• 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)
    - Save Job - Related Jobs - Block Source
  • Registered Nurse RN Care…

    AdventHealth (Calhoun, GA)
    …Catoosa, Murray, Floyd and Bartow. **The role you'll contribute:** The Home Health Registered Nurse ( RN ) Care Manager is a professional nurse who ... care patient's care based on individual patient needs. The RN Care Manager is responsible for independent...experience in a Medicare-certified home health agency as a case - manager . Bachelors degree in nursing **LICENSURE,… more
    AdventHealth (01/09/25)
    - Save Job - Related Jobs - Block Source
  • 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)
    - Save Job - Related Jobs - Block Source
  • Manager , Utilization Management…

    Humana (Atlanta, GA)
    …**Use your skills to make an impact** **Required Qualifications** + Active Licensed Registered Nurse ( RN ) in Virginia or enhanced compact license, ... part of our caring community and help us put health first** The Manager , Utilization Management Nursing utilizes clinical nursing skills to support the coordination,… more
    Humana (03/12/25)
    - Save Job - Related Jobs - Block Source
  • 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)
    - Save Job - Related Jobs - Block Source
  • 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)
    - Save Job - Related Jobs - Block Source
  • 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)
    - Save Job - Related Jobs - Block Source
  • Community Care Manager / RN or LCSW

    Emory Healthcare/Emory University (Decatur, 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 (03/18/25)
    - Save Job - Related Jobs - Block Source
  • 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)
    - Save Job - Related Jobs - Block Source
  • 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)
    - Save Job - Related Jobs - Block Source
  • 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)
    - Save Job - Related Jobs - Block Source
  • Telephonic Nurse Case Manager

    Elevance Health (GA)
    **Telephonic Nurse Case Manager I** **Location: This is a virtual position, but you must reside in the State of Georgia.** **Work schedule: Monday - Friday ... 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 (03/18/25)
    - Save Job - Related Jobs - Block Source
  • 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)
    - Save Job - Related Jobs - Block Source
  • 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)
    - Save Job - Related Jobs - Block Source
  • Medical Claim Review Nurse ( RN )

    Molina Healthcare (Columbus, 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)
    - Save Job - Related Jobs - Block Source
  • 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)
    - Save Job - Related Jobs - Block Source
  • Trainer - Clinical Services - Utilization Review…

    Molina Healthcare (Macon, 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)
    - Save Job - Related Jobs - Block Source
  • 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 ... with diagnosis. + Provide consultation to Medical Director on particularly peculiar or complex cases as the nurse deems appropriate. + May make recommendations… more
    Elevance Health (03/13/25)
    - Save Job - Related Jobs - Block Source