- Peachtree Orthopedics (Atlanta, GA)
- …and senior leadership to ensure ongoing alignment of priorities and drives measurable improvement in clinical documentation quality. + Ensure proper ... position manages and oversees daily CDI operations and requires expertise in clinical documentation and coding guidelines for orthopedics and ambulatory surgery… more
- CenterWell (Stone Mountain, GA)
- …caring community and help us put health first** **Job Profile Summary** The Manager , Stars Improvement , Clinical responsible for the development, ... of the Primary Care Organization's clinic-based Stars Program. The Manager , Stars Improvement , Clinical works...and incentive programs + Data sharing and connectivity + Documentation and coding + Additional areas related to provider… more
- CenterWell (Marietta, GA)
- **Become a part of our caring community and help us put health first** The Clinical Manager , Home Health Nursing enables patients to stay in their homes by ... and personal services; supporting patients and their families. The Clinical Manager , Home Health Nursing works within...staff education needs based on own the review of clinical documentation in addition to feedback and… more
- State of Georgia (Dekalb County, GA)
- Licensed Clinical Manager - Crisis Center Georgia - Dekalb - Decatur (https://careers.georgia.gov/jobs/65565/other-jobs-matching/location-only) Hot ... Share this Job Sign Up for Job Alerts Licensed Clinical Manager JOB SUMMARY: The Clinic ...care provided in psychiatric emergency services, identifying areas for improvement and implementing strategies for enhancement. + Coordinate staff… more
- Sharecare (Atlanta, GA)
- …visit www.sharecare.com. **Job Summary:** CareLinx by Sharecare is seeking a ** Clinical Program Manager ** to oversee government healthcare programs, including ... compliance and quality oversight for in-home caregiver visits. The Clinical Program Manager will play a key...plans, and patient outcomes. + Develop and implement quality improvement initiatives based on data insights. + ** Clinical… more
- Elevance Health (Atlanta, GA)
- …Requires a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement , and a minimum of 5 years of ... Coding and/or Clinical Validation Audits or hospital clinical documentation improvement experience preferred....Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- CenterWell (Atlanta, GA)
- …caring community and help us put health first** The Senior Process Improvement Professional analyzes, and measures the effectiveness of existing business processes ... repeatable and quantifiable business process improvements. The Senior Process Improvement Professional work assignments involve moderately complex to complex issues… more
- Molina Healthcare (Atlanta, GA)
- …activities such as NCQA reviews, CAHPS and state audits by reviewing clinical documentation . + Provides data collection, presentations and report development ... **Job Description** **Job Summary** Molina's Quality Improvement Lead Overreader conducts oversight and audits of...off of the audit and chart review. + Assists Manager and Supervisor(s) in leading the training and mentoring… more
- CenterWell (Atlanta, GA)
- …quality measures for successful clinic performance + Maintain accurate and thorough documentation of clinical interventions and patient care activities + Conduct ... and help us put health first** We are seeking an ambitious and goal-oriented Clinical Pharmacist with over 5 years of experience to join our primary care… more
- ChenMed (Decatur, GA)
- …and case management theory and practice; patient care charts and histories; clinical and social services documentation procedures and standards + Knowledge ... we need great people to join our team. The Manager , Post-Acute Complex Care is a regional leadership position...acute care strategy. The incumbent will be responsible for clinical oversight of our care coordination efforts across the… more
- Sharecare (Atlanta, GA)
- …everyone. To learn more, visit www.sharecare.com . Job Summary: The Supplemental Care Manager supports the Value Based Care Management program in an appropriate and ... or Care Management with CareFirst members. The Supplemental Care Manager will ensure that the ongoing needs of enrolled...most appropriate modality for the member. + Utilizes established documentation standards to maintain quality of care plan … more
- Emory Healthcare/Emory University (Atlanta, GA)
- …and Epic electronic health record systems. + Thorough knowledge of coding documentation improvement practices. + Thorough knowledge and understanding of billing, ... and education for hospital and professional billing, coding and documentation programs that confirm compliance, identify reimbursement implications, and provides… more
- Sharecare (Atlanta, GA)
- …2025** **Salary:** **$85,000 annually, plus comprehensive benefits package** The Care Manager supports the implementation of the Value Based Care Management program ... telephonic Case or Care Management with CareFirst members. The Care Manager partners with members, caregivers, providers, and the interdisciplinary care team… more
- Travelers Insurance Company (Alpharetta, GA)
- …self or others to meet current or future goals. + Certified Case Manager (CCM), Certified Disability Management Specialist (CDMS), Clinical Research Counselor ... do and where you do it. **Job Category** Claim, Nurse - Medical Case Manager **Compensation Overview** The annual base salary range provided for this position is a… more
- Walmart (Cumming, GA)
- …by patients or required by practice or state regulations including appropriate documentation Analyzes and identifies areas of improvement needed and implements ... need you to bring the passion. The Walmart Rx Manager operates the pharmacy from a place of true...staff you will grow and develop. It takes strong clinical knowledge and business acumen. You will be empowered… more
- PruittHealth (Norcross, GA)
- **REGISTERED NURSE CASE MANAGER (RN)** Stockbridge/Atlanta area OR North Gwinnett area - Pick your territory! **HOSPICE SERVICES** **Join the PruittHealth Hospice ... + Completes nursing assessments and admissions of patients. + Maintains the clinical record to meet federal, state, and agency regulations and guidelines. +… more
- Fresenius Medical Center (Atlanta, GA)
- …organization. + Reviews and assists managers in drafting corrective action, performance improvement , and termination documentation as requested. + Assists with ... but not limited to, Corporate Counsel, HR Business Partners, Compliance, Quality/ Clinical Services, Education, etc. + Effectively administers personnel and employee… more
- Philips (Alpharetta, GA)
- …passionate about transforming healthcare. In this role as Customer Project Manager , you will work with diverse teams implementing enterprise-wide software solutions ... + Improves processes and procedures proactively in the interest of continuous improvement and customer success and drives Solid/PMI methodology and project … more
- Vatica Health (Alpharetta, GA)
- We are seeking a knowledgeable and collaborative Medical Billing Manager to serve as our CPT Subject Matter Expert (SME) and act as a key liaison between our ... provide insights on billing workflows and contribute to continuous improvement of our software. + Conduct training sessions or...to educate clients and internal teams on proper coding, documentation , and billing best practices. + Perform a variety… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …and Epic electronic health record systems. + Thorough knowledge of coding documentation improvement practices. + Thorough knowledge and understanding of hospital ... Manage and foster relationships with internal coders and managers and 3rd party clinical reviewers. + Leads training on proper documentation for inpatient… more