- Molina Healthcare (GA)
- …Experience** Previous experience in Hospital Acute Care , ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual ... team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care , for… more
- Molina Healthcare (GA)
- …Experience** Previous experience in Hospital Acute Care , ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual ... team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care ,… more
- Molina Healthcare (Macon, GA)
- …team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care , ... staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of… more
- Veterans Affairs, Veterans Health Administration (Augusta, GA)
- …determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply ... positions are filled. VA Careers - Social Work: https://youtube.com/embed/enRhz\_ua\_UU Primary Care -Mental Health Integration (PCMHI) The Primary Care Mental… more
- Elevance Health (Atlanta, GA)
- …**How You Will Make an Impact** : + Conducts precertification, continued stay review , care coordination, or discharge planning for appropriateness of treatment ... and requires a minimum of 2 years clinical, utilization review , or managed care experience; or any...interpret and apply member contracts, member benefits, and managed care products strongly preferred. + Prior managed… more
- Prime Therapeutics (Atlanta, GA)
- …Account Manager - Georgia PDL - Remote **Job Description** Innovative business clinician accountable for building and maintaining customer relationships as well as ... to the customer, derived from identifying, demonstrating and selling valued pharmaceutical care and cost solutions that meet the desired outcomes of the customer;… more
- HealthTrust Workforce Solutions (Augusta, GA)
- …position is responsible for the anticipation, planning, coordination, and provision of care for the patient while performing and monitoring the clinical insertion of ... is seeking a qualified Registered Nurse (RN)- Vascular Access- Full Time clinician . HealthTrust Offers: + Customizable Pay Packages + Guaranteed hours + Weekly… more