- Elevance Health (GA)
- **Telephonic Nurse Case Manager I** **Location: This role enables associates to work virtually full-time, with the exception of required in-person training ... assessment within 48 hours of receipt and meet the criteria._** The **Telephonic Nurse Case Manager I** is responsible for telephonic care management within the… more
- Cardinal Health (Atlanta, GA)
- …get life-changing therapies to patients who need them-faster.** **_Responsibilities_** The Senior Case Manager supports patient access to therapy through patient ... develop and execute effective solutions. + Provide guidance and training to junior case managers on best practices in case management, patient interaction, and… more
- CenterWell (Marietta, GA)
- …action through the utilization of Performance Improvement principles. + Responsible for review of the appropriate number of Case Managers and clinical staff ... community and help us put health first** The Clinical Manager , Home Health Nursing enables patients to stay in...clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the… more
- CenterWell (Atlanta, GA)
- …action through the utilization of Performance Improvement principles. + Responsible for review of the appropriate number of Case Managers and clinical staff ... review of clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates and… more
- AdventHealth (Rome, GA)
- …AL, and Chattanooga, TN. **The role you'll contribute:** The RN Care Manager in collaboration with the patient/family, social workers, nurses, physicians and the ... and progression through the continuum of care. The RN Care Manager ensures efficient and cost-effective care through appropriate resources monitoring, and… more
- CenterLight Health System (Bostwick, GA)
- …in care/ case management, disease management, population health management, utilization review , quality assurance, or discharge planning (preferably within ... medication review , and post-hospital discharge evaluation. The Clinical Assessment Manager - Care Delivery will follow all Department of Health policies and… more
- US Marine Corps (Albany, GA)
- …and effectively. Responsibilities What to Expect Serves as the Clinical Program Manager for the Substance Abuse Counseling Center (SACC), Marine and Family Programs, ... communicate effectively with management and command toward understanding and utilization of SACC services. Education Additional Information GENERAL INFORMATION:… more
- Emory Healthcare/Emory University (Decatur, GA)
- …an impression which reflects favorably upon the organization. In collaboration with Utilization Review , the SW CM will initiate and facilitate discussions ... And more **Description** JOB DESCRIPTION: The Social Work Care Manager I WEO (SW CM I) is responsible for...well as the care team. Through continuous assessment and review , the SW CM will apply critical thinking to… more
- Elevance Health (Columbus, GA)
- …to clients/ members. The medical director provides clinical expertise in all aspects of utilization review and case management. Provides input on the ... means that the medical director is directly involved in Utilization Management and Case Management. + Daily...state or territory of the United States when conducting utilization review or an appeals consideration and… more
- Molina Healthcare (Augusta, GA)
- …in preparation for national committee for quality assurance (NCQA) and utilization review accreditation commission (URAC) certifications. * Provides leadership ... Management (CPHM), Certified Professional in Health Care Quality (CPHQ), Commission for Case Manager Certification (CCMC), Case Management Society of… more