• Medical Director

    Elevance Health (GA)
    …must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US ... clinical reviews with attending physicians or other providers to discuss review determinations, and patients' office visits with providers and external physicians.… more
    Elevance Health (11/15/25)
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  • Lead Investigator, Special Investigative…

    Molina Healthcare (Atlanta, GA)
    …to leading a team of investigators and analysts, the Team Lead will ensure the Manager is aware of any major case developments, and ensure cases are being ... **JOB DESCRIPTION** **Job Summary** Under direct supervision of the Manager , SIU, the Team Lead is responsible to lead...utilization by providers and recipients. The position will review claims data, medical records, and billing data from… more
    Molina Healthcare (11/21/25)
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  • Certified Hand Specialist

    Emory Healthcare/Emory University (Peachtree City, GA)
    …from schools Attend and/or participate in facility meetings as directed by Center Manager (may include utilization review , infection control, disaster ... and customers. Develop treatment plans, supervise assistants and aides, contribute to case management, and provide quality patient care. Maintain positive level of… more
    Emory Healthcare/Emory University (11/19/25)
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  • Disease Management Nurse - Remote

    Sharecare (Atlanta, GA)
    …techniques, the nurse helps to drive cost effective and appropriate resource utilization and desired clinical outcomes. The Disease Management Nurse is also ... A Disease Management Nurse is supervised by an Operations Manager (OM). All Sharecare clinicians are required to participate...and to take the pre and post tests to review competency during orientation. Yearly competency tests are required… more
    Sharecare (10/22/25)
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  • Nurse Practitioner, Cardiology

    ChenMed (Decatur, GA)
    …and explain nurse practitioner role. + Facilitate patient/family conferences to review treatment goals, optimize resource utilization , provide family education ... of the nursing plan of care, health education, physician referrals, case management referrals, follow-up and clear documentation according to ChenMed standards… more
    ChenMed (09/26/25)
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  • Plan Performance Medical Director

    Elevance Health (Atlanta, GA)
    …must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US ... clinical reviews with attending physicians or other providers to discuss review determinations, and patients' office visits with providers and external physicians.… more
    Elevance Health (10/25/25)
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  • Scrum Master - Remote US

    SitusAMC (Atlanta, GA)
    …and address potential resource constraints or bottlenecks. + Report on resource utilization and manage capacity for the team. + **Project Planning and Coordination** ... product delivery. + Other activities as may be assigned by your manager Qualifications/ Requirements: + Bachelor's degree or equivalent from four-year College or… more
    SitusAMC (11/13/25)
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