- Pacer Staffing (Atlanta, GA)
- … medical providers, the Director , Case Management and the Medical Director for Case Management on program interpretation and guidance. Actively ... participates in clinical and non-clinical performance improvement projects and meetings. Monitors and provides input on the performance of non-clinical staff. Supports department by covering case management and CM Special Programs, and/or carry a case load as… more
- Pacer Staffing (Atlanta, GA)
- …timelines. Identify questionable review decisions and escalate to the appropriate Medical Director for evaluation and/or corrective action. Provide accurate ... e) Shift: 5x8 Hour Shifts, Monday-Friday Job Summary Conducts retrospective medical claim reviews and adjudication for coding determinations. Provides coding-related… more
- Pacer Staffing (Atlanta, GA)
- …plan. Prepares and presents cases involving high-profile or sensitive issues to the Medical Director for review. Functions as an advocate for the beneficiary ... for requested services particular to the ECHO according to policy, collaborating with Medical Directors as needed. ECHO Case Managers serve as subject matter experts… more
- Credit Acceptance Corporation (Atlanta, GA)
- …the organization and champion new ways of performing analytics ( Director )Requirements:Bachelor's degree or higher5+ years' experience developing predictive models ... years experience developing predictive models, including originations and behavior models ( Director )5+ years' experience using programming languages such as SQL, R,… more
- Pacer Staffing (Atlanta, GA)
- …Care Managers or Behavioral Health providers. Present high-profile cases to the Medical Director as needed. Supervision: Provide direction to non-clinical staff. ... Proficiency in Case Management, TRICARE policies, HIPAA, URAC standards, and medical management systems. Familiarity with InterQual ISD(R) criteria and medical… more
- GHR Healthcare (Atlanta, GA)
- …medically necessary services and refer cases that don't meet criteria to the Medical Director . Compliance & Advocacy: Ensure adherence to regulatory standards ... a detail-oriented RN with a knack for navigating complex medical cases? Do you thrive on making critical decisions...Hourly (paid weekly) What You'll Do: Clinical Analysis: Review medical records to determine the necessity of patient services… more
- MultiPlan (Atlanta, GA)
- …areas and serve as subject matter expert committee member5Interact with Medical Director on credentialing, certification and insurance issues.6Serve as ... subject matter expert for contracting staff regarding reimbursement methodologies, language, non-standard language changes/contract forms and certification and credentialing requirements7Identify and present opportunities for process improvementIdentify and… more
- Northeast Georgia Health System, Inc (Braselton, GA)
- …foundation of improving the health of our communities. About the Role:Job SummaryThe Director of Facilities Development will report to a VP/President of NGHS and ... new/renovated/expanded facilities for the benefit of NGHS and its constituents. The Director will also work with the Finance department regarding project cost… more
- Windstream (Atlanta, GA)
- …in a world of infinite possibilities! About this Role: The Strategic Account Director will focus on business development by positioning and selling Kinetic's full ... our customer base utilization of strategic next-gen services. The Strategic Account Director will leverage a full support team consisting of the Customer Success… more
- Butler Aerospace and Defense (Atlanta, GA)
- Regional Sales Director IT Business Services - DoDLocation: Remote Job ID: #69206 Pay Range: $120K-$165K Annual SalaryAs a Sales Director for Butler America ... with significant experience in building senior relationships & partnershipsBenefits provided: 401K, medical , dental, and vision, sick time as applicable to state law… more
- MultiPlan (Atlanta, GA)
- …desired savings based on product rules and payer guidelines.-Reviewing submitted medical documentation for bill reviews and adding coding input.-Contributing to or ... teams are working as intended.4. Oversee engagement with the medical review team when required to provide subject matter...subject matter expertise on the most complex claims for medical review and/or approval on a case-by-case basis ensuring… more
- Lennar Homes (Alpharetta, GA)
- …and kept records.Attend promotional events for Communities as needed per the Director of Marketing.Prepare and distribute ISC performance and other reports as ... ISC department meetings, and assist with Sales TEAMS meetings needed per the Director of Marketing.Submit and maintain MLS listings for the division per direction by… more
- Lennar Homes (Alpharetta, GA)
- …modules. Regularly interact with the Regional Environmental Manager (REM), Director of Construction, regulatory agencies, and division associates.A career with ... Storm Water Pollution Prevention Plans and Best Management Practices.Interact with the Director of Construction, Director of Land Development and Regional… more
- Northeast Georgia Health System, Inc (Buford, GA)
- …Degree is required plus a minimum of seven (7) years of progressive medical office experience in medical office registration, back-office clinical, scheduling ... Job Specific and Unique Knowledge, Skills and AbilitiesKnowledge of medical practices, terminology and reimbursement policies Excellent verbal and demonstrated… more
- Reach Out and Read (Atlanta, GA)
- …both within a tight-knit virtual team, and when working directly to support our medical and clinic partners. It requires a commitment to equity combined with the ... supporting clinic and family cultures. By establishing collaborative relationships with medical providers and staff at multiple program sites and providing ongoing… more
- Team Rehabilitation (Marietta, GA)
- …Competitive Pay Benefits for Both Full and Part Time Employees! FREE Medical Plan! Monthly Bonuses 401(k) Match Reimbursement for training and/or student loans! ... Physical Therapist. Other Tasks:The Physical Therapy Technician reports to the clinic director and performs any additional tasks assigned by the clinic director… more
- Northeast Georgia Health System, Inc (Winder, GA)
- …manual. The senior athletic trainer will work to educate students training in the medical field (health occ & college students) whether at the high school or college ... and care of acute injuries. Provides patient care consistent with the medical findings, physician orders, and established plan of care. Follows departmental policy… more
- Prestige Staffing (Atlanta, GA)
- …by scheduling appointments through EClinicalWorks Communicate with law offices, Marketing Director and other areas of the practice needed in scheduling patients ... by phones, emails, fax, and Referral MD Collect new patient demographics and medical records if necessary Verify health insurance when necessary Maintain a calm… more
- Multi-Color Corporation (Dawsonville, GA)
- …lead this process for their plant, including calibration and also work with the HR Director to aggregate People Plan data and present internal key talent as part of ... Why work at MCC: Competitive CompensationGenerous benefits package including medical , dental, vision, disability, life insurance and 401(k)Paid Holidays: New… more
- Northeast Georgia Health System, Inc (Braselton, GA)
- …is required, on-the-job training in practices and procedures of the hospital and medical terminology is provided. Previous experience as a nursing assistant or unit ... skills preferred but not required; ability to operate the electronic medical record (EMR)Good interpersonal skills & adaptable in changing situations &… more
