- Battelle Memorial Institute (Fort Benning, GA)
- …Research and Analytics (HRA) business line is seeking a highly motivated, full-time **Nurse Case Manager ** to join our team in support of our government ... comprehensive support for those who serve. As a Nurse Case Manager , you will contribute to impactful...professional parameters + Knowledge and skill in using pre-established utilization review criteria to recognize and report… more
- Elevance Health (Columbus, GA)
- …Alternate locations may be considered. The **Medical Director** will be responsible for utilization review case management for North Carolina Medicaid. May ... and external physicians. + May conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering providers...state or territory of the United States when conducting utilization review or an appeals consideration and… more
- HCA Healthcare (Savannah, GA)
- …and personal growth, we encourage you to apply for our Manager Case Management opening. We promptly review all applications. Highly qualified candidates will ... **Introduction** Do you have the career opportunities as a ** Manager Case Management** you want with your...supporting a balance of optimal care and appropriate resource utilization . **What qualifications you will need:** + Bachelor's Degree… more
- HCA Healthcare (Augusta, GA)
- …in Case Management is required for this PRN role. + Certification in Case Management or Utilization Review is preferred. + InterQual experience is ... satisfaction and personal growth, we encourage you to apply for our RN Case Manager PRN opening. We review all applications. Qualified candidates will be… more
- PruittHealth (Atlanta, GA)
- …Minimum three years industry experience in a managed care setting focused on experience in utilization review / case management and at least two years case ... patient based on a thorough history and clinical record review , including the attending physician's plan, the recommendations of...license in state of practice (Georgia) required. * Certified Case Manager preferred - Mandatory to apply… more
- HCA Healthcare (Savannah, GA)
- …of experience in hospital case management is required. + Certification in case management or utilization review is preferred. + InterQual experience ... join an organization that invests in you as a Registered Nurse (RN) Case Manager ? At Memorial Health University Medical Center, in the beautiful and historic… more
- CVS Health (Atlanta, GA)
- …members. **Key Responsibilities** + This position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or ... Health. Founded in 1993, AHH is URAC accredited in Case Management, Disease Management and Utilization Management....lower levels of care. + 1+ years' experience in Utilization Review . + CCM and/or other URAC… more
- Elevance Health (Atlanta, GA)
- **Telephonic Nurse Case Manager Senior** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person ... assessment within 48 hours of receipt and meet the criteria._** The **Telephonic Nurse Case Manager Senior** is responsible for care management within the scope… more
- Elevance Health (Atlanta, GA)
- **Telephonic Nurse Case Manager II** **Location: This role enables associates to work virtually full-time, with the exception of required in-person training ... assessment within 48 hours of receipt and meet the criteria._** The **Telephonic Nurse Case Manager II** is responsible for care management within the scope of… more
- Elevance Health (GA)
- **Telephonic Nurse Case Manager I** **Location: This role enables associates to work virtually full-time, with the exception of required in-person training ... assessment within 48 hours of receipt and meet the criteria._** The **Telephonic Nurse Case Manager I** is responsible for telephonic care management within the… more
