- Molina Healthcare (Columbus, GA)
- …SummaryProvides subject matter expertise and leadership to healthcare services function - providing support for project/ program /process design, execution, ... into functional requirements. * Conducts quality audits to assess healthcare services staff educational needs and service quality, and implements quality… more
- Molina Healthcare (Columbus, GA)
- …work of external vendors. Assigns, directs, and monitors system analysis and program staff. These positions' primary focus is project/ program management, rather ... teams in planning and executing business programs. Assigns and monitors work of program management staff providing support and direction. + Serves as the subject… more
- Molina Healthcare (Columbus, GA)
- …and executes tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and state regulatory requirements are met for pre-pay edits and overpayment ... and executing projects and tasks to ensure Centers for Medicare and Medicaid Services (CMS) and state regulatory requirements are met for pre-pay edits, post-payment… more
- Molina Healthcare (Columbus, GA)
- …governance framework and decision-making processes, as needed. + At the direction of program (CoE, Shared Service or other functional area) leadership, supports ... or a similar field). + Relevant work experience in healthcare compliance program operations and risk management;...experience. + Managed Care experience, preferably in a shared service , CoE or matrixed environment. + Experience with Microsoft… more
- Battelle Memorial Institute (Fort Benning, GA)
- …Additionally, the Nurse Case Manager facilitates referrals, collaborates with healthcare providers, and manages service agreements to support efficient, ... manage national laboratories, design and manufacture products and deliver critical services for our clients-whether they are a multi-national corporation, a small… more
- Genesis Healthcare (Ideal, GA)
- …children at home and in school. With over 38 years of trusted service , our reach spans skilled nursing centers, assisted and independent living facilities, ... + **Support for New Grads:** Our Powerback Clinical Mentorship Program kicks off on day one, helping you learn...patients and their families receive the highest quality of service in a caring and compassionate atmosphere. If this… more
- Molina Healthcare (Columbus, GA)
- …Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM), Certified ... procedures, and individual judgment and experience to assess the appropriateness of services provided, length of stay, level of care, and inpatient readmissions. +… more
- Genesis Healthcare (Ideal, GA)
- …children at home and in school. With over 38 years of trusted service , our reach spans skilled nursing centers, assisted and independent living facilities, ... + **Support for New Grads:** Our Powerback Clinical Mentorship Program kicks off on day one, helping you learn...new way of delivering recovery, rehabilitation, respiratory, and wellness services to patients across the nation. We deliver an… more
- Molina Healthcare (Columbus, GA)
- …oversight and expertise related to behavioral health and chemical dependency services , and assists with implementation of integrated behavioral health care programs ... management and care management behavioral health programs and chemical dependency services - working closely with regional medical directors to standardize… more
- Molina Healthcare (Columbus, GA)
- …medical oversight and expertise in appropriateness and medical necessity of services provided to members, targeting improvements in efficiency and satisfaction for ... Job Duties * Determines appropriateness and medical necessity of health care services provided to plan members. * Supports plan utilization management program… more
- Molina Healthcare (Columbus, GA)
- …Duties** * Hires, trains, develops, and supervises a team of pharmacy service representatives supporting processes involved with Medicare Stars and Pharmacy quality ... and average hold time are compliant with Centers for Medicare and Medicaid Services (CMS) regulations. * Ensures that adequate staffing coverage is present at all… more
- Walmart (Columbus, GA)
- …team is dedicated to providing comprehensive patient care and ensuring the highest standards of service . As a Pharmacy Manager , you will lead the team to success ... operations and leading people? Join Walmart as a Pharmacy Manager and lead our team of pharmacists and pharmacy...enforce, and provide direction and guidance on proper customer service approaches and techniques to ensure customer needs are… more
- State of Georgia (Muscogee County, GA)
- Nurse Unit Manager - Columbus Georgia - Muscogee - Columbus (https://ga.referrals.selectminds.com/jobs/74838/other-jobs-matching/location-only) Healthcare ... + Develops policies, sets standards and plans objectives for the nursing program in accordance with established policies. + Develops staffing patterns. + Evaluates… more
- Walgreens (Hogansville, GA)
- …to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient manner, and performs ... cash register, provides customers with courteous, fair, friendly, and efficient checkout service . + In accordance with state and federal regulations, assists the… more
- Kellermeyer Bergensons Services (Columbus, GA)
- …growing, and exciting company full of great opportunities! Kellermeyer Bergensons Services (KBS) has an immediate full-time opportunity to join our Janitorial ... Services Team as a Janitorial Crew Lead. If you...wide range of key verticals-including retail, industrial and logistics, healthcare , education, manufacturing, and more-maintain clean, efficient and welcoming… more
- KBR (Fort Benning, GA)
- …information disseminated at the meeting. + Serve as an advisor to the HP program Manager and/or Coordinator in matters related to injury prevention, sports ... medicine, rehabilitation, and bridging. + Serve as an advisor to the HP program Manager and/or Coordinator for administrative matters, purchasing of supplies and… more
- Battelle Memorial Institute (Fort Benning, GA)
- …perform additional clinical and administrative duties as assigned by the HP program Manager or Coordinator. **Responsibilities** + Function across the spectrum ... and performance enhancement + Provide and perform the following services in support of POTFF's HP program ...notes/information. + Serve as an advisor to the HP program Manager and/or Coordinator in matters related… more
- Walgreens (Thomaston, GA)
- …to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient manner, and performs ... services as required; assists pharmacy staff in coordination of clinical services , Walgreens healthcare clinics and external providers. + Assists Pharmacy … more
- Elevance Health (Columbus, GA)
- …employment, unless an accommodation is granted as required by law._** **National Government Services ** is a proud member of Elevance Health's family of brands. We ... contracts for Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs. The **Audit and Reimbursement III** will… more
- Walgreens (Columbus, GA)
- …to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient manner, and performs ... services as required; assists pharmacy staff in coordination of clinical services , Walgreens healthcare clinics and external providers. + Assists Pharmacy … more