- Elevance Health (Atlanta, GA)
- …regarding case and determines appropriate area to refer or assign case ( utilization management, case management, QI, Med Review ). + Provides information ... reports and documents all actions. + Responsibilities exclude conducting any utilization management review activities which require interpretation of clinical… more
- Morehouse School Of Medicine (Atlanta, GA)
- Population Health Specialist Bookmark this Posting Print Preview | Apply for this Job Posting Details Position Information About MSM Morehouse School of Medicine ( ... MSM ! Posting Number NONAC3454 Job Title Population Health Specialist Position Title Population Health Specialist Position...for Residents, PGY 1, 2 and 3. + Assign, review and monitor patient panels. + Complete Primary Care… more
- Houston Methodist (Atlanta, GA)
- …caring for adults in an acute care hospital setting is required; coding and utilization review experience preferred + For Medical School graduate - One year ... **Clinical Documentation Specialist - 100% Remote (Must Live in FL,...State, or TX)** At Houston Methodist, the Clinical Documentation Specialist is responsible for improving the overall quality and… more
- PNC (Atlanta, GA)
- …to contribute to the company's success. As a Portfolio Analytics & Strategy Specialist within PNC's Retail Lending organization, you will be based in Pittsburgh, ... position. This role also serves as the key data specialist for the credit card pricing team, so a...visibility role in a team driven environment with data utilization at its core to drive meaningful strategy optimization.… more
- American Homes 4 Rent (Atlanta, GA)
- …Vendor Performance Specialist to meet service order metrics. + Receive, review , and document maintenance requests in company systems. You'll have the authority ... to them, wherever they are in life. Join our team as a Resident Maintenance Specialist , where you'll play a crucial role in maintaining the quality and comfort of… more
- Centers for Disease Control and Prevention (Atlanta, GA)
- …health organization. Visit www.cdc.gov Responsibilities As a Resource Management Specialist you will: Provide effective oversight, clear guidance, appropriate policy ... effectiveness. Provide budgetary policy and guidance to staff. Assist and participates in the review of proposals, review of funding decisions to ensure they are… more
- Veterans Affairs, Veterans Health Administration (Atlanta, GA)
- Summary This position serves as an Emergency Management Specialist Assistant to the Emergency Manager for the Atlanta VA Healthcare System (AVAHCS), providing the ... internal and community partners. Provides input in the revision and review of policies, procedures, mission objectives and/or organizationaldesign for mission… more
- Hargrove Engineers & Constructors (Atlanta, GA)
- …Duties may include performing advanced design work serving as a technical specialist for a complex design assignment. This level requires extensive progressive ... experience in mechanical and piping design and involves utilization of project controls for cost, schedule and quality of projects. This work will be performed under… more
- Emory Healthcare/Emory University (Tucker, GA)
- …participate in facility meetings as directed by Center Manager (may include utilization review , infection control, disaster preparedness, etc.). + Communicate ... development, and leadership programs and more! **Description** The **Certified Hand Specialist ** is responsible for the evaluation, plan of care, treatment,… more
- Intermountain Health (Atlanta, GA)
- **Job Description:** The Pre-Access Prior Authorization RN provides timely review of authorization requests and/or review of denials to ensure medical necessity, ... of complex authorization requests using appropriate criteria, medical policy review and department expectations + Collaborate with various caregivers within… more
- Trane Technologies (Atlanta, GA)
- …e day-to-day planning and efficient utilization of space in running the facility. + Review daily reports and act on escalation issues. + Review the help desk ... log periodically to understand trends affecting building occupants. Put mitigation plans in place to correct this. Ensure business continuity plans in place are current. + Oversee office churn process to minimize productivity disruptions. + Coordinate with… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …+ Facilitate quarterly collaboration with facilities and nursing faculty to align clinical utilization to ensure placement needs are met. + Conduct site visits to ... compliance historical information, etc. + Collaborate with clinical partners for the review and clearance of rotation requests. + Provide oversight for all clinical… more
- Highmark Health (Atlanta, GA)
- …Remote - Part Time - Weekends Required.** This job implements the effective utilization management strategies including: review of appropriateness of health care ... services, application of criteria to assure appropriate resource utilization , identification of opportunities for referral to a Health Coach/case management, and… more
- Verint Systems, Inc. (Atlanta, GA)
- …enrollment processes, including obtaining and analyzing benchmark data and utilization data, identifying trends, preparing recommendations with impact assessments ... across plans to address issues, discuss trends & best practice, utilization and opportunities for improvement. + Responsible for ensuring internal compliance… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …data POA, Discharge Disposition. + Reviews discrepancies between the Clinical Documentation Specialist (CDS) DRG and the Coder DRG. + Reviews non-CC/MCC records to ... educate physicians, nursing, and other clinical staff to improve documentation. + Review ?s DRG Reassignment letters and assists in formulating Appeal letters… more
- State of Georgia (Fulton County, GA)
- …Job Alerts Under broad supervision of the Assistant Director (AD), the Leasing Specialist 2 (LS2) is responsible for the management of assigned activities related to ... 1,200 commercial leases, along with ongoing efforts to improve the efficiency of utilization and acquisition of leased premises by the State. Portfolio consists of… more
- Ensono (Atlanta, GA)
- …complexity assignments - owner (1 or >) Low complexity assignments - provide oversight/ review Regularly lead self and others and/or established as Product SME and/or ... established as specialist Understands how whole picture aligns to overall Ensono...and unscheduled Database refreshes Improve processes and procedures Log-file review Complex trouble-shooting and repairs Reporting on state of… more
- Southern Company (Atlanta, GA)
- …and reviews the documentation of technical specifications and requirements. + Performs review of engineered drawings to ensure compliance with DOT safety regulations ... regulation compliance and cost impact of equipment and material utilization for gas and electric systems. + Conducts research...of programs or project teams + Recognized as a specialist in area of expertise with experience in natural… more
- NTT America Solutions, Inc. (Atlanta, GA)
- …their area of responsibility and /or stakeholder group. These individuals have specialist knowledge and answer queries related to their area of responsibility and/or ... Understand and solicit employee opinions and anticipate their needs and concerns. + Review and benchmark the internal and external environment to improve HR policies… more