• Medical Director - Medicaid N. Central

    Humana (Atlanta, GA)
    …participation in care management . The clinical scenarios arise from outpatient, inpatient or post-acute care environments. The Medical Director will have ... in teams focusing on quality management , utilization management , case management , discharge planning...Director - North Central Medicaid Markets. The Medical Director conducts Utilization Management of the care… more
    Humana (03/11/25)
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  • Medical Director - Care Plus - Florida

    Humana (Atlanta, GA)
    …prior experience participating in teams focusing on quality management , utilization management , case management , discharge planning and/or home health or ... + Experience working with Case managers or Care managers on complex case management , including familiarity with social determinants of health. + The… more
    Humana (03/18/25)
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  • Physician Medical Director - LTSS

    Humana (Atlanta, GA)
    …of Agreements, coding practices, Clinical Integration, Long Term Services & Supports, and Case Management . The Medical Director , as indicated, could need ... us put health first** The Long-term services and supports (LTSS) Medical Director 's primary responsibility is the review of medical authorizations to determine the… more
    Humana (01/25/25)
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  • Behavioral Health Medical Director

    Humana (Atlanta, GA)
    …least five years of experience post-training providing clinical services . Experience in utilization management review and case management in a health plan ... in care management , with clinical scenarios arising from outpatient or inpatient environments + Conducts discussions with external physicians by phone to gather… more
    Humana (02/15/25)
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  • Case Manager ( RN / RT / SW / LPN )

    Select Medical (Atlanta, GA)
    …, while also completing medical record documentation. You will report directly to the Director of Case Management and provide social work services, as ... **Job ID** _318913_ **Location** _US-GA-Atlanta_ **Experience (Years)** _0_ **Category** _Case Management - Case Manager_ **_Street Address_** _705 Juniper St… more
    Select Medical (02/13/25)
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  • Division Chief, Pediatric Anesthesiology

    Emory Healthcare/Emory University (Atlanta, GA)
    …Chief will serve as the primary physician leader for Anesthesiology and Pain Management for the Children's health care system as well as the academic Division ... a complex care environment and lead a nationally recognized Anesthesiology and Pain Management program into the future. The Division Chief is responsible for the… more
    Emory Healthcare/Emory University (01/31/25)
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  • Cardiologist

    ChenMed (Decatur, GA)
    …developing a plan of care, providing health education, specialty referrals and case management referrals, providing follow-up care and applying clear, in-depth ... rounds and conferences. **ESSENTIAL JOB DUTIES/RESPONSIBILITIES:** + Provides excellent inpatient and outpatient cardiovascular care as well as, care coordination,… more
    ChenMed (01/17/25)
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  • Chief of Behavioral Health Service at Grady Health…

    Emory Healthcare/Emory University (Atlanta, GA)
    …, medical/psychiatric, neuromodulation, consultation, outpatient, assertive community treatment, case management , forensic psychiatric services, integrated care, ... staff. The Chief of the Grady Behavioral Health Service will serve as the Medical Director for all behavioral health services at Grady and is a faculty member and… more
    Emory Healthcare/Emory University (03/17/25)
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