- Crawford & Company (Columbus, GA)
- …appropriate referral for case management services. + May meet with employers to review active files. + Makes referrals for Peer reviews and IME's by ... certification reimbursement This is a work from home position requiring local field case management travel to cover the Columbus, GA region. + National Certification… more
- Crawford & Company (Savannah, GA)
- …appropriate referral for case management services. * May meet with employers to review active files. * Makes referrals for Peer reviews and IME's by ... certification reimbursement This is a work from home position requiring local field case management travel to cover the Savannah, GA region. + National Certification… more
- ChenMed (East Point, GA)
- …marketing and policy decisions impact the quality of health care. + Applies skills in peer review to promote a culture of excellence. + Anticipates variations in ... and we need great people to join our team. The Primary Care Physician (PCP) is a licensed/Board Certified/Board Eligible trained professional in internal or family… more
- Highmark Health (Atlanta, GA)
- …times. In addition to utilization review , the incumbent participates as the physician member of the multidisciplinary team for case and disease management. ... :** **JOB SUMMARY** This job, as part of a physician team, ensures that utilization management responsibilities are performed...treatment of service. Depending on the nature of the case , telephonic peer to peer … more
- Emory Healthcare/Emory University (Atlanta, GA)
- …the Division's research programs would be demonstrated by regular publications in top peer review journals, by presentations in notable scientific meetings, and ... Departments of Anesthesiology and Pediatrics are seeking a visionary and collaborative physician leader with a strong clinical and academic foundation and academic… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …the Division's research programs would be demonstrated by regular publications in top peer review journals, by presentations in notable scientific meetings, and ... Department of Pediatrics are seeking a visionary and collaborative physician leader with a strong clinical and academic foundation...with the support they need to meet them, and review their performance in individual meetings at least annually… more
- Highmark Health (Atlanta, GA)
- …provide qualified medical direction and consultation for care delivery and complex case management for our community-based palliative care program. In addition, this ... as needed to interact/ communicate with the primary care physician as necessary for appropriate medical care. The role...are followed in the program + Develop and continually review the education programs provided to the interdisciplinary team… more
- Elevance Health (GA)
- …requests using clinical criteria. + Performs physician -level case review of musculoskeletal utilization requests. + Conducts peer -to- peer ... with appropriate musculoskeletal diagnoses, treatments, and management. Participates in physician team meetings. + Participates in groups that develop, revise… more
- The Hartford (Alpharetta, GA)
- …necessity and appropriateness using nursing judgment, treatment criteria guidelines and Physician Advisor/ Peer Clinical Review referral process. Conduct ... in office position (Hartford, CT or Alpharetta, GA) that will perform Utilization Review for Work ers' Compensation Claims. An Initial Clinical Reviewer (ICR) is… more
- Lincoln Financial Group (Atlanta, GA)
- …proficiency with Disability Management (STD/LTD) knowledge, Workers Compensation, Utilization Review and/or nurse case management preferred skills **Application ... and answers questions in collaboration with benefits specialists and physician consultants. * Act as a clinical resource to...to internal and external clinical resources (ie IME, FCE, Peer Reviews) * Discuss complex medical issues with health… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …multispecialty ambulatory surgery center. Grady Memorial Hospital, staffed by Emory University Physician Faculty, is a 1,000-bed tertiary care hospital and the only ... Performing 40,000 anesthetics per year, our anesthesiologists participate in a case mix that includes heavy orthopedics, general surgery, trauma surgery, high-risk… more