Remote Nurse Case Manager
Atlanta, GA · On-site +1
Remote The Case Manager utilizes a collaborative process of assessment, planning, facilitation and ... Utilizes case management and quality management processes in compliance with regulatory and ...
Remote Nurse Case Manager
Atlanta, GA · On-site +1
Remote The Case Manager utilizes a collaborative process of assessment, planning, facilitation and ... Utilizes case management and quality management processes in compliance with regulatory and ...
Telephonic Case Manager
Peachtree Corners, GA · On-site +1
$53K - $98K/yr
Remote RN Telephonic Case Manager Opportunity We're seeking a compassionate and experienced RN ... May perform job site evaluations/summaries to facilitate case management process. * Facilitates ...
Telephonic Case Manager
Peachtree Corners, GA · On-site +1
$53K - $98K/yr
Remote RN Telephonic Case Manager Opportunity We're seeking a compassionate and experienced RN ... May perform job site evaluations/summaries to facilitate case management process. * Facilitates ...
HR LOA Case Manager - Remote
Atlanta, GA · On-site +1
$23/hr
Critically assess and adjust the case management plan to accommodate an employee's changing needs ... We may use Artificial Intelligence (AI) to support parts of our hiring process, including sourcing ...
HR LOA Case Manager - Remote
Atlanta, GA · On-site +1
$23/hr
Critically assess and adjust the case management plan to accommodate an employee's changing needs ... We may use Artificial Intelligence (AI) to support parts of our hiring process, including sourcing ...
Remote RN Telephonic Case Manager Opportunity We're seeking a compassionate and experienced RN ... May perform job site evaluations/summaries to facilitate case management process. * Facilitates ...
Remote RN Telephonic Case Manager Opportunity We're seeking a compassionate and experienced RN ... May perform job site evaluations/summaries to facilitate case management process. * Facilitates ...
Remote RN Telephonic Case Manager Opportunity We're seeking a compassionate and experienced RN ... May perform job site evaluations/summaries to facilitate case management process. * Facilitates ...
Remote RN Telephonic Case Manager Opportunity We're seeking a compassionate and experienced RN ... May perform job site evaluations/summaries to facilitate case management process. * Facilitates ...
Plan Case Manager
Athens, GA · Remote
... all case management activities in both office/remote environment Compliance to internal and ... external goals/metrics established for assigned department Position is often required to ...
Plan Case Manager
Athens, GA · Remote
... all case management activities in both office/remote environment Compliance to internal and ... external goals/metrics established for assigned department Position is often required to ...
Plan Case Manager
Athens, GA · Remote
... case management activities in both office/remote environment • Compliance to internal and ... external goals/metrics established for assigned department • Position is often required to ...
Plan Case Manager
Athens, GA · Remote
... case management activities in both office/remote environment • Compliance to internal and ... external goals/metrics established for assigned department • Position is often required to ...
$20.50 - $21.50/hr
About 360 Management LLC: At 360 Management LLC, we believe in delivering excellence through ... Process waiver program applications through COMPASS and coordinate with eligibility teams for ...
$20.50 - $21.50/hr
About 360 Management LLC: At 360 Management LLC, we believe in delivering excellence through ... Process waiver program applications through COMPASS and coordinate with eligibility teams for ...
... process. About the Organization Westside Psychotherapy Services is committed to fostering mental ... remote case management practices is highly valued. Experience working with specific populations ...
... process. About the Organization Westside Psychotherapy Services is committed to fostering mental ... remote case management practices is highly valued. Experience working with specific populations ...
... process. About the Organization Westside Psychotherapy Services is committed to fostering mental ... remote case management practices is highly valued. Experience working with specific populations ...
... process. About the Organization Westside Psychotherapy Services is committed to fostering mental ... remote case management practices is highly valued. Experience working with specific populations ...
Immigration Attorney - Remote
Atlanta, GA · Remote
$140 - $400/hr
Remote (United States Only) Job Overview We are seeking experienced Immigration Attorneys to ... Case Management Software * Attention to Detail * Written & Verbal Communication * Collaboration
Quick apply
Immigration Attorney - Remote
Atlanta, GA · Remote
$140 - $400/hr
Remote (United States Only) Job Overview We are seeking experienced Immigration Attorneys to ... Case Management Software * Attention to Detail * Written & Verbal Communication * Collaboration
Case Manager
Alpharetta, GA · Remote
$19.50 - $25.25/hr
... treatment process. Requirements/Certifications: Strong organization, time management and ... The Alpharetta, GA candidate will also have the ability to work remote. This is an inbound ...
Case Manager
Alpharetta, GA · Remote
$19.50 - $25.25/hr
... treatment process. Requirements/Certifications: Strong organization, time management and ... The Alpharetta, GA candidate will also have the ability to work remote. This is an inbound ...
Med Mgmt Nurse (contract)
Decatur, GA · Remote
Collaborates with case management nurses on discharge planning, ensuring patient has appropriate ... May assist leadership and other stakeholders on process improvement initiatives. * May help to ...
Med Mgmt Nurse (contract)
Decatur, GA · Remote
Collaborates with case management nurses on discharge planning, ensuring patient has appropriate ... May assist leadership and other stakeholders on process improvement initiatives. * May help to ...
Nurse Case Manager - Greater Atlanta area
Atlanta, GA · On-site +1
SYNERGY HEALTHCARE: Case Manager Nurse Advocate- Greater Atlanta Area Job Summary: We are seeking ... This opportunity allows for remote work so can be flexible on location. Minimal travel within the ...
Nurse Case Manager - Greater Atlanta area
Atlanta, GA · On-site +1
SYNERGY HEALTHCARE: Case Manager Nurse Advocate- Greater Atlanta Area Job Summary: We are seeking ... This opportunity allows for remote work so can be flexible on location. Minimal travel within the ...
Client Manager Small Case
Atlanta, GA · Remote
$70K - $80K/yr
Facilitate service delivery and case onboarding support including answering contractual and process ... A supportive, responsive management approach and opportunities for career growth and advancement
New
Client Manager Small Case
Atlanta, GA · Remote
$70K - $80K/yr
Facilitate service delivery and case onboarding support including answering contractual and process ... A supportive, responsive management approach and opportunities for career growth and advancement
New
RN Field Case Manager
Atlanta, GA · On-site +1
$75K - $95K/yr
Apply your medical/clinical or rehabilitation knowledge and experience to assist in the management ... remote work environment that allows face to face interaction with injured workers and medical ...
RN Field Case Manager
Atlanta, GA · On-site +1
$75K - $95K/yr
Apply your medical/clinical or rehabilitation knowledge and experience to assist in the management ... remote work environment that allows face to face interaction with injured workers and medical ...
RN Field Case Manager
Atlanta, GA · On-site +1
$75K - $95K/yr
Apply your medical/clinical or rehabilitation knowledge and experience to assist in the management ... remote work environment that allows face to face interaction with injured workers and medical ...
RN Field Case Manager
Atlanta, GA · On-site +1
$75K - $95K/yr
Apply your medical/clinical or rehabilitation knowledge and experience to assist in the management ... remote work environment that allows face to face interaction with injured workers and medical ...
HR Specialist II (Corp Accommodations) Fully Remote
Atlanta, GA · On-site +1
$28/hr
... process. The specialist combines strong analytical, communication, and customer service skills to ... Pursue return-to-work management by collaborating with leave case managers and disability vendors ...
HR Specialist II (Corp Accommodations) Fully Remote
Atlanta, GA · On-site +1
$28/hr
... process. The specialist combines strong analytical, communication, and customer service skills to ... Pursue return-to-work management by collaborating with leave case managers and disability vendors ...
BCBA - GA Remote Program Manager
Mcdonough, GA · On-site +1
$90 - $110/hr
... case management - you read reports, sign off on treatment plans from a couch, and rarely touch ... Own program quality across virtual service delivery - quality assurance processes, treatment ...
BCBA - GA Remote Program Manager
Mcdonough, GA · On-site +1
$90 - $110/hr
... case management - you read reports, sign off on treatment plans from a couch, and rarely touch ... Own program quality across virtual service delivery - quality assurance processes, treatment ...
... fully remote setting, while utilizing our outpatient office resources as needed. About the ... case management processes. Regular virtual meetings with our multi-disciplinary team--including ...
... fully remote setting, while utilizing our outpatient office resources as needed. About the ... case management processes. Regular virtual meetings with our multi-disciplinary team--including ...
Remote Case Management Processor information
What is the difference between Remote Case Management Processor vs Remote Claims Processor?
| Aspect | Remote Case Management Processor | Remote Claims Processor |
|---|---|---|
| Credentials | Typically requires case management certifications or healthcare-related credentials | Often requires insurance or claims processing certifications |
| Work Environment | Healthcare or social services settings, remote or office-based | Insurance companies, healthcare providers, remote or office-based |
| Industry Usage | Healthcare, social services, insurance | Insurance, healthcare, financial services |
| Job Focus | Managing patient or client cases, coordinating services | Processing insurance claims, verifying coverage |
While both roles involve processing information remotely, the Remote Case Management Processor focuses on managing client cases and coordinating services, often in healthcare or social services. In contrast, the Remote Claims Processor primarily handles insurance claims, verifying coverage and processing payments. Understanding these differences helps job seekers identify the right role based on their credentials and career interests.
What cities in Georgia are hiring for Remote Case Management Processor jobs?
Cities in Georgia with the most Remote Case Management Processor job openings:
Remote Nurse Case Manager
Atlanta, GA • On-site, Remote
VIVA USA INC
• IT Services • 51 - 200 employees51 - 200 employees
Contractor
This job post has expired today. Applications are no longer accepted.
Job description
Remote
The Case Manager utilizes a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an individual's benefit plan and/or health needs through communication and available resources to promote optimal, cost-effective outcomes. Requires an RN with a compact unrestricted active license in (STATE of Residence).
Through the use of clinical tools and information/data review, conducts comprehensive assessments of referred member's needs/eligibility and determines approach to case resolution and/or meeting needs by evaluating member's benefit plan and available internal and external programs/services. Application and/or interpretation of applicable criteria and guidelines, standardized case management plans, policies, procedures, and regulatory standards while assessing benefits and/or member's needs to ensure appropriate administration of benefits. Utilizes case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures.
Duties
Through the use of clinical tools and information/data review, conducts comprehensive assessments of referred member's needs/eligibility and determines approach to case resolution and/or meeting needs by evaluating member's benefit plan and available internal and external programs/services
Application and/or interpretation of applicable criteria and guidelines, standardized case management plans, policies, procedures, and regulatory standards while assessing benefits and/or member's needs to ensure appropriate
administration of benefits
Utilizes case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures
Experience
3 years Clinical practice experience, e.g., hospital setting, alternative care setting such as home health or ambulatory care required.
Healthcare and/or managed care industry experience.
Case Management experience preferred-- Position requires proficiency with computer skills which includes navigating multiple systems and keyboarding
Effective communication skills, both verbal and written.
Ability to multitask, prioritize and effectively adapt to a fast paced changing environment
Sedentary work involving periods of sitting, talking, listening. Work requires sitting for extended periods, talking on the telephone and typing on the computer.
Work requires the ability to perform close inspection of hand written and computer generated documents as well as a PC monitor.
Typical office working environment with productivity and quality expectations.
Position Summary
The Case Manager utilizes a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an individual's benefit plan and/or health needs through communication and available resources to promote optimal, cost-effective outcomes.
Requires an RN with unrestricted active compact license in state of residence
Education
RN with current unrestricted compact state licensure.
Case Management Certification CCM preferred
REQUIRED:
Must have experience working a remote position previously.
Must have case management experience.
Notes:
Fully remote (never coming onsite)
safety sensitive
Monday -Friday 8am-5pm EST
VIVA is an equal opportunity employer. All qualified applicants have an equal opportunity for placement, and all employees have an equal opportunity to develop on the job. This means that VIVA will not discriminate against any employee or qualified applicant on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status
The Case Manager utilizes a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an individual's benefit plan and/or health needs through communication and available resources to promote optimal, cost-effective outcomes. Requires an RN with a compact unrestricted active license in (STATE of Residence).
Through the use of clinical tools and information/data review, conducts comprehensive assessments of referred member's needs/eligibility and determines approach to case resolution and/or meeting needs by evaluating member's benefit plan and available internal and external programs/services. Application and/or interpretation of applicable criteria and guidelines, standardized case management plans, policies, procedures, and regulatory standards while assessing benefits and/or member's needs to ensure appropriate administration of benefits. Utilizes case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures.
Duties
Through the use of clinical tools and information/data review, conducts comprehensive assessments of referred member's needs/eligibility and determines approach to case resolution and/or meeting needs by evaluating member's benefit plan and available internal and external programs/services
Application and/or interpretation of applicable criteria and guidelines, standardized case management plans, policies, procedures, and regulatory standards while assessing benefits and/or member's needs to ensure appropriate
administration of benefits
Utilizes case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures
Experience
3 years Clinical practice experience, e.g., hospital setting, alternative care setting such as home health or ambulatory care required.
Healthcare and/or managed care industry experience.
Case Management experience preferred-- Position requires proficiency with computer skills which includes navigating multiple systems and keyboarding
Effective communication skills, both verbal and written.
Ability to multitask, prioritize and effectively adapt to a fast paced changing environment
Sedentary work involving periods of sitting, talking, listening. Work requires sitting for extended periods, talking on the telephone and typing on the computer.
Work requires the ability to perform close inspection of hand written and computer generated documents as well as a PC monitor.
Typical office working environment with productivity and quality expectations.
Position Summary
The Case Manager utilizes a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an individual's benefit plan and/or health needs through communication and available resources to promote optimal, cost-effective outcomes.
Requires an RN with unrestricted active compact license in state of residence
Education
RN with current unrestricted compact state licensure.
Case Management Certification CCM preferred
REQUIRED:
Must have experience working a remote position previously.
Must have case management experience.
Notes:
Fully remote (never coming onsite)
safety sensitive
Monday -Friday 8am-5pm EST
VIVA is an equal opportunity employer. All qualified applicants have an equal opportunity for placement, and all employees have an equal opportunity to develop on the job. This means that VIVA will not discriminate against any employee or qualified applicant on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status
About VIVA USA
Sourced by ZipRecruiter
Industry
It services
Company size
51 - 200 Employees
Headquarters location
Rolling Meadows, IL, US
Year founded
1996