- Emory Healthcare/Emory University (Atlanta, GA)
- …programs and more! **Description** **Our Ambulatory Surgery Centers are seeking a Quality RN Management Specialist for our Northlake Office.** ... RN will chart review and perform data abstraction in support of quality measurement, analysis, and improvement across Emory Healthcare. + Detailed/expert knowledge… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …delivery in clinical settings and advance the mission and goals of population management activities. Monitor key measures of performance, quality improvement and ... care team across the continuum of care to provide complex disease management interventions to high risk and post discharged patients identified. Utilizing assessment… more
- State of Georgia (Fulton County, GA)
- …facilities to obtain additional information . Assists in coordinating the data management and quality assurance functions . Identifies possible compliance ... Intake and Triage Specialist - Atlanta Georgia - Fulton - Atlanta (https://ga.referrals.selectminds.com/jobs/74385/other-jobs-matching/location-only) Regulatory… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …procedures, guidelines, and all other regulatory and accreditation standards. + The specialist demonstrates a commitment to quality and excellence promoting ... Ongoing mentorship, development,and leadership programs and more! **Description** The ECMO SPECIALIST reflects the mission, vision, and values of Emory Healthcare,… more
- Datavant (Atlanta, GA)
- …function as delegated by management Ideal candidate should be a Licensed Practical Nurse or Registered Nurse well versed in DRG downgrade denials and appeal ... vision for healthcare. The purpose of the Denial Prevention Specialist is to effectively defend utilization of available health...expertise successfully. Ideal candidate should be a Licensed Practical Nurse or Registered Nurse well versed in… more
- Gentiva (Alpharetta, GA)
- …Inspire Excellence. Elevate Hospice Care.** We are seeking a Patient Care Manager Specialist to join our team, reporting to the Regional Director of Operational ... care activities across assigned hospice markets to ensure delivery of high- quality care while supporting compliance with company policies and regulatory… more
- BioLife Plasma Services (Douglasville, GA)
- …report to the Plasma Center Manager and will perform as a Medical Support Specialist (Plasma Center Nurse ) to support plasma center operations. BioLife Plasma ... day, the donors you meet will motivate you. The high- quality plasma you collect will become life-changing medicines. Here,...donor notification of unsuitable test results. The Medical Support Specialist (Plasma Center Nurse ) works under the… more
- BioLife Plasma Services (Duluth, GA)
- …report to the Plasma Center Manager and will perform as a Medical Support Specialist (Plasma Center Nurse ) to support plasma center operations. _BioLife Plasma ... day, the donors you meet will motivate you. The high- quality plasma you collect will become life-changing medicines. Here,...donor notification of unsuitable test results. The Medical Support Specialist (Plasma Center Nurse ) works under the… more
- BioLife Plasma Services (Mcdonough, GA)
- …report to the Plasma Center Manager and will perform as a Medical Support Specialist (Plasma Center Nurse ) to support plasma center operations. BioLife Plasma ... day, the donors you meet will motivate you. The high- quality plasma you collect will become life-changing medicines. Here,...donor notification of unsuitable test results. The Medical Support Specialist (Plasma Center Nurse ) works under the… more
- ChenMed (Decatur, GA)
- …ensure compliance with guidelines. This position may require participation in risk and quality management programs, clinical meetings and other meetings. The ... we need great people to join our team. The Nurse Practitioner (NP), Specialty acts as part of the...the clinical operations team and is responsible for providing specialist patient care in nursing homes, skilled nursing facilities… more
- Travelers Insurance Company (Atlanta, GA)
- …techniques to improve the claim results of others. + Apply the Company's claim quality management protocols, Best Practices and metrics to all claims; document ... complex claims, in multiple jurisdictions, in accordance with Best Practices. Provide quality claim handling and superior customer service on assigned claims, while… more
- Molina Healthcare (Atlanta, GA)
- **JOB DESCRIPTION** **Job Summary** The Delegation Oversight Nurse provides support for delegation oversight quality improvement activities. Responsible for ... with preparation of delegation summary reports submitted to the Eastern US Quality Improvement Collaborative (EQIC) and/or utilization management committees. +… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …previous Cardiac Device Experience.** A CCDS certification (Certified Cardiac Device Specialist ) is highly preferred for this role.** **Description** **8am-5pm / ... Monday-Friday / Full Time** We are seeking a capable **Senior** ** Nurse Manager** who has acquired broad experience in caring for patients and has developed a sound… more
- Molina Healthcare (Atlanta, GA)
- … Specialist (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM), Certified Professional in Healthcare Quality (CPHQ), or ... **Job Description** **Job Summary** The Medical Review Nurse provides support for medical claim and internal appeals review activities - ensuring alignment with… more
- Ageless Mens Health (Peachtree City, GA)
- …Therapy, Hormone Optimization, Patient-Centered Care, Outpatient Leadership, Clinic Management , Healthcare Administration, Team Leadership, Female Hormone ... This role combines clinical leadership, direct patient care, and operational management - helping women feel their best through personalized Hormone Replacement… more
- State of Georgia (Dekalb County, GA)
- …and onsite supervision for clinical, case management , and certified peer specialist team. + Delivers high- quality services to clients of varying ... the organization. This role involves managing clinical staff, ensuring the quality of care provided to patients experiencing psychiatric crises, and maintaining… more
- Elevance Health (Atlanta, GA)
- …determinations and formulate detailed audit findings letters. + Maintains accuracy and quality standards as established by audit management . + Identifies ... status, and Hospital-Acquired Conditions (HACs). + Suggests and develops high quality , high value, concept and or process improvement and efficiency recommendations.… more