• Nurse Medical Case

    Travelers Insurance Company (Alpharetta, GA)
    …what you do and where you do it. **Job Category** Claim, Nurse - Medical Case Manager **Compensation Overview** The annual base salary range provided for ... the Opportunity?** Under moderate supervision, provide office based telephonic medical case management with emphasis on early...may be required to support Concierge locations, where a Nurse Case Manager meets with… more
    Travelers Insurance Company (01/04/25)
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  • Worker's Compensation Return to Work Claim…

    Travelers Insurance Company (Alpharetta, GA)
    …through the best possible outcome. + Collaborate with our internal nurse resources ( Medical Case Manager ) in order to integrate the delivery of ... and indemnity position of the claim with a Medical Case Manager . Independently handles...returning injured party to work and coordinating the appropriate medical treatment.in collaboration with internal nurse resources… more
    Travelers Insurance Company (01/15/25)
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  • Nurse Case Mgr II

    Elevance Health (Atlanta, GA)
    **Telephonic Nurse Case Manager II** **Federal Employee Program - FEP** , a proud member of the Elevance Health, Inc. family of companies, it is a powerful ... Friday 10 am - 6:30 pm EST.** The **Telephonic** ** Nurse Case Manager II** is...plan and modifies it as necessary. + Interfaces with Medical Directors and Physician Advisors on the development of… more
    Elevance Health (01/17/25)
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  • RN Case Manager , Home Health

    CenterWell (Tucker, GA)
    …of our caring community and help us put health first** As a **Home Health RN Case Manager ** , you will: + Provide admission, case management, and follow-up ... Manager , preparing and completing needed clinical documentation. + Prepare appropriate medical documentation on all patients, including any case conferences,… more
    CenterWell (10/30/24)
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  • Nurse Care Manager Senior - LGBTIA+/…

    Elevance Health (Atlanta, GA)
    ** Nurse Care Manager Senior - LGBTIA+/ Transgender...or BS in nursing preferred. + Certification as a Case Manager is preferred. + Certification in the ... work **12:30 PM** **to 9 PM EST** **.** The ** Nurse Care Manager Senior** is responsible for...disease processes strongly preferred. + Prior managed care and case management experience preferred. Knowledge of medical more
    Elevance Health (01/03/25)
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  • Case Manager - UniHealth

    PruittHealth (Norcross, GA)
    …to our patients post -acute care. Demonstrates understanding of post-acute services and case management as it relates to the continuum of care. **ESSENTIAL JOB ... with regulations and standards. * Must be knowledgeable of medical necessity review guidelines for commercial, Medicare, and Medicaid...EDUCATION REQUIREMENTS:** * BSN preferred * Currently licensed Registered Nurse in the state of GA. * A minimum… more
    PruittHealth (01/17/25)
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  • Director of Case Management - Inpatient…

    Select Medical (Atlanta, GA)
    …eligible after their first 90 days **Responsibilities** **Position Summary** The Director of Case Manager is responsible for the coordination of health care ... **Overview** **Emory Rehabilitation Hospital** A joint venture with Select Medical & Hospital Atlanta, GA **Director of Case...Work required or Current state licensure as a Registered Nurse (RN) required + A minimum of three years in… more
    Select Medical (01/15/25)
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  • Registered Nurse - Critical Care

    Veterans Affairs, Veterans Health Administration (Atlanta, GA)
    Summary This is an open continuous position. The hiring manager will receive certifications with eligible applicants every two weeks starting 12/13/2024 until ... 12/02/2025. Responsibilities The Registered Nurse - Critical Care position involves incorporating and implementing the...by policy/ guidelines. - Responds and provides leadership during medical Code and Rapid Responses. - Utilize the Emergency… more
    Veterans Affairs, Veterans Health Administration (12/05/24)
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  • Med Mgmt Nurse (US)

    Elevance Health (Atlanta, GA)
    ** Medical Management Nurse ** **Federal Employee Program - FEP** , a proud member of the Elevance Health, Inc. family of companies, it is a powerful combination, ... 7 pm (EST) shift rotation twice a month.** The ** Medical Management Nurse ** is responsible for reviewing...skills and nursing judgment and experience. + Collaborates with case management nurses on discharge planning, ensuring the patient… more
    Elevance Health (01/17/25)
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  • Hospice Registered Nurse

    Gentiva (Kennesaw, GA)
    …in company quality assessment and performance improvement programs. **About You** **Hospice Registered Nurse / RN Case Manager Requirements:** + Hospice ... dignity, grace, and love. **As a Hospice RN/ RN Case Manager , you will:** + Reportdirectly to...you will be eligible for:** + Competitive Pay + Medical , Dental, Vision Plans + Wellness Program and Resources… more
    Gentiva (11/23/24)
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  • Mgr, Nurse - West Unit

    State of Georgia (Dekalb County, GA)
    …Developmental Disabilities (DBHDD) is currently seeking qualified candidates for the position of Nurse Manager on the West Unit at Georgia Regional Hospital - ... Mgr, Nurse - West Unit Georgia - Dekalb -...needs, develop and implement nursing care plans, and maintain medical records. . Oversees the provision and quality of… more
    State of Georgia (01/17/25)
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  • Registered Nurse , Home Health Per Diem

    CenterWell (Cumming, GA)
    …our caring community and help us put health first** As a **Home Health Registered Nurse ** , you will: + Provide admission, case management, and follow-up skilled ... Manager , preparing and completing needed clinical documentation. + Prepare appropriate medical documentation on all patients, including any case conferences,… more
    CenterWell (12/17/24)
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  • Medical Claim Review Nurse (RN)

    Molina Healthcare (Atlanta, GA)
    …coding experience. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** Certified Clinical Coder, Certified Medical Audit Specialists, Certified Case Manager , ... knowledge and experience, responsible for review of documentation to ensure medical necessity and appropriate level of care utilizing MCG/InterQual, state/federal… more
    Molina Healthcare (01/21/25)
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  • Lead Advanced Practice Provider ( Nurse

    Emory Healthcare/Emory University (Atlanta, GA)
    …assessments/treatments, at home medical care, medication and other issues related to medical or health problems. + Works with manager to formulate plan for ... technical expertise for all Affiliate providers in the daily management of medical services to patients. + Recruits and hires staff, establishes work schedules,… more
    Emory Healthcare/Emory University (12/20/24)
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  • Registered Nurse , Home Health

    AccentCare, Inc. (Roswell, GA)
    …posting is an estimate of annual compensation. Find Your Passion and Purpose as an RN Case Manager . Reimagine Your Career in Home Health As a medical ... over 30 hours per week and their families, including: Medical , dental, and vision coverage Paid time off and...scrubs for patient-facing employees Qualifications Be the Best RN Case Manager You Can Be If you… more
    AccentCare, Inc. (12/26/24)
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  • RN Clinical Manager , Home Health

    CenterWell (Sandy Springs, GA)
    …sit on-site at our Sandy Springs, GA branch location.** The **RN Clinical Manager ** coordinates and oversees all direct care patient services provided by clinical ... care to all patients served by the location. Receives case referrals. Reviews available patient information related to the...of Nursing. + Current state license as a Registered Nurse . + Proof of current CPR. + Valid driver's… more
    CenterWell (12/17/24)
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  • Supplemental Care Manager - Remote

    Sharecare (Atlanta, GA)
    …everyone. To learn more, visit www.sharecare.com . Job Summary: The Supplemental Care Manager supports the Value Based Care Management program in an appropriate and ... efficient manner by providing high-quality telephonic Case or Care Management with CareFirst members. The Supplemental...or Care Management with CareFirst members. The Supplemental Care Manager will ensure that the ongoing needs of enrolled… more
    Sharecare (01/16/25)
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  • Care Manager - Remote

    Sharecare (Atlanta, GA)
    **Job Description:** **Job Summary:** The Care Manager supports the implementation of the Value Based Care Management program in an appropriate and efficient manner ... by providing high-quality telephonic Case or Care Management with... or Care Management with CareFirst members. The Care Manager partners with members, caregivers, providers, and the interdisciplinary… more
    Sharecare (01/17/25)
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  • Care Manager Behavioral Health - Part Time…

    Highmark Health (Atlanta, GA)
    …resource utilization, identification of opportunities for referral to a Health Coach/ case management, and identification and resolution of quality issues. Monitors ... established industry and corporate standards and are within the care manager 's professional discipline. Effectively function in accordance with applicable state,… more
    Highmark Health (12/12/24)
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  • Care Manager , Telephonic Behavioral Health

    Humana (Atlanta, GA)
    …our caring community and help us put health first** The Telephonic Care Manager (Autism Care Navigator) serves as a primary advocate for assigned beneficiaries ... communication and available resources to promote quality, cost-effective outcomes. Coordinate medical , behavioral and other services for beneficiaries with a primary… more
    Humana (01/16/25)
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