- 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
- 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
- Somatus (Atlanta, GA)
- …settings. + 2+ years healthcare related experience. + Current, unrestricted compact Registered Nurse license + Requires all teammates to maintain current, ... well-being + Community engagement opportunities + And more! The RN Care Manager is a critical member...and physicians. This position will be working closely with complex renal patients in their home, dialysis center, by… 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)
- ** Nurse Case Manager I** **Schedule:** Monday - Friday, 8am-4:30pm EST **Virtual** **:** This role enables associates to work virtually full-time, with the ... an accommodation is granted as required by law._ The ** Nurse Case Manager I** 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: Virtual: This role enables associates to work virtually full-time, with the exception of required in-person ... 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
- 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 ... 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
- Sedgwick (Atlanta, GA)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Field Case Manager -Sign On Bonus Eligible **We are growing all across the US ... and are looking for experienced Workers Comp Field Case Managers! Required to have a minimum of** **1.5...knowledge and experience to assist in the management of complex medical conditions, treatment planning and recovery from illness… more
- Sedgwick (Atlanta, GA)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Field Case Manager -Sign on Bonus Eligible **Must be located in the Greater ... 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
- Molina Healthcare (Atlanta, GA)
- …ASSOCIATION:** Certified Clinical Coder, Certified Medical Audit Specialists, Certified Case Manager , Certified Professional Healthcare Management, Certified ... state/federal regulations **REQUIRED LICENSE, CERTIFICATION, ASSOCIATION:** Active, unrestricted State Registered Nursing ( RN ) license in good standing.… more
- Veterans Affairs, Veterans Health Administration (Atlanta, GA)
- …level quality improvement process and initiatives as well as customer service programs. The Nurse Nurse Manager (NM) is the designated first-line supervisory ... level degree in Nursing may have opportunity to become registered as a nurse with a state...(may be extended up to two years on a case -by- case -basis.) NOTE: Grandfathering Provision - All persons… more
- Elevance Health (Atlanta, GA)
- **Telephonic Nurse Case Manager I** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and ... states; therefore Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager I** 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
- 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
- Emory Healthcare/Emory University (Atlanta, GA)
- …incentives + Ongoing mentorship, development, and leadership programs and more! **Description** The RN Care Manager ( RN CM) is responsible for patient ... CM escalates cases, as appropriate, to management, Physician Advisor, Complex Care team and/or Ethics committee. It is the...party payers and federal and state regulatory agencies. The RN CM will ensure proper use of Case… more
- Elevance Health (Atlanta, GA)
- ** Nurse Care Manager Senior - LGBTIA+/...AS or BS in nursing preferred. Certification as a Case Manager is preferred. + Previous telephone ... insightful analytics to improve the delivery of care. The ** Nurse Care Manager Senior.** is responsible for...nursing experience is strongly preferred. + Certification as a Case Manager is preferred. + Certification in… more
- Elevance Health (Atlanta, GA)
- …**Medical Management Nurse ** is responsible for review of the most complex or challenging cases that require nursing judgment, critical thinking, and holistic ... with diagnosis. + Provide consultation to Medical Director on particularly peculiar or complex cases as the nurse deems appropriate. + May make recommendations… more
- Elevance Health (Atlanta, GA)
- …**Medical Management Nurse ** is responsible for review of the most complex or challenging cases that require nursing judgment, critical thinking, and holistic ... skills and nursing judgment and experience. + Collaborates with case management nurses on discharge planning, ensuring patient has...and/or Provider on select cases, such as cases the nurse deems particularly complex , concerning, or unclear.… more