- Humana (Atlanta, GA)
- …a part of our caring community and help us put health first** The Manager , Utilization Management Nursing utilizes clinical nursing skills to support ... more
- Humana (Atlanta, GA)
- …a part of our caring community and help us put health first** The Manager , Utilization Management Behavioral Health utilizes behavioral health knowledge and ... more
- Fresenius Medical Center (Woodstock, GA)
- **About this role:** As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical operations. ... more
- Emory Healthcare/Emory University (Atlanta, GA)
- …incentives + Ongoing mentorship, _development,_ and leadership programs **Description** **Rapid Response Registered Nurse / RN** 7a-7:30p / Full Time / 36 Hours per ... more
- Fresenius Medical Center (Decatur, GA)
- …care pre, during and post procedure, under the direction of the Facility Manager , Director of Nursing and/or Charge Registered Nurse, utilizing standard nursing ... more
- Molina Healthcare (Atlanta, GA)
- …performing one or more of the following activities: care review/ utilization management (prior authorizations, inpatient/outpatient medical necessity, etc.), ... more
- Molina Healthcare (Atlanta, GA)
- …integrated) performing one or more of the following activities: utilization management (prior authorizations, inpatient/outpatient medical necessity, etc.). ... more
- CenterWell (Cumming, GA)
- …+ Valid driver's license, auto insurance and reliable transportation. + Two years as a Registered Nurse with at least one-year of management experience in a home ... more
- Highmark Health (Atlanta, GA)
- …Health **Job Description :** **JOB SUMMARY** This job implements effective utilization management strategies including: review of appropriateness of health ... more
- Robert Half (Atlanta, GA)
- JOB REQUISITION Microsoft Dynamics 365 Supply Chain Architect Senior Manager LOCATION ATLANTA - PEACHTREE RD ADDITIONAL LOCATION(S) CHARLOTTE, PRO TAMPA JOB ... more
- Molina Healthcare (Atlanta, GA)
- …including 3 or more years in one or more of the following areas: utilization management , case management , care transition and/or disease management ... more
- Jacobs (Atlanta, GA)
- … utilization of staff, scope and fee development, contract management , invoicing, and project profitability for highway infrastructure projects. We'll look ... more
- Elevance Health (Atlanta, GA)
- …defining our innovative role in the industry. **Title** : Population Health Management Clinical Pharmacist **Location(s):** 740 W. Peachtree St. NW Atlanta, GA 30308 ... more
- Molina Healthcare (Atlanta, GA)
- …Chief Medical Officer on denial decisions. + Resolves escalated complaints regarding Utilization Management and Long-Term Services & Supports issues. + ... more
- Molina Healthcare (Atlanta, GA)
- …of payment decisions. + Serves as a clinical resource for Utilization Management , Chief Medical Officers, Physicians, and Member/Provider Inquiries/Appeals. ... more
- PNC (Atlanta, GA)
- …a regular basis. Some responsibilities may be performed remotely, at manager 's discretion. Responsibilities: 1. Workfront Administration & Optimization: o Serve as ... more
- Molina Healthcare (Atlanta, GA)
- …Clinical Coder + Certified Medical Audit Specialists (CMAS) + Certified Case Manager (CCM) + Certified Professional Healthcare Management (CPHM) Certified ... more
- PNC (Atlanta, GA)
- …the field on a regular basis. Some responsibilities may be performed remotely, at the manager 's discretion. In this role at PNC, you will be involved in design and ... more