- Molina Healthcare (Columbus, GA)
- …SummaryProvides subject matter expertise and leadership to healthcare services function - providing support for project/ program /process design, execution, ... into functional requirements. * Conducts quality audits to assess healthcare services staff educational needs and service quality, and implements quality… more
- Molina Healthcare (Columbus, GA)
- …Summary** Provides subject matter expertise and leadership to healthcare services function - providing support for project/ program /process design, execution, ... into functional requirements. + Conducts quality audits to assess healthcare services staff educational needs and service quality, and implements quality… more
- Molina Healthcare (Columbus, GA)
- **Job Description** **Job Summary** The In-Home Assessment Program Manager is part of our innovative Risk Adjustment department to assist our diverse team of ... medical loss ratio (MLR) targets. In conjunction with the Manager of the In-Home Assessment Program , this...Programs, Market & Segment Leaders, health plan teams, member services , provider services , external vendors, actuary, and… more
- Molina Healthcare (Columbus, GA)
- **JOB DESCRIPTION** Job Summary: The AI Program Manager serves as a strategic leader driving the execution of AI initiatives to deliver meaningful business ... process improvement and organizational change management to operationalize the AI program vision. This includes end-to-end program planning (estimating,… more
- Molina Healthcare (Columbus, GA)
- …Job Summary Provides support for care management/care coordination long-term services and supports specific activities and collaborates with multidisciplinary team ... processes. * Develops and implements care plans, including a waiver service plan in collaboration with members, caregivers, physicians and/or other appropriate… more
- Molina Healthcare (Columbus, GA)
- …including behavioral health, long-term care, and population health-related education and services for members with high-need potential. Strives to ensure member ... and written communication skills. * Microsoft Office suite/applicable software program (s) proficiency. Preferred Qualifications **LVN is preferred for this role.**… more
- Molina Healthcare (Columbus, GA)
- …standards and requirements established by the Centers for Medicare and Medicaid Services (CMS). **Essential Job Duties** * Manages team responsible for the ... appeals and denials. * Previous experience leading projects. * Strong customer service experience. * Strong organizational and time management skills; ability to… more
- Compass Group, North America (Columbus, GA)
- … service team members. Ready to lead with purpose? Discover how our Patient Services Manager makes a difference every day-watch now! **Job Summary** We are ... Healthcare ** is a leading national food and nutrition services company exclusively dedicated to serving more than 600...seeking a **Patient Services Manager ** to lead our Patient … more
- State of Georgia (Muscogee County, GA)
- Healthcare Program Consultant Supervisor - New...Alerts West Central Georgia Regional Hospital is seeking a Program Manager for New Hope Transition Unit ... with other health care providers/organizations to promote optimal implementation of program services . + Determines communication strategy for field staff. +… more
- Compass Group, North America (Columbus, GA)
- … **Morrison Healthcare ** is a leading national food and nutrition services company exclusively dedicated to serving more than 600 hospitals and healthcare ... meals annually. Morrison has been named one of Modern Healthcare 's "Top 100 Best Places to Work in ...service team members. **Job Summary** **Working as Cafe Manager ** , you will be responsible for the successful… more
- Molina Healthcare (Columbus, GA)
- …Professional in Healthcare Management (CPHM), Certified Professional in Healthcare Quality (CPHQ), Commission for Case Manager Certification (CCMC), ... business segment (ie Medicare, Marketplace, advanced imaging/central utilization management services ) in the development and execution of care management,… more
- Molina Healthcare (Columbus, GA)
- …supported by the plan such as utilization review, medical claims review, long-term services and supports (LTSS), or other specific program experience as needed ... Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM), Certified… more
- Molina Healthcare (Columbus, GA)
- …Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM), Certified ... procedures, and individual judgment and experience to assess the appropriateness of services provided, length of stay, level of care, and inpatient readmissions. +… more
- Battelle Memorial Institute (Fort Benning, GA)
- …Additionally, the Nurse Case Manager facilitates referrals, collaborates with healthcare providers, and manages service agreements to support efficient, ... manage national laboratories, design and manufacture products and deliver critical services for our clients-whether they are a multi-national corporation, a small… more
- Molina Healthcare (Columbus, GA)
- …Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM) or Certified ... National Committee for Quality Assurance (NCQA), Centers for Medicare and Medicaid Services (CMS), state Medicaid entity requirements and all other standards and… more
- Molina Healthcare (Columbus, GA)
- …oversight and expertise related to behavioral health and chemical dependency services , and assists with implementation of integrated behavioral health care programs ... management and care management behavioral health programs and chemical dependency services - working closely with regional medical directors to standardize… more
- Molina Healthcare (Columbus, GA)
- …medical oversight and expertise in appropriateness and medical necessity of services provided to members, targeting improvements in efficiency and satisfaction for ... Job Duties * Determines appropriateness and medical necessity of health care services provided to plan members. * Supports plan utilization management program… more
- Molina Healthcare (Columbus, GA)
- …QUALIFICATIONS:** + At least 6 years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO) or health plan setting, ... and executes tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and State regulatory requirements are met for Pre-pay Edits, Overpayment… more
- State of Georgia (Muscogee County, GA)
- Nurse Manager - NEW HOPE Unit - Columbus Georgia - Muscogee - Columbus (https://ga.referrals.selectminds.com/jobs/73566/other-jobs-matching/location-only) ... Healthcare (https://ga.referrals.selectminds.com/landingpages/ healthcare -opportunities-at-team-georgia-17) Behavioral Health and Developmental Disabilities,… more
- Raising Cane's (Columbus, GA)
- …action when needed + Directs crewmembers during a shift + Provides exemplary customer service + Utilizes reward and recognition program for the crewmembers in ... + Medical, Dental, Vision & Pharmacy Benefits + Dependent Care & Healthcare Flexible Spending Accounts + Company-provided Life and Disability insurance + Hospital… more