- Spectraforce Technologies Inc (Atlanta, GA)
- …HEDIS Clinical Measurement and Improvement Lead and other Company personnel to review medical records. The HEDIS Nurse Abstractor will abstract pertinent ... Job Title: HEDIS Nurse Abstractor (100% REMOTE) Duration: 3-4 Months Job...HEDIS reporting. Daily Activities include review and abstraction of medical records, electronic data entry into project specific computer… more
- Spectraforce Technologies Inc (Atlanta, GA)
- …Team Lead and other client personnel to perform quality assurance reviews on medical records. The HEDIS Quality Assurance Nurse Reviewer will validate abstracted ... Title: Quality Assurance Nurse Reviewer (Overread Team), (100% Remote) Duration: 5...other duties toward HEDIS collection as assigned including HEDIS medical record review and outreach for collection of … more
- Rose International (Atlanta, GA)
- …to pull and where to pull it fromClinical operation experience required ( nurse , medical scheduler)How do we review release note to identify scalability ... performing detailed analysis and in-depth knowledge of healthcare information management systems and clinical operations required. Database and reporting analytics… more
- Merck & Co. (Atlanta, GA)
- …may include: - Health care providers such as physicians, physician assistants, nurse practitioners, nurses, pharmacists as well as quality directors and office ... as well as consistent and ongoing review of Company promotional materials.Providing Company management with updates on customer needs as it relates to helping them… more
- Dialysis Clinic, Inc. (Atlanta, GA)
- …setting with a lower caregiver-to-patient ratio than other providers.The Licensed Practical Nurse provides nursing care at a DCI in-center hemodialysis clinic as ... experienceBenefits:Paid 12-week training with preceptor, including job shadowing opportunitiesComprehensive medical , dental and vision benefitsLife and long-term care insurance… more
- GHR Healthcare (Atlanta, GA)
- Are you a detail-oriented RN with a knack for navigating complex medical cases? Do you thrive on making critical decisions that impact patient care? Join us as a ... Care Management Coordinator and play a key role in evaluating...Hourly (paid weekly) What You'll Do: Clinical Analysis: Review medical records to determine the necessity of patient services… more
- Pacer Staffing (Atlanta, GA)
- Job Summary . Provides Disease Management (DM) services to TRICARE beneficiaries. . The DM nurse will collaboratively assess, plan, implement, coordinate, ... to successfully manage their chronic condition. . The DM nurse will partner with the interdisciplinary care team to...of three years clinical experience . Experience in case management , care coordination or discharge planning in an acute,… more
- Pacer Staffing (Atlanta, GA)
- …Documents activity and implements changes in the care plan maintained in the medical management system. Evaluates case management outcomes, assessing the ... States, as a Licensed Clinical Social Worker or Registered Nurse US Citizenship Must be able to receive a...requirements and benefits, community resources, alternative funding programs and medical management system. Proficiency in basic … more
- Pacer Staffing (Atlanta, GA)
- …Proficiency in Case Management , TRICARE policies, HIPAA, URAC standards, and medical management systems. Familiarity with InterQual ISD(R) criteria and ... Job Summary The Case Manager provides comprehensive case management services to TRICARE beneficiaries. This role involves screening referrals, conducting… more
- Pacer Staffing (Atlanta, GA)
- …and Health Care Services desk procedures. Collaborates with case managers, care coordinators, medical providers, the Director, Case Management and the Medical ... as well as those of associated staff. Required: Registered Nurse (RN) or Licensed Clinical Social Worker (LCSW), with...direct clinical care to the consumer Two Years Case Management or equivalent experience Preferred: Bachelor's degree or higher… more
- Pacer Staffing (Atlanta, GA)
- …Summary: This individual contributor position reports to the Directors of Utilization Management (UM) and Referral Management (RM) and supports both RM ... Subject Matter Expert Trains staff to use established criteria for evaluating medical necessity and appropriateness of care, including InterQual, Policy Keys, and… more
- Dialysis Clinic, Inc. (Atlanta, GA)
- …depending on healthcare experienceBenefits:Paid 12-week training with preceptorComprehensive medical , dental and vision benefitsLife and long-term care insurance ... in addition to PTO - paid time for doctor appointments, sickness or medical leaveRetirement plans with $.50 of each contributed dollar matched for eligible… more
- Pacer Staffing (Atlanta, GA)
- …Job Summary This individual contributor position reports to the Directors of Utilization Management (UM) and Referral Management (RM) and supports both RM and ... and techniques for measuring outcomes. Education & Experience Required: . Registered Nurse , with current unrestricted license in appropriate state . 4+ years… more
- A-Line Staffing Solutions (Chamblee, GA)
- A-Line is currently looking for LPN to work in a Medical Office Setting Licensed Practical Nurse (LPN) Compensation The pay for this position is $ 33-35.00 per ... patient registration, intake, and checkout Assist with wait room management and other responsibilities such as patient reminder and...Medical Record If you think this Licensed Vocational Nurse Clinic position is a good fit for you,… more
- A-Line Staffing Solutions (Norcross, GA)
- …Previous experience with EPIC Electronic Medical Record If you think this Licensed Practical Nurse Position is a good fit for you, please reach out to me - feel ... A-Line Staffing is now hiring a Licensed Practical Nurse . This would be full time / 40+ hours per week. If you are interested in this Licensed Practical Nurse … more
- Dialysis Clinic, Inc. (Fayetteville, GA)
- …clinical setting with a lower caregiver-to-patient ratio than other providers.The Dialysis Nurse Manager is responsible for dialysis facility management and ... and provide training and assessments for patient care staff alongside nurse educatorCoordinate DCI, QAPI and risk management program implementation… more
- Travelers Insurance Company (Alpharetta, GA)
- …collaboration. Imagine loving what you do and where you do it. **Job Category** Nurse - Medical Case Manager **Compensation Overview** The annual base salary ... the Opportunity?** Under moderate supervision, provide office based telephonic medical case management with emphasis on early...may be required to support Concierge locations, where a Nurse Case Manager meets with injured employees face to… more
- Elevance Health (Atlanta, GA)
- **Anticipated End Date:** 2024-08-28 **Position Title:** Nurse Medical Management Sr **Job Description:** **Location** : This is a virtual position. ... to ensure medically appropriate, high quality, cost effective care throughout the medical management process. + Collaborates with providers to assess members… more
- Veterans Affairs, Veterans Health Administration (Atlanta, GA)
- …an as-needed basis until positions are filled. PRIMARY ROLES OF THE REGISTERED NURSE -Med/ Surg - Documents assessment and interventions by policy and practice ... with tracheotomy (capped or uncapped), CPAP and BIPA and patients requiring airway management . - IV therapy including Vasoactive agents, and other titration drips -… more
- Public Consulting Group (Atlanta, GA)
- …+ Ability to work independently and on a team. + Proven working experience in case management , including as a nurse , medical , mental health care manager or a ... options + Develops effective working relations and cooperate with medical team throughout the entire case management ...+ Current license, certification or registration as a Registered Nurse or Social Worker + Office Setting **The above… more
