- Prime Therapeutics (Atlanta, GA)
- …every decision we make. **Job Posting Title** Infusion Referral Nurse- REMOTE **Job Description** Under supervision, is responsible for performing referral services ... for drug infusion services versus the hospital outpatient facility.Discusses financial and clinical considerations with members who are considering care at a higher… more
- ChenMed (Decatur, GA)
- …to ChenMed patients and their families. The incumbent in this role provides remote clinical advice and assessments within license and as possible given ... computer system to record and store comprehensive and focused data relating to the health needs of patients and...Collaborates with on-call PCP as needed to support expected clinical outcomes. Implements the appropriate protocol to attain the… more
- ChenMed (Decatur, GA)
- …and their families. Providing on-call coverage, the incumbent in this role provides remote clinical advice and assessments within license and as possible given ... computer system to record and store comprehensive and focused data relating to the health needs of patients and...Collaborate with on-call providers as needed to support expected clinical outcomes for the patient and family. + Evaluates… more
- Norstella (Atlanta, GA)
- Clinical Advisor Company: MMIT Location: Remote , United States Date Posted: Aug 1, 2025 Employment Type: Full Time Job ID: R-1359 **Description** **About ... our main office for meetings as designated by the manager of the Clinical CoE. **Major Responsibilities**...medical policy communication(s) to internal staff + Contributes to Data Operations, Clinical Center of Excellence team… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …(MNT) to patients enrolled in various studies in an inpatient and outpatient clinical and/or research setting compliant with University and Healthcare TJC, CMS and ... providers. + Completes annual professional compliance modules on time. General Clinical Research Center _Administrative:_ + Assists with administrative, research and… more
- Sharecare (Atlanta, GA)
- …unify and manage all their health in one place. Our comprehensive and data -driven virtual health platform is designed to help people, providers, employers, health ... helps to drive cost effective and appropriate resource utilization and desired clinical outcomes. The Disease Management Nurse is also responsible during their… more
- CenterWell (Atlanta, GA)
- …our caring community and help us put health first** The Senior RX Clinical Programs Pharmacist integrates programs developed to improve overall health outcomes with ... a focus on prescription drugs. The Senior RX Clinical Programs Pharmacist work assignments involve moderately complex to...to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. The… more
- Molina Healthcare (Savannah, GA)
- …activities such as NCQA reviews, CAHPS and state audits by reviewing clinical documentation. + Provides data collection, presentations and report development ... **Job Description** **Job Summary** Molina's Quality Improvement Lead Abstractor conducts data collection and abstraction of medical records for HEDIS projects,… more
- Molina Healthcare (GA)
- …Member & Community Interventions oversees and implements new and existing clinical quality member intervention initiatives including all lines of business (Medicare, ... and programs in accordance with prescribed program standards, conducts data collection, monitors intervention activity including key performance measurement… more
- Sharecare (Atlanta, GA)
- …unify and manage all their health in one place. Our comprehensive and data -driven virtual health platform is designed to help people, providers, employers, health ... CST. **Job Summary:** Under the general supervision of a Customer Service Manager , the Program Engagement Representative has the primary responsibility of making… more