- CenterWell (Scottdale, GA)
- …treats center patients in accordance with standards of care. + Follows level of medical care and quality for patients and monitors care using available data and ... including but not limited to specialty referrals, hospital and SNF coordination, durable medical equipment and home health care. + Acts as anactive participant and… more
- CenterWell (Savannah, GA)
- …patient information according to both state and federalguidelines and regulations + Maintaining medical history and medical records + Ordering studies, tests and ... ancillary services + Participating as a back-up on-call physician + Prescribing medical treatment and clinical drugs to patients + Referring patients to specialists… more
- CenterWell (Rome, GA)
- …The Patient Services Coordinator, LPN/LVN specializes in explaining complex medical terminology in simple, understandable terms, helping patients grasp their ... medical conditions and available treatment options. By facilitating clear...gender identity or religion. We also provide free language interpreter services. See our full accessibility rights information and… more
- CenterWell (Decatur, GA)
- …an owner-operator mindset and leading by example, while supervising and managing Medical Assistants (MA) and Front Office (FO) staff to promote a positive ... * Conduct monthly meetings with Regional Associate Operations Director (AOD), Assistant Medical Directors (AMD), and providers. * Monitor and improve NPS Scores,… more
- Humana (Atlanta, GA)
- …for all employees, starting your FIRST day of employment. Benefits include: + Medical Benefits + Dental Benefits + Vision Benefits + Health Savings Accounts + ... preferably within a managed care organization + Proficient utilizing electronic medical record and documentation programs + Proficient and/or experience with … more
- CenterWell (Atlanta, GA)
- …market and regulatory insights to support the development of Medicaid formulary and medical drug strategies to mitigate Humana's costs and trend while improving our ... costs. + Help facilitate and provide transparency to informed formulary and medical drug decisions made consistent with our formulary guiding principles and Medicaid… more
- Humana (Atlanta, GA)
- …Management Pharmacist is a clinical expert responsible for conducting medical necessity and comprehensive medication reviews for prescriptions requiring prior ... comprehensive reviews of medication care plans. This includes evaluating medical necessity, analyzing overall utilization, and identifying unusual usage patterns.… more
- Humana (Atlanta, GA)
- …will work closely with established functions inside utilization management ( Medical Director, clinician decision making teams, quality audits, prior authorization ... years + experience working with CMS Compliance Regulations + Experience working with medical directors in some capacity ie Committees, projects. + 3 or more years'… more
- CenterWell (Savannah, GA)
- …medicine, continuity of care, health maintenance, and disease prevention. Keeps a medical history and medical records. Refers the patient to specialists ... your life extends outside of work. Among our benefits, Humana provides medical , dental and vision benefits, 401(k) retirement savings plan, time off (including… more
- Humana (Atlanta, GA)
- …Excel, PowerPoint, and Lucid. **Preferred Qualifications** + Minimum 1 year of experience medical claims payment and processing in a medical claim's environment ... your life extends outside of work. Among our benefits, Humana provides medical , dental and vision benefits, 401(k) retirement savings plan, time off (including… more
Recent Jobs
-
RN Clinical Nurse II - Postpartum
- UNC Health Care (Raleigh, NC)
-
General Maintenance Technician
- EMCOR Group (Cincinnati, OH)
-
Nurse Practitioner - Interventional Pain & Spine
- Rochester Regional Health (Rochester, NY)
-
Sr Mgr Sales Effectiveness (Field Sales)
- Republic Services (Phoenix, AZ)