- Molina Healthcare (Atlanta, GA)
- …NCQA accreditation surveys and federal/state QI compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Manager , Health Plan Quality Interventions is ... responsible for developing, implementing, and monitoring the success of quality improvement interventions . The Manager works to coordinate resources and… more
- Medtronic (Atlanta, GA)
- …compassionate world. **A Day in the Life** At Medtronic, the Sales Representative II, Pain Interventions is a Senior level role that is considered a clinical and ... alliances. This role reports directly to a District Sales Manager , partners with other Sales Representative peers as well...other Sales Representative peers as well as with a Clinical Specialist team. This is a **field based** role.… more
- Sharecare (Atlanta, GA)
- …support in an appropriate, efficient and cost-effective manner while ensuring high quality care. The Clinical Registered Nurse coordinates with the Primary ... total healthcare management and ensure cost effective, appropriate resource utilization and quality outcomes. The Clinical Registered Nurse is also responsible… more
- ChenMed (Decatur, GA)
- …indicators. + Fosters growth and effectiveness of Pharmacy work teams to meet quality and clinical care standards/ + Assists Pharmacy leadership in ensuring ... rapidly expanding and we need great people to join our team. The Clinical Pharmacist specializing in Population Health is a skilled and proactive professional who… more
- Highmark Health (Atlanta, GA)
- …referral to a Health Coach/case management, and identification and resolution of quality issues. Monitors and analyzes the delivery of health care services; educates ... and member satisfaction. Responds to customer inquiries and offers interventions and/or alternatives. **ESSENTIAL RESPONSIBILITIES** + Implement care management… more
- Public Consulting Group (Atlanta, GA)
- …* Document all care activity via case management software system * Promotes quality and cost-effective interventions and outcomes * Assesses and addresses ... a qualified Registered Nurse to perform as a Case Manager . The Case Manager will be responsible...accurately all necessary forms and produce statistical reports Promotes quality and cost-effective interventions and outcomes +… more
- Highmark Health (Atlanta, GA)
- …to appropriate multi-disciplinary resources. In addition to identifying the appropriate clinical interventions and referrals, the incumbent will manage an ... performing ongoing assessment of members' health management needs, identifying the right clinical interventions to address member needs and/or triaging members… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …more **Description** We are seeking a capable **Infection Prevention Manager ** coordinates all infection prevention related activities associated with surveillance, ... Board of Infection Control and Epidemiology (CBIC). + The Infection Prevention Manager is responsible for oversight of facility compliance with TJC Hospital… more
- CVS Health (Atlanta, GA)
- …we do it all with heart, each and every day. **Job Summary** The Care Manager -Registered Nurse is a key member of our Special Needs Plan (SNP) care team, responsible ... chronic conditions and navigating the healthcare system. Additionally, the Care Manager develops and implements individualized care plans, monitors member progress,… 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 ... in an appropriate and efficient manner by providing high- quality telephonic Case or Care Management with CareFirst members. The Care Manager partners with… more
- BrightSpring Health Services (Atlanta, GA)
- Our Company ResCare Community Living Overview The Program Manager will be responsible for the operation of Therapeutic Foster Care as far as all actions, decisions, ... and performances within the total scope of the treatment program. The Program Manager will also be responsible for developing, implementing, and managing the foster… more
- State of Georgia (Dekalb County, GA)
- Case Manager - Child & Adolescent Georgia - Dekalb - Decatur (https://careers.georgia.gov/jobs/64300/other-jobs-matching/location-only) Social Services ... Job Sign Up for Job Alerts JOB SUMMARY: The Child & Adolescent Case Manager /Community Support Individual (CSI) is an integral part of the Child & Adolescent Program,… more
- Molina Healthcare (Atlanta, GA)
- …HCS 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 ... Suite and computer savvy is very helpful. The Case Manager must be able to work in a high-volume...determines who may qualify for case management based on clinical judgment, changes in member's health or psychosocial wellness,… more
- Public Consulting Group (Atlanta, GA)
- …complete accurately all necessary forms and produce statistical reports Promotes quality and cost-effective interventions and outcomes + Assesses and ... informed decisions by acting as their advocate regarding their clinical status and treatment options + Develops effective working...management, including as a nurse, medical, mental health care manager or a related job + Excellent knowledge of… more
- Elevance Health (Atlanta, GA)
- ** Clinical Operations Medical Director** **Carelon MBM** **Virtual:** This role enables associates to work virtually full-time, with the exception of required ... and providers. In this role, you will participate in pre-authorization and quality improvement solutions for both specialized cardiology and vascular surgery. This… more
- Assured & Associates (Douglasville, GA)
- …monitors clients' needs, current status, and environment + Implements appropriate interventions Documents accurately, appropriately, and in a timely manner + ... notes + Documents evaluation of client's health status and needs + Documents interventions and outcome of those interventions + Completes client's discharge… more
- PruittHealth (Atlanta, GA)
- …and resident interviews for adherence to prescribed diet orders and nutrition interventions . 13. Conducts quality assurance functions that include regular ... resident assessment and plan of care. In collaboration with the Dietary Manager and Administrator, allocates department resources in an efficient and economic manner… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …medical assessment, interventions , and evaluations. + Provide medical direction to clinical staff. + Contribute to quality improvement activities by actively ... dressing changes. + Evaluate and analyze patient responses to therapeutic interventions . + Formulate diagnoses and identify problems and potential pain generators.… more
- Highmark Health (Atlanta, GA)
- …performing ongoing assessment of members' health management needs, identifying the right clinical interventions to address member needs and/or triaging members ... panel of members that range in health status/severity and clinical needs; and assesses health management needs of the...personal health goals. Will work with providers to insure quality and appropriate care is being delivered in a… more
- ChenMed (Decatur, GA)
- …directors to ensure compliance with guidelines along with participating in risk and quality management programs, clinical meetings and other meetings as required ... impact on patient health outcomes. The PCP stays up to date on clinical , nutritional, and lifestyle-based interventions to improve outcomes. + Physician… more