• 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 (03/13/25)
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  • Registered Nurse Case

    Emory Healthcare/Emory University (Duluth, GA)
    …+ 3-5 years healthcare experience required. + Case Management certification required. + CM RN Nurse II for 1 year. + Must meet all quality and productivity ... unparalleled excellence in patient care. **Description** We're seeking an experienced ** Case Manager ** Unit nursewith experienceis responsible for patient care… more
    Emory Healthcare/Emory University (03/06/25)
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  • Care Manager , Registered

    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
    Sharecare (03/19/25)
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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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  • RN Field Case Manager

    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
    Sedgwick (03/12/25)
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  • Community Care Manager / RN or LCSW

    Emory Healthcare/Emory University (Atlanta, GA)
    …and leadership programs + And more **Description** We are seeking a capable **Community Care Manager / RN or LCSW** who has acquired broad experience in caring ... longitudinal care management services for identified high risk and/orc complex Emory patients. + Utilizes clinical expertise to perform...work + Three years of experience working as a case /care manager in a healthcare setting. +… more
    Emory Healthcare/Emory University (03/21/25)
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  • Behavioral Health Case Manager I

    Elevance Health (Atlanta, GA)
    **Be Part of an Extraordinary Team** **Title** : Behavioral Health Case Manager I **Location:** Candidates must reside within 50 miles or 1-hour commute each way ... 10:00AM-6:00PM EST** **Build the Possibilities. Make an Extraordinary Impact.** The **Behavioral Health Case Manager I** is responsible for performing case more
    Elevance Health (03/07/25)
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  • Nurse Case Manager I

    Elevance Health (Atlanta, GA)
    Nurse Case Manager I...management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing, ... 11:30 am- 8:00 pm EST. Monday thru Friday. The ** Nurse Case Manager I** is...which would provide an equivalent background. + Current, unrestricted RN license in applicable state(s) required. + Multi-state licensure… more
    Elevance Health (03/20/25)
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  • Nurse Case Manager II (US)

    Elevance Health (Atlanta, GA)
    ** Nurse Case Manager II** **Location: This is a virtual position. The ideal candidate would reside within 50 miles of an Elevance Health Pulse Point ... late evening 11:30am to 8:00pm EST per month.** 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 (03/19/25)
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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 ... states; therefore, Multi-State Licensure will be required.** 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 (03/18/25)
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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 (03/18/25)
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  • RN Transplant Nurse II

    Elevance Health (Atlanta, GA)
    …become licensed in other states is needed for this role. + Certification as a Case Manager is preferred. + Previous work from home/remote experience is very ... business hours, 8:30 am - 5:00 pm.** **The Transplant Nurse II** is responsible for providing case ...and to promote effective use of resources for more complex medical transplant issues. + Ensures medically appropriate, high… more
    Elevance Health (03/11/25)
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  • RN Health Advocate- Hybrid

    CVS Health (Atlanta, GA)
    …management experience. + 3+ years of Demonstrated leadership **Preferred Qualifications** + Case Manager Experience + Coaching and Education Experience + ... initiatives or act as a team lead for less complex projects based on resource requirements. However, to share...+ Excellent verbal and written communication skills. + Certified Case Manager (CCM) certification **Education** Bachelor's Degree… more
    CVS Health (03/06/25)
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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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  • Manager , Utilization Management Behavioral…

    Humana (Atlanta, GA)
    …**Required Qualifications:** **Must meet** **one** **of the following:** + Active unrestricted registered nurse license in the state of Virginia or reside ... coaching, performance review, up to termination. + Certified or certified-eligible case manager required. **Additional Information:** **Workstyle:** Remote work… more
    Humana (03/12/25)
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  • Nurse Care Manager I - Temporary…

    Elevance Health (Atlanta, GA)
    ** Nurse Care Manager I** **Carelon Services**...or BS in nursing preferred. + Certification as a Case Manager is preferred. + Mulitstate licensure ... short-term position expected to end on_** **_12/31/2025 date._** The ** Nurse Care Manager I** is responsible for...is providing services in multiple states. Certification as a Case Manager or a BS in a… more
    Elevance Health (03/20/25)
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  • Trainer - Clinical Services - Utilization Review…

    Molina Healthcare (Atlanta, GA)
    …knowledge on the job. Job Qualifications **REQUIRED EDUCATION** : Completion of an accredited Registered Nurse ( RN ) Program and an Associate's or Bachelor's ... or State Clinical Social Worker/Counseling (or related field) License Certified Case Manager (CCM), Utilization Management Certification (CPHM), Certified… more
    Molina Healthcare (03/13/25)
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  • Medical Management Nurse

    Elevance Health (Atlanta, GA)
    …**Medical Management Nurse ** is responsible for review of the most complex or challenging cases that require nursing judgment, critical thinking, and holistic ... line with diagnosis. Provide consultation to Medical Director on particularly peculiar or complex cases as the nurse deems appropriate. + May make… more
    Elevance Health (03/13/25)
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