- Molina Healthcare (Atlanta, 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 (Atlanta, 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 (Atlanta, 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
- 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