- PruittHealth (Atlanta, GA)
- …Minimum three years industry experience in a managed care setting focused on experience in utilization review /case management and at least two years case ... **JOB PURPOSE:** Responsible for the oversight of clinical care management of community based long-term care population for PruittHealth Premier Dual Eligible… more
- AdventHealth (Rome, GA)
- …escalations. The RN Care Manager is under the general supervision of the Care Management Supervisor or Manager or Director of Nursing and is responsible for patient ... patient satisfaction, patient safety, readmission prevention and length of stay management . The RN Care Manager communicates daily with the interdisciplinary team… more
- Oracle (Atlanta, GA)
- …(ECD) alignments, Critical Care workflow implementation, Multi-Disciplinary Rounding, and various nurse chart review and documentation optimizations. The ideal ... sessions, and offer ongoing consultation to support user proficiency and system utilization . Monitor project outcomes, track key metrics, and report progress to… more
- State of Georgia (Fulton County, GA)
- …or licensed/certified professional in a related field or setting . Experience in utilization review and/or quality assurance in a healthcare setting . Experience ... to obtain additional information . Assists in coordinating the data management and quality assurance functions . Identifies possible compliance violations with… more