- Molina Healthcare (Savannah, GA)
- …+ Reviews medically appropriate clinical guidelines and other appropriate criteria with Chief Medical Officer on denial decisions. + Resolves escalated ... + Prepares and presents cases in conjunction with the Chief Medical Officer for Administrative Law Judge...Review, Long Term Service and Support, or other specific program experience as needed or equivalent experience (such as… more
- PruittHealth (Savannah, GA)
- …quality issues and notifies the senior vice president, vice president of clinical services, chief operating officer and/or chief executive officer (CEO) ... president & administrator, center goals and needs including improvement goals, new program development, program refinement. The plan includes goals, milestones,… more
- State of Georgia (Chatham County, GA)
- …Fire Prevention Specialist 3 - Base Salary $51,597 Fire Inspector I/II and Fire Officer I Senior Sergeant - PSP053 - Fire Prevention Specialist Supervisor - Base ... Salary $54,176 Incident Safety Officer and Fire Officer II The following...and NIMS 300/400 within 12 months of promotion Assistant Chief - PSM051 - Senior Manager, Firefighting and Prevention… more
- Molina Healthcare (Savannah, GA)
- …committees as required such as Credentialing, P&T and others as directed by the Chief Medical Officer . + Evaluates authorization requests in timely support of ... and effective resource management. + Develops and implements a Utilization Management program and action plan, which includes strategies that ensure a high quality… more