- Highmark Health (Atlanta, GA)
- **Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** **Fully Remote ** This job has primary ownership and oversight over a specified panel of members ... interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are...in addressing targeted populations **LICENSES AND CERTIFICATIONS** **Required** + RN license in PA or WV or DE or… more
- Sharecare (Atlanta, GA)
- …within a matrix organizational design. **Qualifications:** + Current multi-state compact Registered Nurse licensure in state of residence is required, ... telephonic Case or Care Management with members. The Care Manager partners with members, caregivers, providers, and the interdisciplinary care team to… more
- 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! If ... 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
- Molina Healthcare (Atlanta, GA)
- …materials and other related documentations. **JOB QUALIFICATIONS** **Required Education** + Registered Nurse or equivalent combination of Licensed Vocational ... Nurse (LVN) or Licensed Practical Nurse (LPN) with experience in lieu of ...**Preferred License, Certification, Association** Any of the following: Certified Case Manager (CCM), Certified Professional in Healthcare… more
- Sedgwick (Atlanta, GA)
- …to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer RN Field Case Manager **Looking for** **experienced** **Workers Comp ... RN Field Case Manager Nurses across multiple cities in...the next round, a recruiter will be in touch. \# nurse #fieldcasemanager # RN #workerscompensation \#LI-DV1 **** _As… 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
- Molina Healthcare (Atlanta, GA)
- …unrestricted Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager + Certified Professional Healthcare Management + Certified ... outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse ( RN ) performs clinical/medical reviews of previously denied… more
- Elevance Health (Atlanta, GA)
- …in other states is needed for this role. + Certification as a Case Manager is preferred. + Previous work from home/ remote experience is very beneficial for ... **LOCATION** **: This is a remote position and you** **must** **be within 50...business hours, 8:30 am - 5:00 pm.** **The Transplant Nurse II** is responsible for providing case … more
- Molina Healthcare (Atlanta, GA)
- …identifying opportunities for improvement. **JOB QUALIFICATIONS** **Required Education** + Registered Nurse or equivalent combination of Licensed Vocational ... Nurse (LVN) or Licensed Practical Nurse (LPN) with experience in lieu of ...**Preferred License, Certification, Association** Any of the following: Certified Case Manager (CCM), Certified Professional in Healthcare… more
- Sharecare (Atlanta, GA)
- …effectively within a matrix organizational design. Qualifications: + Current multi-state compact Registered Nurse licensure in state of residence is required, ... everyone. To learn more, visit www.sharecare.com . Job Summary: The Supplemental Care Manager supports the Value Based Care Management program in an appropriate and… more
- Molina Healthcare (Atlanta, GA)
- …identifying opportunities for improvement. **Job Qualifications** **REQUIRED EDUCATION** : Registered Nurse or equivalent combination of Licensed Vocational ... enhance the continuity of care + Functions as hands-on manager responsible for supervision and coordination of enterprise clinical... Nurse (LVN) or Licensed Practical Nurse (LPN) with experience in lieu of … more
- Sedgwick Government Solutions (Atlanta, GA)
- …Degree preferred in Healthcare, Nursing, Health Administration, or a related field + Registered Nurse , licensed in any state, with national certification in a ... Job Details Clinical Quality Management Specialist II ( Remote ) 2025-1419 Atlanta, GA, USA Medical Services Full...and injuries to live their best life by providing case management and support to workers, providers, employers, and… more
- Elevance Health (Atlanta, GA)
- …(local and overnight). When not traveling to provider locations, this position is remote based. Ideal candidate will reside within 50 miles, or a 1-hour commute ... Conducts quality of care investigations and using criteria closes case appropriately or refers to BH Medical Director for...+ Licensure in a mental health related field (Ph.D., RN , LCSW, LPC, LMFT, LMSW etc.) is preferred. +… more