- Emory Healthcare/Emory University (Atlanta, GA)
- …core measures, accreditation, registries and other quality metrics. The Quality Management Specialist supports interventions through interdepartmental ... _development,_ and leadership programs + And more **Description** We're seeking an ** Quality Management Specilist / RN ** responsible for Chart review and… more
- BioLife Plasma Services (Kennesaw, GA)
- …requirements Currently licensed or certified in the state where responsibilities will be assigned: Registered Nurse ( RN ), Nurse Practitioner (NP) or ... day, the donors you meet will motivate you. The high- quality plasma you collect will become life-changing medicines. Here,...Center Manager and will perform as a Medical Support Specialist (Plasma Center Nurse ) to support plasma… more
- CVS Health (Atlanta, GA)
- …(SDoH) needs and stable health conditions. The CMS collaborates closely with the Registered Nurse Care Manager, Care Coordinator, Social Worker, and other ... member of our Special Needs Plan (SNP) care team, the telephonic Care Manager Specialist (CMS) plays a key role in coordinating the care of our members, particularly… more
- BioLife Plasma Services (Duluth, GA)
- …+ Currently licensed or certified in the state where responsibilities will be assigned: Registered Nurse ( RN ), Nurse Practitioner (NP) or Physician ... day, the donors you meet will motivate you. The high- quality plasma you collect will become life-changing medicines. Here,...Center Manager and will perform as a Medical Support Specialist (Plasma Center Nurse ) to support plasma… more
- Molina Healthcare (Atlanta, GA)
- …health, pharmacy, etc.), or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... **JOB DESCRIPTION** **Job Summary** The Clinical Appeals Nurse ( RN ) provides support for internal... (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM), Certified Professional in Healthcare Quality … more
- State of Georgia (Fulton County, GA)
- …. Knowledge of DATEP, NTP, ARMHP, and/or CLA services . Experience as a Registered Nurse /LPN, or licensed/certified professional in a related field or setting . ... facilities to obtain additional information . Assists in coordinating the data management and quality assurance functions . Identifies possible compliance… more
- Datavant (Atlanta, GA)
- …job function as delegated by management Ideal candidate should be a Licensed Practical Nurse or Registered Nurse well versed in DRG downgrade denials and ... vision for healthcare. The purpose of the Denial Prevention Specialist is to effectively defend utilization of available health...expertise successfully. Ideal candidate should be a Licensed Practical Nurse or Registered Nurse well… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …Decatur Hospital:** 2701 North Decatur Rd, Decatur, Georgia 30033 **Description** The Quality and Patient Safety Specialist is responsible for developing, ... Act as a resource for staff and leadership regarding quality improvement and safety practices. 27. Incident Management...will be required. Preferred Qualifications: + Clinical background (eg, RN , PT, etc.) + Lean Six Sigma or equivalent… more
- Gentiva (Alpharetta, GA)
- …Titles hospice RN jobs, patient care manager hospice, clinical manager hospice, RN leadership, hospice program oversight, IDG facilitator nurse , nurse ... Hospice Care.** We are seeking a Patient Care Manager Specialist to join our team, reporting to the Regional...activities across assigned hospice markets to ensure delivery of high- quality care while supporting compliance with company policies and… more
- Sedgwick (Atlanta, GA)
- …Fortune Best Workplaces in Financial Services & Insurance Disability Clinical Specialist **PRIMARY PURPOSE** : Performs standard clinical evaluations on claims that ... + Provides clear and appropriate follow-up recommendations for ongoing medical management of claims; ensures appropriate recommendations are made on claims. +… more
- Molina Healthcare (Atlanta, GA)
- …transitions, behavioral health, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ), Licensed Vocational Nurse (LVN), ... Qualifications * Certified Case Manager (CCM), Certified Professional in Healthcare Management (CPHM), Certified Professional in Healthcare Quality (CPHQ), or… more
- Oracle (Atlanta, GA)
- …Description** Oracle Health is standing up a specialized clinical product management team focused on medical device-aligned products. This team bridges clinical ... provide clinical insight into product design, usability, and risk management processes. You'll collaborate across engineering, regulatory, and product leadership… more
- Oracle (Atlanta, GA)
- …Description** Oracle Health is standing up a specialized clinical product management team focused on medical device-aligned products. This team bridges clinical ... provide clinical insight into product design, usability, and risk management processes. You'll collaborate across engineering, regulatory, and product leadership… more