- Axelon Services Corporation (Atlanta, GA)
- …a Bachelor's degree in Nursing and 2 - 4 years of related experience. License/Certification: RN - Registered Nurse - State Licensure and/or Compact State ... responsibilities of this the role and a description of the project Remote telephonic case management, Care manager (CM) follows model of care to… more
- Pyramid Consulting, Inc (Atlanta, GA)
- Immediate need for a talented Care Manager RN . This is a 04+ months contract opportunity with long-term potential and is located in US( Remote ). Please ... review the job description below and contact me ASAP if you are interested. Job ID: 24-38696 Pay Range: $40 - $45/hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending… more
- Pacer Staffing (Atlanta, GA)
- …empowering the beneficiary to successfully manage their chronic condition. . The DM nurse will partner with the interdisciplinary care team to identify ... Provides Disease Management (DM) services to TRICARE beneficiaries. . The DM nurse will collaboratively assess, plan, implement, coordinate, monitor and evaluate the… more
- Pacer Staffing (Atlanta, GA)
- …to quality care in a cost-effective manner. Coordinates with the Primary Care Manager (PCM) or specialty health providers for information and input into ... Shift - Standard | Mon to Fri Location - Remote (Case Manager - serious diagnoses. Children/Pediatric...United States, as a Licensed Clinical Social Worker or Registered Nurse US Citizenship Must be able… more
- Pacer Staffing (Atlanta, GA)
- …Licensure: Current, unrestricted state license as a Licensed Clinical Social Worker, Registered Nurse , or Clinical Psychologist. Experience: Minimum of 2 years ... Job Title: Case Manager Location: Fully Remote Duration: 3+...This role involves screening referrals, conducting assessments, developing individualized care plans, and monitoring outcomes. The Case Manager… more
- Pacer Staffing (Atlanta, GA)
- …practice of their state of licensure as well as those of associated staff. Required: Registered Nurse ( RN ) or Licensed Clinical Social Worker (LCSW), with a ... Position Title: Care Coordinator Supervisor Location: Remote Schedule:...caseload and beneficiary treatment plans to ensure delivery of care , productivity, and timeliness. Evaluates case manager … more
- 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
- 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
