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Careers at Landmark, part of the Optum and UnitedHealth Group family of businesses. At Landmark, we work to deliver high quality, comprehensive care to chronically ill patients wherever they reside and whenever they need it. We focus on doing what's right for the people we serve, even when it's not easy. This is your opportunity to be part of a compassionate team that is setting out to change health care for complex, chronic patients. We're looking for driven people like you because changing the status quo takes dedication. Here, we'll invest in your personal and professional growth while giving you a unique opportunity to make a difference. Helping people feel their best is a rewarding part of doing your life's best work. Primary Responsibilities: • Make outbound calls and receive inbound calls to assess members' current health status, • Identify gaps or barriers in treatment plans, • Provide patient education to assist with self-management, • Make referrals to outside sources, • Provide a complete continuum of quality care through close communication with members via in-person or on-phone interaction, • Support members with condition education, medication reviews and connections to resources such as Home Health Aides or Meals on Wheels, • Work weekend rotations (will work 4 days a week during weekend rotations) This is high volume, customer service environment. You'll need to be efficient, productive and thorough dealing with our members over the phone. Strong computer and software navigation skills are critical. You should also be strongly patient-focused and adaptable to changes. You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: • Current, unrestricted RN license in the state of employment, • 3+ years of experience in a hospital, acute care or direct care setting, • Able to type and have the ability to navigate a Windows based environment, • Ability to work weekend rotations Preferred Qualifications: • BSN, • Case management experience, • Certified Case Manager (CCM), • Experience or exposure to discharge planning, • Experience in utilization review, concurrent review or risk management, • Experience in a telephonic role, • A background in managed care UnitedHealth Group is working to create the health care system of tomorrow. Already Fortune 5, we are totally focused on innovation and change. We work a little harder. We aim a little higher. We expect more from ourselves and each other. And at the end of the day, we're doing a lot of good. Through our family of businesses and a lot of inspired individuals, we're building a high-performance health care system that works better for more people in more ways than ever. Now we're looking to reinforce our team with people who are decisive, brilliant - and built for speed. Come to UnitedHealth Group, and share your ideas and your passion for doing more. We have roles that will fit your skills and knowledge. We have diverse opportunities that will fit your dreams. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

Guidehealth is a data-powered, performance-driven healthcare company dedicated to operational excellence. Our goal is to make great healthcare affordable, improve the health of patients, and restore the fulfillment of practicing medicine for providers. Driven by empathy and powered by AI and predictive analytics, Guidehealth leverages remotely-embedded Healthguides™ and a centralized Managed Service Organization to build stronger connections with patients and providers. Physician-led, Guidehealth empowers our partners to deliver high-quality healthcare focused on outcomes and value inside and outside the exam room for all patients. Join us as we put healthcare on a better path!! We are seeking a dedicated and compassionate Registered Nurse (RN) to join our team as a Telehealth Medicare Annual Wellness Visit Specialist - PRN. In this remote role, you will be responsible for conducting Medicare Annual Wellness Visits (AWVs) via telehealth under the direct supervision of a physician. This position focuses on preventive healthcare, patient education, and the assessment of individual health risks, all conducted through virtual platforms to promote better health outcomes for our Medicare population. WHAT YOU'LL BE DOING • Conducting Medicare Annual Wellness Visits via telehealth in accordance with CMS guidelines, ensuring all required assessments and screenings are completed., • Virtually reviewing and updating patient medical histories, including medication lists, immunization records, and family history., • Assessing patients' current health status, including vital signs when available, cognitive function, and risk factors for chronic diseases, utilizing remote monitoring tools when applicable., • Providing patient education on preventive measures, lifestyle changes, and available community resources to promote overall health and well-being through virtual consultations., • Developing and updating personalized prevention plans based on individual patient needs and physician guidance., • Collaborating with the supervising physician to ensure accurate documentation and follow-up on any identified health concerns using electronic health record systems., • Identifying any HCC codes requiring recapture reporting to CMS., • Maintaining comprehensive and accurate patient records in compliance with HIPAA and organizational standards, particularly in a remote environment., • Facilitating virtual referrals to appropriate healthcare services and specialists as needed., • Monitoring patient progress and adherence to personalized prevention plans, providing support and making adjustments as necessary through telehealth follow-ups., • Staying current on Medicare guidelines, telehealth best practices, preventive care practices, and chronic disease management strategies., • Participating in virtual team meetings, training sessions, and continuing education to maintain and enhance clinical skills. WHAT YOU'LL NEED FOR SUCCESS • Must be fully bilingual in Vietnamese and English., • Must be located in GA., • Current and unrestricted Registered Nurse (RN) license in the state of GA., • Availability for PRN work Monday through Friday, 8:00am to 5:00pm, approximately 20 hours per week., • Minimum of 3 years of patient care nursing experience, preferably in a primary care, preventive care, or telehealth setting., • Experience with Medicare Annual Wellness Visits (AWVs) and telehealth platforms is highly desirable., • Strong knowledge of Medicare guidelines, telehealth practices, and preventive care strategies preferred., • Excellent interpersonal and communication skills, with the ability to educate and engage patients effectively in a virtual environment., • Proficient in electronic health records (EHR) systems, telehealth technology, and remote medical documentation., • Ability to work independently and manage time effectively in a remote work setting., • Strong organizational skills and attention to detail. The salary range for this role is $42/hour (PRN) plus language differential ALIVE with Purpose: How We Thrive at Guidehealth At Guidehealth, our values come to life in everything we do. • We are Driven by Accountability — grounded in transparency, reliability, and integrity as we navigate challenges and opportunities alike., • Always Growing, Always Learning — staying curious and continuously improving inspires us to shape a better future for healthcare., • With Collaborative Innovation, we solve problems creatively, making every experience better for our employees and the patients we serve., • At Guidehealth, Every Voice Matters — we believe our collective strength is rooted in the unique perspectives of each team member., • And through Empathy in Action, we build stronger connections with those who count on us., • This is what it means to be ALIVE with purpose. This is how we thrive — together — at Guidehealth. BENEFITS: While you are hard at work advancing value-based healthcare, we are here to ensure YOU have the care you and your family need and the opportunities for growth and development. Our commitments to you include: • Work from Home: Guidehealth is a fully remote company, providing you the flexibility to spend less time commuting and more time focusing on your professional goals and personal needs., • Keep Health a Priority: We offer comprehensive Medical, Dental, and Vision plans to keep you covered., • Plan for the Future: Our 401(k) plan includes a 3% employer match to your 6% contribution., • Have Peace of Mind: We provide Life and Disability insurance for those "just in case" moments. Additionally, we offer voluntary Life options to keep you and your loved ones protected., • Feel Supported When You Need It Most: Our Employee Assistance Program (EAP) is here to help you through tough times., • Take Time for Yourself: We offer paid time off plans helping you achieve work-life balance and meet your personal goals., • Support Your New Family: Welcoming a new family member takes time and commitment. Guidehealth offers paid parental leave to give you the time you need., • Learn and Grow: Your professional growth is important to us. Guidehealth offers various resources dedicated to your learning and development to advance your career with us. All full-time employees of Guidehealth who work 30 hours per week or more are eligible for our comprehensive benefits package. Temporary employees and contractors are not eligible for benefits. COMPENSATION: The listed compensation range listed is paid bi-weekly per our standard payroll practices. Final base pay decisions are dependent upon a variety of factors which may include, but are not limited to: skill set, years of relevant experience, education, location, and licensure/certifications. OUR COMMITMENT TO EQUAL OPPORTUNITY EMPLOYMENT Diversity, inclusion, and belonging are at the core of Guidehealth's values. We are an equal opportunity employer. We enthusiastically accept our responsibility to make employment decisions without regard to race, religious creed, color, age, sex, sexual orientation and identity, national origin, citizenship, religion, marital status, familial status, physical, sensory, or medical disability, Family and Medical Leave, military or veteran status, pregnancy, childbirth or other related medical conditions, or any other classification protected by federal, state, and local laws and ordinances. Our management is fully dedicated to ensuring the fulfillment of this policy with respect to hiring, placement, promotion, transfer, demotion, layoff, termination, recruitment advertising, pay, and other forms of compensation, training, and general treatment during employment. OUR COMITTMENT TO PROTECTION OF PATIENT AND COMPANY DATA This position is responsible for following all Security policies and procedures in order to protect all PHI and PII under Guidehealth's custodianship as well as Guidehealth Intellectual Properties. For any security-specific roles, the responsibilities would be further defined by the hiring manager. As a remote-first organization handling sensitive healthcare data, Guidehealth verifies candidate identity at multiple stages of the hiring and onboarding to safeguard patient privacy, data security, and compliance requirements. REMOTE WORK TECHNICAL REQUIREMENTS Guidehealth is a fully remote company. We provide new employees with the necessary equipment to function in their role at no charge to the employee. Employees provide their own internet connection, capable of conducting video calls on camera and connecting to various internal and external systems. The required internet speed is a minimum of 100 mbps download, 10 mbps upload. Please run a speed test here to confirm your internet connection meets these requirements. SECONDARY EMPLOYMENT At Guidehealth, we value transparency and collaboration as part of our commitment to excellence.

Guidehealth is a data-powered, performance-driven healthcare company dedicated to operational excellence. Our goal is to make great healthcare affordable, improve the health of patients, and restore the fulfillment of practicing medicine for providers. Driven by empathy and powered by AI and predictive analytics, Guidehealth leverages remotely-embedded Healthguides and a centralized Managed Service Organization to build stronger connections with patients and providers. Physician-led, Guidehealth empowers our partners to deliver high-quality healthcare focused on outcomes and value inside and outside the exam room for all patients. As a Healthguide, you will be supported by clinical teams in your strengthening of the connection between the patient and their primary care physician/medical practice staff, as well as improving the patient's health and well-being. The Healthguide engages patients and helps them navigate their care, solve their healthcare issues, and improves communication with their medical practice. What You'll Be Doing • Working primarily remotely, Healthguides will be working with the patient's medical practice staff and Guidehealth's Case Management team, to manage a targeted population of patients., • Functioning independently and being a highly collaborative team member as an extension of medical practice., • Assisting the patient in achieving better health outcomes by addressing their questions and concerns, connecting them with the medical practice, partnering in implementing high-impact care plans and closing care gaps, escalating medical issues, and navigating them to the right resources including assisting with referrals to specialty care and community-based organizations (CBOs)., • Accurately documenting patients' medical history and medical issues in the electronic health record (EHR)., • Understanding the referral and prior authorization process., • Continuously building a trusting, professional, working relationship with assigned medical practices and within the Guidehealth organization., • Implementing and meeting assigned Key Performance Indicators to produce a positive patient health outcome, while decreasing medical spend., • Utilize effective communication modalities (calls, texts, portals, emails) to engage and schedule high-risk patients., • Appropriately escalating medical issues to the Health Guide Registered Nurse, Primary Care Physician Medical practice or Guidehealth leadership., • Following all security policies and procedures in order to protect all PHI (Protected Health Information) under Guidehealth's custodianship as well as Guidehealth Intellectual Properties., • Position may require compensated travel as needed (10-15%) to clinical sites in the Atlanta, GA area for patient and provider engagement and conducting retinal eye exams with paid training provided. What You'll Need To Have • Certified or Registered Medical Assistant OR Certified EMT required with 2 or more years of experience., • A love for patient coordination to serve people with complex medical and social needs., • Willingness to become proficient in motivational interviewing, critical listening skills and behavioral change management that lead to better patient engagement., • Strong interpersonal skills with a focus on empathy, patience, professionalism, and respect in all patient, team, and client interactions., • Exceptional conversation skills and the ability to precisely document patient interviews leveraging software and in real time., • Experience and understanding of medical terminology and the function of a primary care physician practice., • Knowledge of the social determinants of health., • Demonstrated competency and ability to independently navigate technology using multiple platforms, computer screens, and other technical components (i.e., Electronic Medical Records, care management analytics databases, phone dialing system, Microsoft Office)., • Proficiency in Microsoft Office: Outlook, Word, Excel, • Familiarity with a wide variety of electronic health records, such as: eClinicalWorks, EPIC, Athena, Cerner. Ability to balance competing priorities while remaining detail oriented and focused., • Exceptional written, visual and verbal communication skills., • Ability to track the progress of multiple tasks while ensuring that tasks are completed., • Ability to work independently as part of a patient's overall care team under supervision of licensed clinical professionals., • Demonstrated ability to work successfully in a remote work environment., • Reliable transportation and a valid state driver's license for occasional travel to provider sites., • Adherence to patient confidentiality through use of a provided headset during all conversations in a private home office without distraction., • Performance of other duties as assigned., • Compliance with all Guidehealth policies and procedures. The base pay range for this role is between $21-$24 per hour paid bi-weekly ALIVE with Purpose: How We Thrive at Guidehealth At Guidehealth, our values come to life in everything we do. • We are Driven by Accountability grounded in transparency, reliability, and integrity as we navigate challenges and opportunities alike., • Always Growing, Always Learning staying curious and continuously improving inspires us to shape a better future for healthcare., • With Collaborative Innovation, we solve problems creatively, making every experience better for our employees and the patients we serve., • At Guidehealth, Every Voice Matters we believe our collective strength is rooted in the unique perspectives of each team member., • And through Empathy in Action, we build stronger connections with those who count on us., • This is what it means to be ALIVE with purpose. This is how we thrive together at Guidehealth. Benefits • Work from Home: Guidehealth is a fully remote company, providing you the flexibility to spend less time commuting and more time focusing on your professional goals and personal needs., • Keep Health a Priority: We offer comprehensive Medical, Dental, and Vision plans to keep you covered., • Plan for the Future: Our 401(k) plan includes a 3% employer match to your 6% contribution., • Have Peace of Mind: We provide Life and Disability insurance for those "just in case" moments. Additionally, we offer voluntary Life options to keep you and your loved ones protected., • Feel Supported When You Need It Most: Our Employee Assistance Program (EAP) is here to help you through tough times., • Take Time for Yourself: We offer paid time off plans helping you achieve work-life balance and meet your personal goals., • Support Your New Family: Welcoming a new family member takes time and commitment. Guidehealth offers paid parental leave to give you the time you need., • Learn and Grow: Your professional growth is important to us. Guidehealth offers various resources dedicated to your learning and development to advance your career with us. All full-time employees of Guidehealth who work 30 hours per week or more are eligible for our comprehensive benefits package. Temporary employees and contractors are not eligible for benefits. Compensation The listed compensation range listed is paid bi-weekly per our standard payroll practices. Final base pay decisions are dependent upon a variety of factors which may include, but are not limited to: skill set, years of relevant experience, education, location, and licensure/certifications. Our Commitment to Equal Opportunity Employment Diversity, inclusion, and belonging are at the core of Guidehealth's values. We are an equal opportunity employer. We enthusiastically accept our responsibility to make employment decisions without regard to race, religious creed, color, age, sex, sexual orientation and identity, national origin, citizenship, religion, marital status, familial status, physical, sensory, or medical disability, Family and Medical Leave, military or veteran status, pregnancy, childbirth or other related medical conditions, or any other classification protected by federal, state, and local laws and ordinances. Our management is fully dedicated to ensuring the fulfillment of this policy with respect to hiring, placement, promotion, transfer, demotion, layoff, termination, recruitment advertising, pay, and other forms of compensation, training, and general treatment during employment. Our Commitment to Protection of Patient and Company Data This position is responsible for following all Security policies and procedures in order to protect all PHI and PII under Guidehealth's custodianship as well as Guidehealth Intellectual Properties. For any security-specific roles, the responsibilities would be further defined by the hiring manager. As a remote-first organization handling sensitive healthcare data, Guidehealth verifies candidate identity at multiple stages of the hiring and onboarding to safeguard patient privacy, data security, and compliance requirements. Remote Work Technical Requirements Guidehealth is a fully remote company. We provide new employees with the necessary equipment to function in their

$2,500 Sign On Bonus for External Candidates Optum Home & Community Care, part of the Optum family of businesses, is creating something new in health care. We are uniting industry-leading solutions to build an integrated care model that holistically addresses an individual's physical, mental and social needs - helping patients access and navigate care anytime and anywhere. As a team member of our Optum Care at Home team, together in an interdisciplinary care environment, we help patients navigate the health care system and connect them to key support services. This preventive care can help patients stay well at home. This life-changing work adds a layer of support to improve access to care. We're connecting care to create a seamless health journey for patients across care settings. Join us to start Caring. Connecting. Growing together. Registered Nurses in the Optum at Home program work with patients primarily in their home setting. They perform as part of a care team including a Nurse Practitioner, Behavioral Health Advocate, Care Navigator and other supporting team members. They deliver role appropriate patient care through in-home visits, telephonic outreach and consultations, and interdisciplinary team activities. The Registered Nurse may perform care and counsel of the ill, injured, or infirm, in the promotion and maintenance of health with individuals, groups, or both throughout the life span. They help to manage health problems and coordinate health care for the Optum at Home patients in accordance with State and Federal rules and regulations and the nursing standards of care. This includes (but is not limited to) assessment of health status, development, and implementation of plan of care, and ongoing evaluation of patient status and response to the plan of care. Clinical management is conducted in collaboration with other care team members. The Full-time Float Registered Nurse Case Manager will be non-case carrying and help with covering expected expansion, month over month membership growth, FMLA coverage, and caseload overages throughout Georgia. This role is a full time Float position that is designed to travel across the state depending on the needs of the business. Primary Responsibilities: • Assess the health status of members as within the scope of licensure and with the frequency established in the model of care, • Establish goals to meet identified health care needs, • Plan, implement and evaluate responses to the plan of care, • Work collaboratively the multidisciplinary team to engage resources and strategies to address medical, functional, and social barriers to care, • Works closely with mental health clinicians to help bridge the gap between mental and physical health, • Consult with the patient's PCP, specialists, or other health care professionals as appropriate, • Assess patient needs for community resources and make appropriate referrals for service, • Facilitate the patient's transition within and between health care settings in collaboration with the primary care physician and other treating physicians, • Completely and accurately document in patient's electronic medical record, • Provide patients and family members with counseling and education regarding health maintenance, disease prevention, condition trajectory and need for follow up as appropriate during each patient visit, • Verify and document patient and/or family understanding of condition, plan of care and follow up recommendations, • Actively participate in organizational quality initiatives, • Participate in collaborative multidisciplinary team meetings to optimize clinical integration, efficiency, and effectiveness of care delivery, • Maintain credentials essential for practice, to include licensure, certification (if applicable) and CEUs, • Demonstrate a commitment to the mission, core values and goals of UnitedHealthcare and its healthcare delivery including the ability to integrate values of compassion, integrity, performance, innovation and relationships in the care provided to our members You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: • Current unrestricted licensure as RN in state of practice, • 2+ years of experience as a Registered Nurse, • Experience in assessing the medical needs of patients with complex behavioral, social and/or functional needs, • Ability to work with diverse care teams in a variety of settings including non-clinical settings (primarily patient homes), • Computer literate and ability to navigate the Internet, • Valid Driver's License and ability to travel up to 75% of the time for field-based work Preferred Qualifications: • Demonstrated computer skills, including use of Electronic Medical Records, • Proven effective time management and communication skills, • Demonstrated excellent administrative and organizational skills and the ability to effectively communicate with seniors and their families Physical Requirements: • Ability to lift a 30-pound bag in and out of car and to navigate stairs and a variety of dwelling conditions and configurations, • Ability to spend at least 1 hour with a member in their home, which may be in understaffed or remote areas, in the presence of pets or individuals who are tobacco users Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $60,200 - $107,400 annually based on full-time employment. We comply with all minimum wage laws as applicable. OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

$2,500 Sign On Bonus for External Candidates Optum Home & Community Care, part of the Optum family of businesses, is creating something new in health care. We are uniting industry-leading solutions to build an integrated care model that holistically addresses an individual's physical, mental and social needs - helping patients access and navigate care anytime and anywhere. As a team member of our Optum Care at Home team, together in an interdisciplinary care environment, we help patients navigate the health care system and connect them to key support services. This preventive care can help patients stay well at home. This life-changing work adds a layer of support to improve access to care. We're connecting care to create a seamless health journey for patients across care settings. Join us to start Caring. Connecting. Growing together. Registered Nurses in the Optum at Home program work with patients primarily in their home setting. They perform as part of a care team including a Nurse Practitioner, Behavioral Health Advocate, Care Navigator and other supporting team members. They deliver role appropriate patient care through in-home visits, telephonic outreach and consultations, and interdisciplinary team activities. The Registered Nurse may perform care and counsel of the ill, injured, or infirm, in the promotion and maintenance of health with individuals, groups, or both throughout the life span. They help to manage health problems and coordinate health care for the Optum at Home patients in accordance with State and Federal rules and regulations and the nursing standards of care. This includes (but is not limited to) assessment of health status, development, and implementation of plan of care, and ongoing evaluation of patient status and response to the plan of care. Clinical management is conducted in collaboration with other care team members. The Full-time Float Registered Nurse Case Manager will be non-case carrying and help with covering expected expansion, month over month membership growth, FMLA coverage, and caseload overages throughout Georgia. This role is a full time Float position that is designed to travel across the state depending on the needs of the business. Primary Responsibilities: • Assess the health status of members as within the scope of licensure and with the frequency established in the model of care, • Establish goals to meet identified health care needs, • Plan, implement and evaluate responses to the plan of care, • Work collaboratively the multidisciplinary team to engage resources and strategies to address medical, functional, and social barriers to care, • Works closely with mental health clinicians to help bridge the gap between mental and physical health, • Consult with the patient's PCP, specialists, or other health care professionals as appropriate, • Assess patient needs for community resources and make appropriate referrals for service, • Facilitate the patient's transition within and between health care settings in collaboration with the primary care physician and other treating physicians, • Completely and accurately document in patient's electronic medical record, • Provide patients and family members with counseling and education regarding health maintenance, disease prevention, condition trajectory and need for follow up as appropriate during each patient visit, • Verify and document patient and/or family understanding of condition, plan of care and follow up recommendations, • Actively participate in organizational quality initiatives, • Participate in collaborative multidisciplinary team meetings to optimize clinical integration, efficiency, and effectiveness of care delivery, • Maintain credentials essential for practice, to include licensure, certification (if applicable) and CEUs, • Demonstrate a commitment to the mission, core values and goals of UnitedHealthcare and its healthcare delivery including the ability to integrate values of compassion, integrity, performance, innovation and relationships in the care provided to our members You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: • Current unrestricted licensure as RN in state of practice, • 2+ years of experience as a Registered Nurse, • Experience in assessing the medical needs of patients with complex behavioral, social and/or functional needs, • Ability to work with diverse care teams in a variety of settings including non-clinical settings (primarily patient homes), • Computer literate and ability to navigate the Internet, • Valid Driver's License and ability to travel up to 75% of the time for field-based work Preferred Qualifications: • Demonstrated computer skills, including use of Electronic Medical Records, • Proven effective time management and communication skills, • Demonstrated excellent administrative and organizational skills and the ability to effectively communicate with seniors and their families Physical Requirements: • Ability to lift a 30-pound bag in and out of car and to navigate stairs and a variety of dwelling conditions and configurations, • Ability to spend at least 1 hour with a member in their home, which may be in understaffed or remote areas, in the presence of pets or individuals who are tobacco users Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $60,200 - $107,400 annually based on full-time employment. We comply with all minimum wage laws as applicable. OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

$2,500 Sign On Bonus for External Candidates Optum Home & Community Care, part of the Optum family of businesses, is creating something new in health care. We are uniting industry-leading solutions to build an integrated care model that holistically addresses an individual's physical, mental and social needs - helping patients access and navigate care anytime and anywhere. As a team member of our Optum Care at Home team, together in an interdisciplinary care environment, we help patients navigate the health care system and connect them to key support services. This preventive care can help patients stay well at home. This life-changing work adds a layer of support to improve access to care. We're connecting care to create a seamless health journey for patients across care settings. Join us to start Caring. Connecting. Growing together. Registered Nurses in the Optum at Home program work with patients primarily in their home setting. They perform as part of a care team including a Nurse Practitioner, Behavioral Health Advocate, Care Navigator and other supporting team members. They deliver role appropriate patient care through in-home visits, telephonic outreach and consultations, and interdisciplinary team activities. The Registered Nurse may perform care and counsel of the ill, injured, or infirm, in the promotion and maintenance of health with individuals, groups, or both throughout the life span. They help to manage health problems and coordinate health care for the Optum at Home patients in accordance with State and Federal rules and regulations and the nursing standards of care. This includes (but is not limited to) assessment of health status, development, and implementation of plan of care, and ongoing evaluation of patient status and response to the plan of care. Clinical management is conducted in collaboration with other care team members. The Full-time Float Registered Nurse Case Manager will be non-case carrying and help with covering expected expansion, month over month membership growth, FMLA coverage, and caseload overages throughout Georgia. This role is a full time Float position that is designed to travel across the state depending on the needs of the business. Primary Responsibilities: • Assess the health status of members as within the scope of licensure and with the frequency established in the model of care, • Establish goals to meet identified health care needs, • Plan, implement and evaluate responses to the plan of care, • Work collaboratively the multidisciplinary team to engage resources and strategies to address medical, functional, and social barriers to care, • Works closely with mental health clinicians to help bridge the gap between mental and physical health, • Consult with the patient's PCP, specialists, or other health care professionals as appropriate, • Assess patient needs for community resources and make appropriate referrals for service, • Facilitate the patient's transition within and between health care settings in collaboration with the primary care physician and other treating physicians, • Completely and accurately document in patient's electronic medical record, • Provide patients and family members with counseling and education regarding health maintenance, disease prevention, condition trajectory and need for follow up as appropriate during each patient visit, • Verify and document patient and/or family understanding of condition, plan of care and follow up recommendations, • Actively participate in organizational quality initiatives, • Participate in collaborative multidisciplinary team meetings to optimize clinical integration, efficiency, and effectiveness of care delivery, • Maintain credentials essential for practice, to include licensure, certification (if applicable) and CEUs, • Demonstrate a commitment to the mission, core values and goals of UnitedHealthcare and its healthcare delivery including the ability to integrate values of compassion, integrity, performance, innovation and relationships in the care provided to our members You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: • Current unrestricted licensure as RN in state of practice, • 2+ years of experience as a Registered Nurse, • Experience in assessing the medical needs of patients with complex behavioral, social and/or functional needs, • Ability to work with diverse care teams in a variety of settings including non-clinical settings (primarily patient homes), • Computer literate and ability to navigate the Internet, • Valid Driver's License and ability to travel up to 75% of the time for field-based work Preferred Qualifications: • Demonstrated computer skills, including use of Electronic Medical Records, • Proven effective time management and communication skills, • Demonstrated excellent administrative and organizational skills and the ability to effectively communicate with seniors and their families Physical Requirements: • Ability to lift a 30-pound bag in and out of car and to navigate stairs and a variety of dwelling conditions and configurations, • Ability to spend at least 1 hour with a member in their home, which may be in understaffed or remote areas, in the presence of pets or individuals who are tobacco users Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $60,200 - $107,400 annually based on full-time employment. We comply with all minimum wage laws as applicable. OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

Job Description Nurse Case Managers EagleOne is a family owned Nurse Case Management company that has been in business for 33 years and counting. Our expertise and commitment to excellence allows us to cater to the unique needs of our clients. From national telephonic and field case management to catastrophic and specialized consultation services, our solutions are designed to optimize outcomes for patients injured on the job. At EagleOne, treating everyone with respect is not just a guiding principle but a fundamental value we uphold. Collaboration is ingrained in the very essence of EagleOne, driving our operations and serving as a guiding principle for our organization. Our collaborative training and mentoring program will ensure you feel confident as a nurse case manager. Our steadfast commitment to excellence drives our actions and decision-making processes. We uphold ethical standards, prioritize integrity, and make decisions that align with the best interests of our clients, partners, employees We are looking for Nurse Case Managers to join our team. We provide a competitive salary, great benefits and work life balance. As well as a great training program for learning or expanding your knowledge of workers compensation case management. This is a full time remote position, Monday – Friday (no holidays or weekends) Nurses are asked to attend field visits within a 1.5 hour range of their location As a Case Manager you will: Manage 22-25 active field case management files, 45-55 telephonic case management files, or 35-45 mixed files (depending on complexity) · Follow and apply Eagle OneTM case management protocols · Provide expert consultation on medical information's impact on the case · Update employers on disability/medical status within 24 hours of appointments · Adhere to jurisdictional rules and regulations for each case · Attend field visits as needed Skills and Competencies desired: · Active RN licensure in state of employment · Bachelor’s Degree preferred · Valid driver’s license · Proficient in Microsoft Windows/Office (Word, Excel, Outlook), internet research, computer navigation, and should type in the 45 WPM range · Strong organizational, communication, and customer service skills · Ability to work in a fast-paced environment · Bilingual abilities are a plus · Additional certifications (i.e., CCM, CDMS, CLNC) are a plus · Knowledge of workers’ compensation rules is a plus but not required Benefits: Paid Holidays, PTO, Medical, Dental, Vision, Employer sponsored 401K \nCompany Description Contact Dawn Stark, HR Coordinator Great Benefits Paid Holidays, M-F, weekends Off Contact Dawn Stark, HR Coordinator \r\nGreat Benefits\r\nPaid Holidays, M-F, weekends Off

Job Description About Us Ennoble Care is a mobile primary care, palliative care, and hospice service provider with patients in New York, New Jersey, Maryland, DC, Virginia, Oklahoma, Kansas, Pennsylvania, Texas, Florida, and Georgia. Ennoble Care's clinicians go to the home of the patient, providing continuum of care for those with chronic conditions and limited mobility. Ennoble Care offers a variety of programs including, remote patient monitoring, behavioral health management, and chronic care management, to ensure that our patients receive the highest quality of care by a team they know and trust. We seek individuals who are driven to make a difference and embody our motto, "To Care is an Honor." Join Ennoble Care today! About the Role: Ennoble Care is hiring for a Full-time Hospice Registered Nurse Case Manager to work within and around the Fulton / Cobb County, GA region. As a member of the interdisciplinary team, the RN Case Manager works under the general direction of the Director of Nursing, the attending physician and the interdisciplinary group in providing skilled nursing assessments, planning, and care in order to maximize the comfort and health of both patients and their loved ones/caregivers. Responsible for identifying patient and loved ones/caregiver needs and for providing supportive care in accordance with the attending physician's orders and plan of care and the policies and procedures. The functions of this position will include the following: • Shall be assigned patient caseload by the Patient Care Coordinator or designee, • Assume primary responsibility for a patient caseload that includes the assessing, planning, implementing and evaluating phases of the nursing process, • Initiate communication with attending physicians, Hospice staff members and other agencies as needed to coordinate optimal care and use of resources for the patient and loved ones/caregivers, • Maintain regular communication with the attending physician concerning patient and loved ones/caregivers, • Seek input from other team members regarding the patient plan of care to obtain additional knowledge and support, • Provide accurate and timely documentation in electronic medical records., • Participates in and contributes appropriate information for Interdisciplinary Group meetings, • Accept responsibility for coordinating physical care of the patient by teaching primary caregivers, volunteers, and employed caregivers or by providing direct care as appropriate, • Meet regularly with the Hospice nursing staff to review problems or unique issues from caseloads; share professional support; and exchange feedback aimed toward enhancing professional growth, • Attend patient care conferences and facilitate discussion of issues from caseload for full staff discussion, consultation and evaluation, • Supervise and document the NAC every two weeks or as assigned, • Inform the Patient Care Coordinator of unusual or potentially problematic patient/family issues, • Assume the role of associate nurse when responding to patient/loved ones/caregivers of other primary nurses during off-hour times or as requested by the Patient Care Coordinator to fill patient/family needs during the absence of other primary nurses, • Provide appropriate support at time of death and period of bereavement, • Participate in the Hospice orientation and in-service training programs for professional staff, • Participate in agency and community programs as required to promote professional growth and understanding of hospice care, • Maintain familiarity with policies of the agency and rules and regulations of State and Federal bodies which govern hospice, • Accept other assignments as appropriate Qualifications: • Must be a graduate from an accredited School of Nursing., • Must be a Registered Nurse who is currently licensed to practice nursing under the provisions of Article 1 of Chapter 26 of Title 43 of the Official code of Georgia. • One year of RN experience. Hospice experience preferred., • Must have excellent assessment skills and problem-solving skills., • CPR certified for patient care., • Should be skillful in organization and in the principles of time management and have knowledge of case management processes. • Must be a licensed driver with an insured automobile in good working order., • The ability to communicate well, both verbally and in writing., • Must have no exceptions to RN license, and be able to administer pharmaceuticals, perform medication reconciliation, and any nursing procedures or special treatments needed within the scope of nursing practice for state. All skills must be deemed competent before actual hands-on patient care, and when procedures or treatments are not usually performed. #purple Full-time employees qualify for the following benefits: • Medical, Dental, Vision and supplementary benefits such as Life Insurance, Short Term and Long Term Disability, Flexible Spending Accounts for Medical and Dependent Care, Accident, Critical Illness, and Hospital Indemnity., • Paid Time Off, • Paid Office Holidays All employees qualify for these benefits: • Paid Sick Time, • 401(k) with up to 3% company match, • Referral Program, • Payactiv: pay-on-demand. Cash out earned money when and where you need it! Candidates must disclose any current or future need for employment-based immigration sponsorship (including, but not limited to, OPT, STEM OPT, or visa sponsorship) before an offer of employment is extended. Ennoble Care is an Equal Opportunity Employer, committed to hiring the best team possible, and does not discriminate against protected characteristics including but not limited to - race, age, sexual orientation, gender identity and expression, national origin, religion, disability, and veteran status.

Job DescriptionCompany Description WHO IS GUIDEHEALTH? Guidehealth is a data-powered, performance-driven healthcare company dedicated to operational excellence. Our goal is to make great healthcare affordable, improve the health of patients, and restore the fulfillment of practicing medicine for providers. Driven by empathy and powered by AI and predictive analytics, Guidehealth leverages remotely-embedded Healthguides™ and a centralized Managed Service Organization to build stronger connections with patients and providers. Physician-led, Guidehealth empowers our partners to deliver high-quality healthcare focused on outcomes and value inside and outside the exam room for all patients. Join us as we put healthcare on a better path!! Job Description We are seeking a dedicated and compassionate Registered Nurse (RN) to join our team as a Telehealth Medicare Annual Wellness Visit Specialist - PRN. In this remote role, you will be responsible for conducting Medicare Annual Wellness Visits (AWVs) via telehealth under the direct supervision of a physician. This position focuses on preventive healthcare, patient education, and the assessment of individual health risks, all conducted through virtual platforms to promote better health outcomes for our Medicare population. WHAT YOU'LL BE DOING • Conducting Medicare Annual Wellness Visits via telehealth in accordance with CMS guidelines, ensuring all required assessments and screenings are completed., • Virtually reviewing and updating patient medical histories, including medication lists, immunization records, and family history., • Assessing patients’ current health status, including vital signs when available, cognitive function, and risk factors for chronic diseases, utilizing remote monitoring tools when applicable., • Providing patient education on preventive measures, lifestyle changes, and available community resources to promote overall health and well-being through virtual consultations., • Developing and updating personalized prevention plans based on individual patient needs and physician guidance., • Collaborating with the supervising physician to ensure accurate documentation and follow-up on any identified health concerns using electronic health record systems., • Identifying any HCC codes requiring recapture reporting to CMS., • Maintaining comprehensive and accurate patient records in compliance with HIPAA and organizational standards, particularly in a remote environment., • Facilitating virtual referrals to appropriate healthcare services and specialists as needed., • Monitoring patient progress and adherence to personalized prevention plans, providing support and making adjustments as necessary through telehealth follow-ups., • Staying current on Medicare guidelines, telehealth best practices, preventive care practices, and chronic disease management strategies., • Participating in virtual team meetings, training sessions, and continuing education to maintain and enhance clinical skills.Qualifications WHAT YOU'LL NEED FOR SUCCESS • Must be fully bi-lingual in Spanish and English languages., • Must be located in GA., • Current and unrestricted Registered Nurse (RN) license in the state of GA., • Availability for PRN work Monday through Friday, 8:00am to 5:00pm, aproxametly 20 hours per week., • Minimum of 3 years of patient care nursing experience, preferably in a primary care, preventive care, or telehealth setting., • Experience with Medicare Annual Wellness Visits (AWVs) and telehealth platforms is highly desirable., • Strong knowledge of Medicare guidelines, telehealth practices, and preventive care strategies preferred., • Excellent interpersonal and communication skills, with the ability to educate and engage patients effectively in a virtual environment., • Proficient in electronic health records (EHR) systems, telehealth technology, and remote medical documentation., • Ability to work independently and manage time effectively in a remote work setting., • Strong organizational skills and attention to detail. Additional Information The salary range for this role is $42/hour (PRN) plus language differential ALIVE with Purpose: How We Thrive at Guidehealth At Guidehealth, our values come to life in everything we do. • We are Driven by Accountability — grounded in transparency, reliability, and integrity as we navigate challenges and opportunities alike., • Always Growing, Always Learning — staying curious and continuously improving inspires us to shape a better future for healthcare., • With Collaborative Innovation, we solve problems creatively, making every experience better for our employees and the patients we serve., • At Guidehealth, Every Voice Matters — we believe our collective strength is rooted in the unique perspectives of each team member., • And through Empathy in Action, we build stronger connections with those who count on us., • This is what it means to be ALIVE with purpose. This is how we thrive — together — at Guidehealth. BENEFITS: While you are hard at work advancing value-based healthcare, we are here to ensure YOU have the care you and your family need and the opportunities for growth and development. Our commitments to you include: • Work from Home: Guidehealth is a fully remote company, providing you the flexibility to spend less time commuting and more time focusing on your professional goals and personal needs., • Keep Health a Priority: We offer comprehensive Medical, Dental, and Vision plans to keep you covered., • Plan for the Future: Our 401(k) plan includes a 3% employer match to your 6% contribution., • Have Peace of Mind: We provide Life and Disability insurance for those "just in case" moments. Additionally, we offer voluntary Life options to keep you and your loved ones protected., • Feel Supported When You Need It Most: Our Employee Assistance Program (EAP) is here to help you through tough times., • Take Time for Yourself: We offer paid time off plans helping you achieve work-life balance and meet your personal goals., • Support Your New Family: Welcoming a new family member takes time and commitment. Guidehealth offers paid parental leave to give you the time you need., • Learn and Grow: Your professional growth is important to us. Guidehealth offers various resources dedicated to your learning and development to advance your career with us. All full-time employees of Guidehealth who work 30 hours per week or more are eligible for our comprehensive benefits package. Temporary employees and contractors are not eligible for benefits. COMPENSATION: The listed compensation range listed is paid bi-weekly per our standard payroll practices. Final base pay decisions are dependent upon a variety of factors which may include, but are not limited to: skill set, years of relevant experience, education, location, and licensure/certifications. OUR COMMITMENT TO EQUAL OPPORTUNITY EMPLOYMENT Diversity, inclusion, and belonging are at the core of Guidehealth’s values. We are an equal opportunity employer. We enthusiastically accept our responsibility to make employment decisions without regard to race, religious creed, color, age, sex, sexual orientation and identity, national origin, citizenship, religion, marital status, familial status, physical, sensory, or medical disability, Family and Medical Leave, military or veteran status, pregnancy, childbirth or other related medical conditions, or any other classification protected by federal, state, and local laws and ordinances. Our management is fully dedicated to ensuring the fulfillment of this policy with respect to hiring, placement, promotion, transfer, demotion, layoff, termination, recruitment advertising, pay, and other forms of compensation, training, and general treatment during employment. OUR COMITTMENT TO PROTECTION OF PATIENT AND COMPANY DATA This position is responsible for following all Security policies and procedures in order to protect all PHI and PII under Guidehealth’s custodianship as well as Guidehealth Intellectual Properties. For any security-specific roles, the responsibilities would be further defined by the hiring manager. As a remote-first organization handling sensitive healthcare data, Guidehealth verifies candidate identity at multiple stages of the hiring and onboarding to safeguard patient privacy, data security, and compliance requirements. REMOTE WORK TECHNICAL REQUIREMENTS Guidehealth is a fully remote company. We provide new employees with the necessary equipment to function in their role at no charge to the employee. Employees provide their own internet connection, capable of conducting video calls on camera and connecting to various internal and external systems. The required internet speed is a minimum of 100 mbps download, 10 mbps upload. Please run a speed test here to confirm your internet connection meets these requirements. SECONDARY EMPLOYMENT At Guidehealth, we value transparency and collaboration as part of our commitment to excellence. As your primary employer, we kindly ask all team members to disclose any secondary employment, regardless of whether it may present a potential conflict of interest. To ensure smooth teamwork and availability, employees must be accessible during our stated working hours. We foster connection and engagement by asking team members to join virtual meetings with their cameras on.

Job Description About Us Ennoble Care is a mobile primary care, palliative care, and hospice service provider with patients in New York, New Jersey, Maryland, DC, Virginia, Oklahoma, Kansas, Pennsylvania, Texas, Florida, and Georgia. Ennoble Care's clinicians go to the home of the patient, providing continuum of care for those with chronic conditions and limited mobility. Ennoble Care offers a variety of programs including, remote patient monitoring, behavioral health management, and chronic care management, to ensure that our patients receive the highest quality of care by a team they know and trust. We seek individuals who are driven to make a difference and embody our motto, "To Care is an Honor." Join Ennoble Care today! About the Role: Ennoble Care is hiring for a Full-time Hospice Registered Nurse Case Manager to work within and around the Gwinnett, GA and surrounding areas. As a member of the interdisciplinary team, the RN Case Manager works under the general direction of the Director of Nursing, the attending physician and the interdisciplinary group in providing skilled nursing assessments, planning, and care in order to maximize the comfort and health of both patients and their loved ones/caregivers. Responsible for identifying patient and loved ones/caregiver needs and for providing supportive care in accordance with the attending physician's orders and plan of care and the policies and procedures. The functions of this position will include the following: • Shall be assigned patient caseload by the Patient Care Coordinator or designee, • Assume primary responsibility for a patient caseload that includes the assessing, planning, implementing and evaluating phases of the nursing process, • Initiate communication with attending physicians, Hospice staff members and other agencies as needed to coordinate optimal care and use of resources for the patient and loved ones/caregivers, • Maintain regular communication with the attending physician concerning patient and loved ones/caregivers, • Seek input from other team members regarding the patient plan of care to obtain additional knowledge and support, • Provide accurate and timely documentation in electronic medical records., • Participates in and contributes appropriate information for Interdisciplinary Group meetings, • Accept responsibility for coordinating physical care of the patient by teaching primary caregivers, volunteers, and employed caregivers or by providing direct care as appropriate, • Meet regularly with the Hospice nursing staff to review problems or unique issues from caseloads; share professional support; and exchange feedback aimed toward enhancing professional growth, • Attend patient care conferences and facilitate discussion of issues from caseload for full staff discussion, consultation and evaluation, • Supervise and document the NAC every two weeks or as assigned, • Inform the Patient Care Coordinator of unusual or potentially problematic patient/family issues, • Assume the role of associate nurse when responding to patient/loved ones/caregivers of other primary nurses during off-hour times or as requested by the Patient Care Coordinator to fill patient/family needs during the absence of other primary nurses, • Provide appropriate support at time of death and period of bereavement, • Participate in the Hospice orientation and in-service training programs for professional staff, • Participate in agency and community programs as required to promote professional growth and understanding of hospice care, • Maintain familiarity with policies of the agency and rules and regulations of State and Federal bodies which govern hospice, • Accept other assignments as appropriate About You: • Possession of a current license to practice as a registered nurse in the State of GA, • At least 1-2 years of work experience as a professional nurse preferably at least one of the years in hospice care, • Ability to assess and respond to the needs of patients and loved ones/caregivers in varied settings., • Skilled in nursing practice, able to cope with loved ones/caregivers' emotional stress and tolerant of individual lifestyles, • Ability to make meaningful observations, skilled assessments, and write comprehensive, accurate reports, • Must be a team player who supports an interdisciplinary team concept of caring for patient and loved ones/caregivers, • Must have a valid driver's license, a good driving record, the use of a reliable vehicle, and the ability to drive year-round to locations, • Must be able to take direction, work independently and effectively as part of a multidisciplinary team in a positive, professional manner which supports the mission of the organization Full-time employees qualify for the following benefits: • Medical, Dental, Vision and supplementary benefits such as Life Insurance, Short Term and Long Term Disability, Flexible Spending Accounts for Medical and Dependent Care, Accident, Critical Illness, and Hospital Indemnity., • Paid Time Off, • Paid Office Holidays All employees qualify for these benefits: • Paid Sick Time, • 401(k) with up to 3% company match, • Referral Program, • Payactiv: pay-on-demand. Cash out earned money when and where you need it! Candidates must disclose any current or future need for employment-based immigration sponsorship (including, but not limited to, OPT, STEM OPT, or visa sponsorship) before an offer of employment is extended. Ennoble Care is an Equal Opportunity Employer, committed to hiring the best team possible, and does not discriminate against protected characteristics including but not limited to - race, age, sexual orientation, gender identity and expression, national origin, religion, disability, and veteran status.

Job Description Are you a bedside nurse seeking a change from the hospital setting? If you answered "yes", Alliant Health Solutions, a "2026 Best Place to Work and Healthiest Employer", may be the place for you! In this position, the ideal candidate will: Review Nurse, Elderly and Disabled Waiver Program (EDWP) Review Nurse for (SOURCE) Service Options Using Resources in a Community Environment and (CCSP) Community Care Service Program, as a member of a professional multi-disciplinary work team, is responsible for the complete medical review and appropriate processing of all initial and continued placement level of care (LOC) determinations for the SOURCE (Service Options Using Resources in Community Environments) and CCSP (Community Care Services) Program in the Georgia Medical Management and Utilization Review contract. Medical review addresses the necessity and the appropriateness of the admission utilizing the established criteria. ESSENTIAL JOB FUNCTIONS • Ensures the required review documentation is complete and current in the web portal prior to review., • Accurately and efficiently performs initial and reassessment level of care determinations for applicants/clients requesting admission and continued placement to the SOURCE or CCSP Program., • Accurately render appropriate level of care decisions based on the information received using the Department of Community Health (DCH) SOURCE and CCSP Policies and Procedures; and clearly and concisely documents the rationale for all nurse reviewer decisions in the web portal and in accordance with applicable time frame requirements of the contract., • Performs accurate data entry of clinical review and decision information into Prior Authorization (PA) system., • Prepares technical or denial letters using specified format., • Refers cases appropriately to the physician consultant for review when indicated., • Conducts reconsiderations of decisions when new information is submitted utilizing stated criteria as outlined in the SOURCE and CCSP Manual and generates final decision letters., • Completes summary information required for appeals and fair hearings in a timely manner and serves as a subject matter expert in hearings when required., • Participates in provider education and performance improvement/monitoring activities as required., • Responds to provider questions through “Contact Us” established format., • Identifies and documents suspected cases of fraud and abuse (e.g., upcoding) to Manager Waiver Programs, for further referral to Director Utilization Review Services. OTHER JOB FUNCTIONS • Work in close collaboration with other team members to support the development of new projects and the continuous improvement of the overall work of the team., • Promote core values of teamwork, professionalism, effective communication skills and positive behavior, • Maintain security and confidentiality of all information in accordance with HIPAA laws, regulations, and company policies., • Demonstrate compliance with corporate and departmental policies as evidenced by attendance, punctuality, and professional appearance., • Performs other duties as assigned. KNOWLEDGE, SKILLS, AND ABILITIES • Strong theoretical clinical knowledge base and problem-solving skills., • Must have strong organizational skills with ability to demonstrate the work priorities., • Must have verbal and written communication and presentation skills, • Computer literate with intermediate level knowledge of Microsoft Office and Internet, • Ability to build rapport, work with team and interact well with team and customers in person and via phone, • Ability to deal with stress and challenging situations and communicate with empathy and tact, • Must be able to work independently and maintain a flexible schedule, • Must be able to travel as needed "driving" and/or "going on airplane to customer locations or meetings" EDUCATION, EXPERIENCE, AND TRAINING • Registered Nurse with current, active, Georgia license required, with Bachelor’s degree in nursing preferred, • Minimum of three to five years of adult medicine clinical experience required, • Previous Medicaid, Utilization Review, Case Management, or Quality Assurance experience preferred, • Prior experience telecommuting a plus. PHYSICIAL REQUIRMENTS: Essential duties are routinely performed in a professional office environment but may be conducted in remote or field locations. The role may require work at a station/desk and routinely requires use of standard office equipment such as computers, phones, photocopiers/scanners, fax machines, printers, and filing cabinets. Duties may require use of transportation to attend meetings or conduct duties outside of the office environment. Must be able to regularly remain in a stationary position and occasionally move about the office to access office machinery and facilities. Occasionally must be able to move/transport materials weighing up to 30 pounds, as well as position self to access files, equipment and work materials. This role frequently communicates to internal and external resources both verbally and written, via face-to-face, electronic and telephonic media. Must be able to understand and exchange accurate information in these situations, as well as translate into action. Short-term and long-term memory, abstract reasoning and decision making may be required on a regular basis. Core office / business operational hours may be required ADA/ADAAA/SECTION 503 NOTIFICATION: In compliance with the ADA, the ADA Amendments Act (ADAAA) and Section 503 of the Rehabilitation Act), should you have a disability and would like to request a reasonable accommodation, please see Human Resources to begin the interactive process. DISCLAIMER This job description indicates the general nature and level of work expected of the incumbent. It is designed to cover or contain a comprehensive, but not all-inclusive, listing of activities, duties or responsibilities required of the incumbent. Incumbent may be asked to perform other duties as required.

Once a week, you'll visit the local program office to meet with an interdisciplinary team, including social workers, physicians, chaplains, and nurses, who collaborate to provide holistic support for the patients and families we serve. A VITAS nurse is the end-of-life caregiver everyone deserves. As

Visiting Nurse Health System is hiring an RN Case Manager for Home Health who coordinates care for a caseload of patients, ensuring care meets quality standards and utilization guidelines. Registered Nurse Case Manager – Decatur, GA. The RN Case Manager assesses, plans, implements, monitors, and e

As a Telephonic Case Manager (TCM), you will provide remote medical case management services to injured individuals, many of whom were industrially injured. Watch this short video for a brief introduction to role of a nurse case manager at Paradigm. We are seeking a full-time, benefitted Telephonic

Registered Nurse Case Manager (1099) – Certified Rehab Supplier Atlanta, GA & Surrounding Areas | Flexible Schedule | Independent Contractor Looking for flexibility while continuing to make a meaningful impact in workers' compensation case management? The IMA Group is actively expanding in the Atl

Licensure as a Registered Nurse in the single State of Georgia or Multi-State through the Enhanced Nurse Licensure Compact. Registered Nurse Case Management Certification from approved accrediting organization within 1 year of meeting eligibility requirements, within 2 years of hire for a 0. OR curr

Registered Nurse (RN) - Case Manager. We're seeking a Registered Nurse (RN) - Case Manager who is passionate about making a difference and driving impact. Work closely with field nurses, aides, and other staff to assign cases, manage schedules, and oversee the timely completion of patient visits.

Generates reports for referral source to communicate case status and recommendations. May participate in telephonic case conferences. Maintains a minimum caseload of 35 files, and 150 monthly billable hours, with minimum 95% quality compliance.

Travel Registered Nurse Case Manager. Anders Group is hiring a Travel Case Manager Registered Nurse (RN) in Atlanta, GA. This opportunity allows experienced Registered Nurses specializing in Case Manager to expand clinical experience, earn competitive pay, and work with an established healthcare tea

Visiting Nurse Health System is hiring an RN Case Manager for Home Health who coordinates care for a caseload of patients, ensuring care meets quality standards and utilization guidelines. Registered Nurse Case Manager – Decatur. The RN Case Manager assesses, plans, implements, monitors, and evalu

As a RN Case Manager You will:.

Visiting Nurse Health System is hiring an RN Case Manager for Home Health who is responsible for coordinating care delivered to a caseload of patients, ensuring care meets quality standards and utilization guidelines. RN Case Manager - Hospice - Buckhead Facilities. The RN Case Manager assesses, pla

Coordinating medical evaluation and treatment Meeting with physician and injured worker to collaborate on treatment plan and to discuss goals for return to work Keeping employer and referral source updated regarding medical treatment and work status Case Manager, Nurse, Manager, Field, Medical Equi

Clinical screens will be sent on case-by-case basis. Travel Nurse RN - Med Surg / Telemetry. Minimum Experience: 3 years - Unit does not accept first time travelers Clinical Screen: Candidate will be reviewed by clinical to determine clinical fit, if clinical pass and within Piedmont guidelines, can

Adex Travel Nursing has been employing and servicing nurse travelers, sending them to great destinations around the country.

How you'll make an impact as a Hospice Registered Nurse / RN Case Manager. Hospice Registered Nurse / RN Case Manager Requirements. Hospice Registered Nurse / RN Case Manager.

Visiting Nurse Health System is hiring an RN Case Manager for Home Health, responsible for coordinating care delivered to a caseload of patients, ensuring that care meets quality standards and utilization guidelines. Registered Nurse Case Manager – Home Health. The RN Case Manager assesses, plans,

This Case Manager travel nurse job in Atlanta, Georgia, with Advantis Medical is a 11-week Travel Case Manager Registered Nurse (RN) contract at Piedmont - Atlanta Hospital. Travel Case Manager Nurse In Atlanta, GA. In this Case Manager travel nursing job, you will provide patient care in a hospital

Visiting Nurse Health System is hiring an RN Case Manager for Hospice, responsible for coordinating care delivered to a caseload of patients, ensuring that care meets quality standards and utilization guidelines. Registered Nurse Case Manager-On Call – 7 Day On/ 7 Day Off- North & South Region Ter

Adex Travel Nursing has been employing and servicing nurse travelers, sending them to great destinations around the country.

As a CenterWell Home Health nurse, reporting to the Clinical Manager, you will provide personalized, one-on-one care that helps patients regain independence in the comfort of their homes. Report patient care and condition progress to patient's physician and Clinical Manager. Current and unrestricted

RN will receive medication from the pharmacy & review with Program Manager or the CLS to assure accuracy of. When RN is taking calls she will use Medical Services Coordinator as back-up, or as needed in emergency cases.

Registered Nurse - Case Manager.

Visiting Nurse Health System is hiring an RN Case Manager for Home Health, responsible for coordinating care delivered to a caseload of patients, ensuring that care meets quality standards and utilization guidelines. Registered Nurse Case Manager - Home Health. The RN Case Manager assesses, plans, i

SkyBridge Healthcare is currently seeking Registered Nurse with Case Manager experience for a 13-week contract in GA. RN Case Manager experience within the last 2 years. Whether you are an experienced traveler, or this is your first travel position, SkyBridge Healthcare puts our Nurses first and ens

As a CenterWell Home Health nurse, reporting to the Clinical Manager, you will provide personalized, one-on-one care that helps patients regain independence in the comfort of their homes. Report patient care and condition progress to patient's physician and Clinical Manager. Current and unrestricted

As a CenterWell Home Health nurse, reporting to the Clinical Manager, you will provide personalized, one-on-one care that helps patients regain independence in the comfort of their homes. Report patient care and condition progress to patient's physician and Clinical Manager. Current and unrestricted

Visiting Nurse Health System is hiring an RN Case Manager for Home Health who coordinates care for a caseload of patients, ensuring care meets quality standards and utilization guidelines. Registered Nurse Case Manager - Loganville, GA. The RN Case Manager assesses, plans, implements, monitors, and

Serves as liaison between internal and external care by: reviewing benefits/services available based on regulations or specific coverage to patients, families, and other members of the community and assisting with problem solving identified concerns under limited supervision; providing case manageme