- Northeast Georgia Health System, Inc (Gainesville, GA)
- …inpatient rehabilitation program. Conducts detailed pre-admission assessments in collaboration with the medical director in order to determine medical ... medical necessity for admission to the inpatient rehabilitation program, the medical director is consulted in order to make official medical necessity… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …admission criteria and in consultation/coordination with attending physician and hospice medical director . Completes the admission visit utilizing specialized ... complete and thorough assessment. Collaborates with the attending physician, hospice Medical Director , referral source, and hospice intake department. Delivers… more
- Dialysis Clinic, Inc. (Columbus, GA)
- …with the quality and risk managerCollaborate on patient care initiatives with medical director , social worker, dietitian, charge nurses, technical managers, ... care, staff education, research projects and unit expansions with clinic operations director and medical directorManage nursing, social work, dietitian, and… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …admission criteria and in consultation/coordination with attending physician and hospice medical director . Completes the admission visit utilizing specialized ... complete and thorough assessment. Collaborates with the attending physician, hospice Medical Director , referral source, and hospice intake department. Delivers… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …admission criteria and in consultation/coordination with attending physician and hospice medical director . Completes the admission visit utilizing specialized ... complete and thorough assessment. Collaborates with the attending physician, hospice Medical Director , referral source, and hospice intake department.Delivers… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …long term focus.Meets routinely with Clinical Coordinator, Nurse Manager, House Coordinators, Medical Director and Manager of Clinical Services to seek program ... the community.Serves as a liaison for staff and the program to the Medical Director .Displays a team approach to problem solving, utilizing those on their team… more
- 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
- 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
- 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
- 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
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …About the Role:Job SummaryUnder the general direction of the Executive Director , Corporate Controller, responsible for the coordination of all CMS reporting ... Requirements: Masters degree or CPAPreferred Experience: Operational experience as a Director in a health systemOther: Job Specific and Unique Knowledge, Skills… more
- GXO (Forest Park, GA)
- …ensuring organizational policies and procedures are understood and followed. As the Director of Operations, you will be responsible for daily operations, including ... compensation and a generous benefits package, including full health insurance ( medical , dental and vision), 401(k), life insurance, disability and the opportunity… 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
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …Assistant Nurse Manager (ANM), under the direct and indirect supervision of the Director , facilitates and assists with all levels of nursing care provided to ... coaching and counseling. The ANM role serves as a succession plan for the Director role. The ANM assists in the advancement of the professional practice environment… more
