- Peachtree Orthopedics (Atlanta, GA)
- …and senior leadership to ensure ongoing alignment of priorities and drives measurable improvement in clinical documentation quality. + Ensure proper ... position manages and oversees daily CDI operations and requires expertise in clinical documentation and coding guidelines for orthopedics and ambulatory surgery… more
- CenterWell (Stone Mountain, GA)
- …caring community and help us put health first** **Job Profile Summary** The Manager , Stars Improvement , Clinical responsible for the development, ... of the Primary Care Organization's clinic-based Stars Program. The Manager , Stars Improvement , Clinical works...and incentive programs + Data sharing and connectivity + Documentation and coding + Additional areas related to provider… more
- CenterWell (Marietta, GA)
- **Become a part of our caring community and help us put health first** The Clinical Manager , Home Health Nursing enables patients to stay in their homes by ... and personal services; supporting patients and their families. The Clinical Manager , Home Health Nursing works within...staff education needs based on own the review of clinical documentation in addition to feedback and… more
- State of Georgia (Dekalb County, GA)
- Licensed Clinical Manager - Crisis Center Georgia - Dekalb - Decatur (https://careers.georgia.gov/jobs/65565/other-jobs-matching/location-only) Hot ... Share this Job Sign Up for Job Alerts Licensed Clinical Manager JOB SUMMARY: The Clinic ...care provided in psychiatric emergency services, identifying areas for improvement and implementing strategies for enhancement. + Coordinate staff… more
- Sharecare (Atlanta, GA)
- …visit www.sharecare.com. **Job Summary:** CareLinx by Sharecare is seeking a ** Clinical Program Manager ** to oversee government healthcare programs, including ... compliance and quality oversight for in-home caregiver visits. The Clinical Program Manager will play a key...plans, and patient outcomes. + Develop and implement quality improvement initiatives based on data insights. + ** Clinical… more
- Elevance Health (Atlanta, GA)
- …Requires a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement , and a minimum of 5 years of ... Coding and/or Clinical Validation Audits or hospital clinical documentation improvement experience preferred....Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- CenterWell (Atlanta, GA)
- …caring community and help us put health first** The Senior Process Improvement Professional analyzes, and measures the effectiveness of existing business processes ... repeatable and quantifiable business process improvements. The Senior Process Improvement Professional work assignments involve moderately complex to complex issues… more
- Molina Healthcare (Atlanta, GA)
- **JOB DESCRIPTION** **Job Summary** Clinical Appeals is responsible for making appropriate and correct clinical decisions for appeals outcomes within compliance ... must have an unrestricted RN license. This position will performs clinical /medical reviews of retrospective medical claim reviews, medical claims and previously… more
- Molina Healthcare (Atlanta, 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 Overreader conducts oversight and audits of...off of the audit and chart review. + Assists Manager and Supervisor(s) in leading the training and mentoring… more
- Molina Healthcare (Atlanta, 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 Overreader conducts oversight and audits of...off of the audit and chart review. + Assists Manager and Supervisor(s) in leading the training and mentoring… more