- Highmark Health (Atlanta, GA)
- **Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** **Pediatric Complex Case Management** This job owns and conducts oversight over a specified ... and / or health insurance experience **Preferred** + **Pediatric Complex Case Management Experience** + Advanced training...in addressing targeted populations **LICENSES AND CERTIFICATIONS** **Required** + RN license in PA or WV or DE or… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …We're seeking a **Care Manager ( Registered Nurse / RN )** responsible for coordinating clinically complex patients' care across a continuum; ensuring ... ongoing educational opportunities to enhance health care teams knowledge of case management services; + Participates in and facilitates patient/family education and… more
- CVS Health (Atlanta, GA)
- …on a defined schedule, adhering to the defined metrics, as required by the business. Nurse Case Manager is responsible for telephonically and/or face to face ... designed to reduce risk factors and barriers and address complex health and social indicators which impact care planning...will provide. * Bilingual preferred - Spanish * Certified Case Manager is preferred. * Additional national… more
- CVS Health (Atlanta, GA)
- …Planning and/or Home Healthcare Coordination experience **Preferred Experience** + Certified Case Manager + Excellent analytical and problem-solving skills + ... and expand DSNP into new markets across the country. **Fundamental Components** + Nurse Care Manager is responsible for assessing, planning, implementing, and… more
- Elevance Health (Atlanta, GA)
- …contracts, member benefits, and managed care products preferred. + Certification as a Case Manager is preferred. + Previous work from home/remote experience is ... members in different states; multi-state licensure will be required.** **The Transplant Nurse II** is responsible for providing case management and/or medical… more
- Baylor Scott & White Health (Atlanta, GA)
- …Benefits may vary based on position type and/or level **Job Summary** As a Case Manager 2, you will primarily manage complex case loads and assist the ... people with regulations. This may include handling high-risk cases and mentoring new case managers. The role requires attention to detail and a solid knowledge of… more
- Evolent Health (Atlanta, GA)
- …care across multiple settings and with multiple providers - Required + Current Registered Nurse license - Maryland or Compact License - **Required** + ... providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and...this population. **What You Will Be Doing:** + This RN Care Manager The RN … more
- CVS Health (Lawrenceville, GA)
- …team to optimize customer satisfaction and retention. **Required Qualifications:** + A Registered Nurse that must hold an unrestricted license in Georgia, ... Management in an integrated model working with employer programs. + Certified Case Manager (CCM) certification + Advanced problem solving and decision-making… more
- 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 (Atlanta, GA)
- **Telephonic Nurse Case Manager I - $3000 Sign-On Bonus Offered** **Location: This is a virtual position, but you must reside in the State of Georgia.** ... 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)
- …Point office **Shift:** Monday - Friday; 8:00am - 5:00pm The **Behavioral Health Case Manager ** is responsible for performing case management telephonically ... 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)
- …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
- Elevance Health (Atlanta, GA)
- **Telephonic Nurse Case Manager II** At **Federal Health Products and Services - FHPS** , a proud member of the Elevance Health, Inc. family of companies, ... Friday 10 am - 6:30 pm EST.** 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
- Veterans Affairs, Veterans Health Administration (Atlanta, GA)
- Summary The Connected Care Department in Atlanta, GA has an Assistant Nurse Manager vacancy available. Responsibilities General Description of Assigned Duties: ... initiatives. Functions or Scope of Assigned Duties: The Assistant Nurse Manager (ANM) supports the Nurse...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
- Evolent Health (Atlanta, GA)
- …Required + Licensed Clinical Social Worker (LCSW), Licensed Mental Health Counselor (LMHC), or Registered Nurse ( RN ), Required + 3-5 years of behavioral ... providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and...population. **What You'll Be Doing:** + The Behavioral Health Case Manager (LCSW or LMHC) will connect… more
- Elevance Health (Atlanta, GA)
- …continuum of Behavioral Health treatment strongly preferred. + Certification as a Case Manager preferred. **Additional requirements for BH EAP/Resource Center:** ... **Shift:** Monday - Friday; 8:00am - 5:00pm ET The ** Manager II Behavioral Health Services** is responsible for Behavioral...Behavioral Health Utilization Management (BH UM), or Behavioral Health Case Management (BH CM) or a combination of both… more
- Sanofi Group (Atlanta, GA)
- …relationship with healthcare professionals, primarily the center coordinating genetic counselor, registered nurse , or other ancillary staff. The PEL works ... measure success and impact (reported quarterly). The Patient Education Manager (PEL) is a key field-based member of the...collaboratively in a complex team environment with numerous internal cross-functional groups to… more
- Elevance Health (Atlanta, GA)
- ** Nurse Medical Management II** **Location:** This position will work a hybrid model (remote and office). The Ideal candidate will live within 50 miles of one of our ... Elevance Health PulsePoint locations. The ** Nurse Medical Management II** will be responsible to collaborate...and to promote effective use of resources for more complex medical issues. Ensures medically appropriate, high quality, cost… more