)
- …And we do it all with heart, each and every day. **Position Summary** This Case Manager RN position is 100% remote , and the employee can live in ... when the member has met discharge criteria. The Case Manager RN role requires a nurse...multi-state licensure upon hire + 3+ years of acute care experience as an RN + 3+… more
- Centene Corporation (Atlanta, GA)
- …including a fresh perspective on workplace flexibility. **Position Purpose:** Performs care management duties to assess, plan and coordinate aspects of medical ... and supporting services across the continuum of care for post-discharge members, promoting quality and cost...Must reside in GA Onsite at Grady Memorial Hospital RN License Required **License/Certification:** + LISW, LCSW, LMSW, LMFT,… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …programs and more! **Description** **7a-3:30pm/ Full time / 40 hours** The **Assistant Nurse Manager , Medical Oncology and Hematology** plays a key leadership ... compliance, 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
- Molina Healthcare (Atlanta, GA)
- …or home health. **Required License, Certification, Association** + Active, unrestricted State Registered Nursing ( RN ) license in good standing. + Must have ... health. **Preferred License, Certification, Association** Active, unrestricted Transitions of Care Sub-Specialty Certification and/or Certified Case Manager … more
- BD (Becton, Dickinson and Company) (Atlanta, GA)
- …Care and Vascular Access sales organizations. **Required Education and Experience:** + Registered Nurse with a Bachelor's degree required (BSN is preferred). ... Solutions products. The Clinical Specialist reports directly to the Clinical Manager . Works primarily in a geographically defined territory; however, based on… more
- Option Care Health (Atlanta, GA)
- …years in a home health agency, primary care clinic or health facility OR registered nurse with four (4) years of experience within the last five years in ... nursing staff in assigned location(s). + Partners with the Nurse Manager and/or Nursing Supervisor on the...Yes - X **Basic Education and/or Experience Requirements** + Registered Nurse with a license in the… more
- Molina Healthcare (Atlanta, GA)
- …state/federal regulations **REQUIRED LICENSE, CERTIFICATION, ASSOCIATION:** Active, unrestricted State Registered Nursing ( RN ) license in good standing. ... **JOB DESCRIPTION** Looking for a RN that has a current active unrestricted license This a remote role and can sit anywhere within the United States. Work… more
- Sharecare (Atlanta, GA)
- …to enable individuals with disabilities to perform the essential functions. + Current Registered Nurse multi-state compact license in the state in which they ... support in an appropriate, efficient and cost-effective manner while ensuring high quality care . The Disease Management Nurse works with participating members to… more
- Molina Healthcare (Atlanta, GA)
- …skills. + Microsoft Office suite/applicable software program(s) proficiency. **Preferred Qualifications** + Registered Nurse ( RN ). The license must be active ... **JOB DESCRIPTION** **Job Summary** The Delegation Oversight Nurse provides support for delegation oversight quality improvement activities. Responsible for… more