- Intermountain Health (Atlanta, GA)
- …Physician shall work closely with the Medical Director (Executive/Community/Rural), Nursing Administrator, Case Management Director, and Finance Director. ... as an expert and local resource to hospital Case Management Department and Medical Staff on issues relating to...conjunction with System Physician Advisor. + Work with System Utilization Review Manager and others to adjust… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …in the hiring process and is responsible for development, evaluation and ongoing management of assigned direct reports. Provides professional nursing care in ... **Description** JOB DESCRIPTION: Supervises and coordinates activities of nursing personnel in one or more patient care units. Verifies that patients' needs are met… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …Full Time/ 36 Hours **Emory University Hospita** l is seeking an experienced ICU RUN Nurse . The (RUN) Resource Utilization Nurse is primarily responsible for ... and Healthcare Provider certifications required JOB DESCRIPTION: + The (RUN) Resource Utilization Nurse is primarily responsible for supporting the critical care… 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
- Sedgwick (Atlanta, GA)
- …PURPOSE** : To ensure efficient, cost effective, and high quality delivery of case management and utilization review services to clients by managing and training ... to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Clinical Manager **This manager will have to be...client locations; to provide expertise in client specific case management and utilization review requirements; and to… 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
- Elevance Health (Atlanta, GA)
- …managing the clinical operations department. Manages the delivery of quality care management , clinical utilization , and referral services. **How you will make ... ** Manager Behavioral Health Clinical Services** **Location:** This position...BA/BS in mental health field or an AA in Nursing with related psychiatric nursing experience and… 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
- 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
- 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
- Sedgwick (Atlanta, GA)
- …in needs assessment and implementation of timely cost-effective fee management services in compliance with corporate/jurisdictional standards; to provide review ... requiring extensive skills/experience; and to interact with expense bill reviewers, utilization review nurses, and claims staff to resolve problems and/or implement… more