• Complex Case Manager

    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
    Highmark Health (01/31/25)
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  • Care Manager Registered Nurse

    Emory Healthcare/Emory University (Atlanta, GA)
    …more **Description** We're seeking a ** Registered Nurse , Care Manager ** responsible for coordinating clinically complex patients' care across a ... 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 (12/31/24)
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  • Case Manager , RN

    CAI (Atlanta, GA)
    …Type** Full time **Worksite Flexibility** Remote **Job Summary** We are looking for a motivated Case Manager , RN ready to take us to the next level! ... apply now. **Job Description** We are looking for a Case Manager , RN to provide...duties as assigned/requested **What You'll Need** Required: + Current Registered Nurse , licensed in the state of… more
    CAI (02/01/25)
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  • Case Manager ( RN )

    Molina Healthcare (Atlanta, GA)
    …travel required. + RNs provide consultation, recommendations and education as appropriate to non- RN case managers. + RNs are assigned cases with members who ... behavioral health settings. Preferred License, Certification, Association Active, unrestricted Certified Case Manager (CCM) To all current Molina employees: If… more
    Molina Healthcare (02/01/25)
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  • RN - CA Licensure - Transition of Care…

    Molina Healthcare (Atlanta, GA)
    **JOB DESCRIPTION** _For this position we are seeking a ( RN ) Registered Nurse who must have a current active unrestricted RN license in the state of CA._ ... _Case Manager RN will work in remote setting supporting our Medicare/Medicaid...population who have recently been admitted into Hospital. The Case Manager will support our members to… more
    Molina Healthcare (01/21/25)
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  • Telephonic Nurse Case Manager

    Elevance Health (Atlanta, GA)
    **Telephonic Nurse Case Manager II** **Location: This is a virtual position. Candidates must reside within 50 miles of an Elevance Health Pulse Point ... 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 (01/30/25)
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  • Telephonic Case Manager

    Sedgwick (Atlanta, GA)
    …work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Telephonic Case Manager **PRIMARY PURPOSE OF THE ROLE:** While partnering with ... the injured worker, employer, and medical providers, create a case management strategy to facilitate medical recovery and a successful return to work through… more
    Sedgwick (01/22/25)
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  • Medical Claim Review Nurse ( RN )

    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
    Molina Healthcare (01/25/25)
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  • Care Manager - Remote

    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 ... **Job Description:** **Job Summary:** The Care Manager supports the implementation of the Value Based...a matrix organizational design. **Qualifications:** + Current multi-state compact Registered Nurse licensure in state of residence… more
    Sharecare (01/17/25)
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  • Sr Field Reimbursement Manager - HIV…

    Gilead Sciences, Inc. (Atlanta, GA)
    …for providers to enroll patients in Gilead patient support programs. Work directly with case managers to resolve complex patient access questions in a timely ... the lives of patients with life-threatening illnesses worldwide. The **Sr.** **Field Reimbursement Manager - HIV Prevention (** **Sr. FRM)** plays a critical role in… more
    Gilead Sciences, Inc. (12/21/24)
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  • Med Mgmt Nurse (US)

    Elevance Health (Atlanta, GA)
    …10 am - 7 pm (EST) shift rotation twice a month.** The **Medical Management Nurse ** is responsible for reviewing the most complex or challenging cases that ... consultation to the Medical Director on particularly peculiar or complex cases as the nurse deems appropriate....skills and nursing judgment and experience. + Collaborates with case management nurses on discharge planning, ensuring the patient… more
    Elevance Health (01/31/25)
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  • Medical Management Nurse

    Elevance Health (Atlanta, GA)
    …with diagnosis. + Provide consultation to Medical Director on particularly peculiar or complex cases as the nurse deems appropriate. + May make recommendations ... 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
    Elevance Health (01/31/25)
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  • Nurse Disease Mgmt II-1

    Elevance Health (Atlanta, GA)
    **Telephonic Nurse Disease Management II** **$2000 Sign on Bonus** **Federal Employee Program - FEP** , a proud member of the Elevance Health, Inc. family of ... II** is **r** esponsible for participating in and delivering more complex patient education and disease management interventions and performs health coaching… more
    Elevance Health (01/30/25)
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  • Clinical Specialist I, CPT

    Abbott (Atlanta, GA)
    …establishes strong rapport with customers. + Proficient in complex programming, case support. + Works seamlessly with Territory Manager (s) allowing them ... clinical, and programming assistance, primarily in support of 1-2 Territory Manager (s). + Assist Territory Managers in after-hours call support and activities.… more
    Abbott (01/22/25)
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