- Emory Healthcare/Emory University (Atlanta, GA)
- …and leadership programs + And more **Work Location:** Atlanta, GA **Description** + The Manager , Utilization Review (UR) is responsible for direct oversight ... + The UR Manager will be responsible for collaborating with Case Management/ Utilization Review Leadership in order to successfully implement new policies and… more
- Molina Healthcare (Macon, GA)
- …who be licensed in the state they reside. We are looking for a RN Manager to manage a utilization management team supporting 14 Marketplace plans. Home office ... performing one or more of the following activities: care review / utilization management (prior authorizations, inpatient/outpatient medical necessity, etc.),… more
- Trinity Health (Lavonia, GA)
- **Employment Type:** Full time **Shift:** **Description:** The RN Case Manager (RN CM), works in collaboration with a multidisciplinary team by identifying and ... level of care throughout hospitalization in compliance with CMS and organizational utilization management requirements. RN CM helps to ensure medical necessity is… more
- Evolent (Atlanta, GA)
- …and client contractual agreements. **Collaboration Opportunities** : The Coordinator, Intake Utilization Management reports directly to the Manager , ... the culture. **What You'll Be Doing:** The **Coordinator, Intake Utilization Management** at Evolent will serve as a point...to determine if submitted requests require a prior authorization review or redirect as required. + Entering data into… more
- Emory Healthcare/Emory University (Peachtree City, GA)
- …from schools Attend and/or participate in facility meetings as directed by Center Manager (may include utilization review , infection control, disaster ... preparedness, etc.). + Communicate pertinent patient information to referring physicians, staff, employers, insurance carriers and rehabilitation specialists. + Provide injured worker with guidelines for job modification and energy conservation in accordance… more
- KPS Global, LLC (Conyers, GA)
- … Manager capacity . Excellent communication skills and willingness to be a hands-on manager . Ability to review and discuss results or production reports both ... rewarded. KPS Global is looking for a Manufacturing Plant Manager , to join the Operations Group. The Manufacturing Plant...candidate will also be responsible for workflow and workforce utilization , building close ties with peer Plant Managers, (to… more
- CenterWell (Marietta, GA)
- …review of clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates and ... community and help us put health first** The Clinical Manager , Home Health Nursing enables patients to stay in...requirements. + Responsible for the QA/PI activities. Works with Utilization Review staff relative to data tracking… more
- Cherry Bekaert (Atlanta, GA)
- …and tools to support Cherry Bekaert's (https://www.cbh.com/) growth. As a Resource Manager you are collaborating with executive and staff-level professionals in this ... highly visible role. As a Resource Manager you will implement leadership strategies while executing the...accurate and timely report analysis related to projected/actual hours, utilization and headcount at both an organizational level and… more
- Burns & McDonnell (Atlanta, GA)
- **Description** The Construction Project Manager supports the Engineer Procure Construct (EPC) Project Manager or Program Manager to oversee day-to-day ... through project completion and warranty periods. The Construction Project Manager is responsible for managing the construction project safety, quality,… more
- AdventHealth (Calhoun, GA)
- …areas: Atlanta and Chattanooga **The role you'll contribute:** The RN Care Manager in collaboration with the patient/family, social workers, nurses, physicians and ... and progression through the continuum of care. The RN Care Manager ensures efficient and cost-effective care through appropriate resources monitoring, and… more
- Walmart (Douglas, GA)
- …data governance policies that ensure the proper management of the data ecosystem Review the impact of digital technologies in alignment with the overall org strategy ... Possess Knowledge of Routing network plan Delivery scheduling Vehicle utilization Inbound Outbound operations Department of Transportation guidelines and regulations… more
- RELX INC (Alpharetta, GA)
- Are you looking for A Data intensive Project Manager role to help drive innovation? Are you looking for a Project Manager role whereby you can utilize your ... advanced problem solving skills? About the role: The Data Engineering Project Manager supports the Project Management team by overseeing projects, ensuring timely… more
- DLB Associates (Atlanta, GA)
- DLB Associates is actively seeking a dynamic Sr. Project Manager in the Atlanta area with an MEP design background who's eager to transition into leading ... lasting impact, we'd love to connect with you! Position Title: Sr. Project Manager Position Location: Remote - work virtually from Atlanta, Georgia area with ability… more
- GAF (Savannah, GA)
- …spending review meetings with Operations Leadership and with your Sr Finance Manager * Engage with Operations to review and discuss maintenance spending in ... roof, we protect what matters most. **Job Summary** Finance Manager is responsible for the transformation of plant cost...change through your influence and engagement during this critical review . Challenging the spend and promoting cost control is… more
- CVS Health (Atlanta, GA)
- …with transferring patients to lower levels of care - 1+ years' experience in Utilization Review - CCM and/or other URAC recognized accreditation preferred - 1+ ... AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical management services that support… more
- CVS Health (Atlanta, GA)
- …with transferring patients to lower levels of care. + 1+ years' experience in Utilization Review . + CCM and/or other URAC recognized accreditation preferred. + ... AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical management services that support… more
- Cisco (Atlanta, GA)
- …and deliver exceptional value to our customers. Your Impact As a Customer Success Manager , you play a crucial role in helping our customers successfully adopt and ... You are proactive and strategic, with a passion for driving software utilization to accelerate business outcomes. You excel at crafting and implementing Technical… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …Supports clinical specialty committees focused on product introductions, value analysis, and utilization review consistent with EMORY policies and procedures + ... 3,450 physicians concentrating in 70 different subspecialties. **Description** + The Manager of Business Analysis and Contract Administration will ensure all… more
- HCA Healthcare (Waycross, GA)
- …in Case Management is highly preferred. + Certification in Case Management or Utilization Review is preferred. + InterQual experience is preferred. **Memorial ... growth, we encourage you to apply for our RN Case Manager opening. We promptly review all applications. Highly qualified candidates will be contacted for… more
- HCA Healthcare (Augusta, GA)
- …experience required for PRN positions. + Certification in case management or utilization review preferred. + InterQual experience preferred. **Doctors Hospital ... growth, we encourage you to apply for our RN Case Manager PRN opening. We review all applications. Qualified candidates will be contacted for interviews.… more