- Elevance Health (Atlanta, GA)
- …48 hours of receipt and meet the criteria._** The **Telephonic Nurse Case Manager I** is responsible for telephonic care management within the scope of ... **Telephonic Nurse Case Manager I - $3000...claims or service issues. + Assists with development of utilization /care management policies and procedures. **Minimum Requirements:**… more
- Emory Healthcare/Emory University (Lithonia, GA)
- …Are YOU ready to join us? **Description** JOB DESCRIPTION: The (RUN) Resource Utilization Nurse is primarily responsible for supporting the critical care units ... nurse . No matter where you are in your nursing career, when you chose this distinguished profession, you...nurse may assist the emergency department in the management of critical care patients awaiting inpatient bed admission… more
- Peachtree Orthopedics (Sandy Springs, GA)
- …among team members. + Operational Oversight: Step into the shoes of the Nurse Manager in their absence, overseeing day-to-day operations. + Safety First: ... potential harm to personnel and patients. + Communication Hub: Keep the Nurse Manager informed, providing guidance and assistance to staff, anesthesiology,… more
- Fresenius Medical Center (Decatur, GA)
- …post procedure, under the direction of the Facility Manager , Director of Nursing and/or Charge Registered Nurse , utilizing standard nursing techniques to ... on adverse events and action thresholds in collaboration with facility management . + Maintains integrity of medical records and other organization administrative… more
- ChenMed (Decatur, GA)
- …trends in patient conditions and develops, documents and implements a patient management plan based on interpretation of findings. Aids in the development of ... plan of care that may include health education, physician referrals, case management referrals and patient/family counseling. + Evaluates need for immediate … more
- CenterWell (Duluth, GA)
- …an accredited School of Nursing . + Current state license as a Registered Nurse . + Proof of current CPR. + Valid driver's license, auto insurance and reliable ... community and help us put health first** The **Clinical Manager ** coordinates and oversees all direct care patient services...transportation. + Two years as a Registered Nurse with at least one-year of management … more
- CenterWell (Atlanta, GA)
- …Coordinate quality improvement activities to address high risk, high-utilizers/high-cost patient management through the utilization of the 5M's framework as ... management and care coordination. * Experience with case management , social work, skilled nursing facilities, rehab...readmissions, total cost of care, and reducing acute care utilization ). * Familiarity in integrated care management … more
- Fresenius Medical Center (Marietta, GA)
- …to ensure quality service while maintaining a high level of efficiency management . **PRINCIPAL DUTIES AND RESPONSIBILITIES:** + Manage the tactical execution of ... contracted facilities. Ensure efficient staff/ patient scheduling and efficient staffing utilization following company policy while maintaining a safe environment. +… more
- Vatica Health (Alpharetta, GA)
- The Manager of Clinical Operations leads and manages the Clinical Operations teams in multiple Metropolitan Service Areas (MSAs) to ensure their efficiency, ... productivity, and effectiveness. The Manager of Clinical Operations collaborates with and reports to the Senior Director of Clinical Operations on clinical and… more
- Wolters Kluwer (Atlanta, GA)
- The **Customer Success Manager , Lippincott Solutions** is responsible for driving the implementation of all Nursing Solutions products into existing and new ... with training and rollout, working with reps to drive utilization and customer satisfaction and ensure maximum renewal and...analysis, and creating and presenting a monthly report to management on key metrics. * Support sales growth from… more
- Elevance Health (Atlanta, GA)
- …services only, and there is licensed staff supervision. + Previous experience in case management / utilization management with a broad range of experience with ... work counseling or a related behavioral health field or a degree in nursing , and minimum of 3 years of experience with facility-based and/or outpatient psychiatric… more
- ChenMed (Decatur, GA)
- …the quality and efficacy of the organization's telehealth practices and professional nursing practice through successful utilization and improvement of outcomes ... counseling, patient advocacy, health education and referral and resource management to ChenMed patients and their families. Providing on-call...in Nursing required + Bachelor's Degree in Nursing preferred + Nurse Licensure Compact license… more
- J&J Family of Companies (Atlanta, GA)
- …care. The CAR-T Cell Therapy Experience Lead is a member of this account management team, reporting to the Senior Manager , CAR-T Cell Therapy Experience Lead. ... raising the bar on customer experience in the pharmaceutical industry. Our account management teams support the certified sites who care for cancer patients. We are… more
- CenterWell (Atlanta, GA)
- …payer contracts + Monitor the following key functions: + Program evaluation + Risk Management + Utilization Review + Patient Care Evaluation + Policies and ... course of action. + Delegation Oversight of Home infusion Nursing Vendors and local providers + Supervise through qualified...criteria for admission to service, case assignments, and case management . + Represent the pharmacy in a professional and… more
- Sharecare, Inc. (Atlanta, GA)
- …/ new hire plan selection, claims issues, ID card issues, grievances/appeals, utilization management (UM) status, including but not limited to medical, ... + Claims adjustments + Grievances and appeals submissions + Utilization management intake or status + Complex...Patient Care Technician (PCT) + Physical Therapy Assistant + Nursing Assistant + Medical Secretary/Clinic Manager +… more
- CenterWell (Atlanta, GA)
- …in the state of Georgia including but not limited to consulting with assigned nurse practitioners on management of complex patients. + Review all acute ... utilization events, with goal of reducing unnecessary utilization . + Use of laptops for EMR charting. + As needed/ongoing attention to prescription refills, home… more
- Sharecare, Inc. (Atlanta, GA)
- …other members of the health care team to support appropriate total healthcare management and ensure cost effective, appropriate resource utilization and quality ... with the participants and their Primary Care Provider according to the disease management program intervention guidelines. An RN is supervised by an Operations … more