- CVS Health (Atlanta, GA)
- …and expand DSNP into new markets across the country. **Fundamental Components** * Nurse Care Manager is responsible for assessing, planning, implementing, ... of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at… more
- Somatus (Atlanta, GA)
- …supporting teammates physical and mental well-being + Community engagement opportunities + And more! The RN Care Manager is a critical member of the care ... care and barriers to good health; The RN Care Manager is expected...2+ years healthcare related experience. + Current, unrestricted compact Registered Nurse license + Requires all teammates… more
- Sharecare, Inc. (Atlanta, GA)
- …in influencing patient and provider outcomes **Qualifications:** + Current multi-state/compact Registered Nurse licensure in state of residence is required, ... the lens of their personal health and making high-quality care more accessible and affordable for everyone. To learn...questions from providers or members to the Clinical Advocate Manager or Director when he/she identifies an opportunity for… more
- Veterans Affairs, Veterans Health Administration (Marietta, GA)
- …risk for injury. Collaborate with the Teamlet (Patient, Primary Care Provider, RN Care Manager , Clinical Associate, and Clerical Associate) and expanded ... program office after complete review of the EDRP application. Responsibilities The Registered Nurse delivers fundamental, knowledge-based care to assigned… more
- 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
- 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 ... needs of the member, barriers to accessing the appropriate care , social determinants of health needs, focusing on what...plus holidays, and a flexible approach to work with remote , hybrid, field or office work schedules. Actual pay… more
- CenterWell (Atlanta, GA)
- …The Clinical Care Coordinator is under the general supervision of the Manager of Care Coordination and under established performance criteria. This is a ... THIS ROLE - after hours and weekends The Clinical Care Coordinator helps to ensure optimal continuity of ...work-from-home telephonic nurse position. **Essential Functions:** + Act as Kindred at… more
- CenterWell (Stockbridge, GA)
- …sit on-site at our Stockbridge, GA branch location.** The ** RN Clinical Manager ** coordinates and oversees all direct care patient services provided by ... **Branch Location** : Stockbridge, GA **This is not a remote or work-from-home position. This position requires you to...School of Nursing. + Current state license as a Registered Nurse . + Proof of current CPR.… 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
- Elevance Health (Atlanta, GA)
- …benefits, and managed care products preferred. + Certification as a Case Manager is preferred. + Previous work from home/ remote experience is very beneficial ... **Anticipated End Date:** 2024-09-19 **Position Title:** RN Transplant Case Manager II (Telephonic)...II (Telephonic) **Job Description:** **LOCATION** **: This is a remote position and you** **must** **be within 50 miles/1-hour… more
- CenterWell (Tucker, GA)
- …**Position Type** : On-site **Branch Location** : Tucker, GA **This is not a remote or work-from-home position. This position requires you to sit on-site at our ... Tucker, 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
- Elevance Health (Atlanta, GA)
- **Anticipated End Date:** 2024-09-16 **Position Title:** RN Hospital Bill Audit/Appeal Lead **Job Description:** ** RN Hospital Bill Audit/Appeal Lead** ... Payment Integrity line of business** _Location: This position will work a hybrid model ( remote and office). The ideal candidate will live within 50 miles from our… more
- Prime Therapeutics (Atlanta, GA)
- …our passion and drives every decision we make. **Job Posting Title** Account Manager I- REMOTE **Job Description Summary** Overall management of assigned book ... Supports the account management team ensuring revenue goals are met, cost of care and administrative expenses are managed and segment profit targets are achieved for… more
- Prime Therapeutics (Atlanta, GA)
- …passion and drives every decision we make. **Job Posting Title** Sr. Account Manager - Remote **Job Description Summary** **Job Description** Overall management ... includes demonstrating the knowledge of the dynamics facing managed care in the current market. + Understands about the...client contract, may require clinical licensure in good standing ( RN , LCSW, LMHC, LPC, Pharmacist) for state in which… more
- Sharecare, Inc. (Atlanta, GA)
- …individual through the lens of their personal health and making high-quality care more accessible and affordable for everyone. To learn more, visit www.sharecare.com ... has the primary responsibility for supporting goals and objectives of the care enhancement program by providing telephonic care and resource utilization… more
- 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 + ... policies and procedures + Responsible for the full patient care cycle. + Assesses, plans, implements, monitors and evaluates...plans. + Current license, certification or registration as a Registered Nurse or Social Worker + Office… more
- Centene Corporation (Atlanta, GA)
- …visits related to the resources available, and recommends and/or facilitates the care plan/service plan for the best outcome, which may include behavioral health ... outreach to assess member needs and collaborate with resources + Develops ongoing care plans for members with high level acuity and works to identify providers,… more
- Veterans Affairs, Veterans Health Administration (Decatur, GA)
- …plans aimed at meeting patient care needs. Supervises and guides Registered Nurse , LPN and non-clinical staff. Designs, modifies, and implements systems ... will be responsible to the Associate Director for Nursing/Patient Care Services, Service Line Manager or Service...result in improved outcomes. In the absence of the Nurse Manager , handles administrative and clinical issues,… more
- Veterans Affairs, Veterans Health Administration (Atlanta, GA)
- …hospital, long term care or outpatient setting under the direction of a Registered Nurse and/or Licensed Vocational Nurse /Licensed Practical Nurse . ... mandatory reviews. Performs other appropriate duties as designated by Nurse Manager and /or Nursing Supervisor. Establishes...care and contribute to the completion of the nurse care plan and recovery of patients/residents.… more
- Cardinal Health (Atlanta, GA)
- …(GI) Customer Success_** **_contributes to Cardinal Health_** The Clinical Manager for our Gastroenterology (GI) Customer Success team is responsible ... the VP of Customer Success. In this role, the manager will be held primarily accountable for the overall...that will lead our GI program. **_Location_** - Fully remote with the expectation of 15-20% travel. Travel does… more