- 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 a care plan, encouraging behavior… more
- CVS Health (Atlanta, GA)
- …members. **Key Responsibilities** + This position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or ... reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year...or Maternity/ Obstetrics experience. **Preferred Qualifications** + 1+ years' Case Management experience or discharge planning, nurse … 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
- PruittHealth (Atlanta, GA)
- …with long-term care population **MINIMUM LICENSURE/CERTIFICATION REQUIRED BY LAW:** * Licensed Registered Nurse with current, unrestricted license in state of ... care and regulatory compliance within the company's standards and RN scope of practice. * Comply with PruittHealth Premier's...practice (Georgia) required. * Certified Case Manager preferred - Mandatory to apply… 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
- Humana (Atlanta, GA)
- …**Use your skills to make an impact** **Required Qualifications** + Active Registered Nurse ( RN ) license with **no** disciplinary action ... schedules, which limits day-to-day flexibility **.** + All our RN Care Managers are work at home associates, working... Management experience + Managed care experience + Certified Case Manager (CCM) + Bilingual in English… more
- Elevance Health (Atlanta, GA)
- ** Nurse Case Manager II**...human services related field preferred. + Experience in telephonic case management, especially for complex and chronic ... month from 11:30 AM to 8:00 PM EST. The ** 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)
- **Special Programs Case Manager I** **Location:** Atlanta, GA **Hybrid 1:** This role requires associates to be in-office **1 - 2** days per week, fostering ... is granted as required by law. The **Special Programs Case Manager I** is responsible for performing...social work counseling with broad range of experience with complex psychiatric and substance abuse or substance abuse disorder… 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 ... 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)
- ** Nurse Case Manager Senior - Field Nurse ** **Work location:** This field-based role located in the Jonesboro, GA area enables associates to primarily ... 48 hours of receipt and meet the criteria._** The ** Nurse Case Manager Senior -...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 I** **Location: This role enables associates to work virtually full-time, with the exception of required in-person training ... hours of receipt and meet the criteria._** 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
- Elevance Health (Atlanta, GA)
- …of committed clinicians and business leaders passionate about transforming American healthcare delivery. ** Nurse Case Manager II** **Location** : This role ... hours may be necessary based on company needs. The ** 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)
- …employment, unless an accommodation is granted as required by law_ The **Behavioral Health Case Manager I** is responsible for performing case management ... social work counseling with broad range of experience with complex psychiatric and substance abuse or substance abuse disorder...equivalent background. + Current active unrestricted license such as RN LCSW (as applicable by state law and scope… more
- Sedgwick (Atlanta, GA)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance 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 advocacy,… 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 ... Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM),… 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 ... 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
- Emory Healthcare/Emory University (Decatur, GA)
- …workflows. Minimum qualifications: RN CM: MINIMUM REQUIRMENTS 1. Valid, unencumbered Registered Nurse License approved by the Georgia Board of Nursing. 2. ... 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)
- …**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
- Elevance Health (Atlanta, GA)
- …continuum of Behavioral Health treatment strongly preferred. + Certification as a Case Manager is preferred. **Additional requirements for BH EAP/Resource ... and BH benefits in a clinical call center The ** Manager Behavioral Health Services** is responsible for Behavioral Health...Behavioral Health Utilization Management (BH UM), or Behavioral Health Case Management (BH CM) or a combination of both… more
- Elevance Health (Atlanta, GA)
- **Behavioral Health - Care Manager II** **Location:** _Virtual:_ This role enables associate to work virtually full-time, with the exception of required in-person ... is granted as required by law. The **Behavioral Health - Care Manager II** is responsible for managing psychiatric or autism facility-based and outpatient… more