Care Manager
2 weeks ago
· Monitors inpatient and/or outpatient level of care services related to mental health and substance abuse treatment to ensure medical necessity and effectiveness.
· Provides telephone triage, crisis intervention and emergency authorizations as assigned.
· Performs concurrent reviews for inpatient and/or outpatient care and other levels of care as allowed by scope of practice and experience.
· In conjunction with providers and facilities, develops discharge plans and oversee their implementation.
· Performs quality clinical reviews while educating and making appropriate interventions to advance the care of the member in treatment.
· Provides information to members and providers regarding mental health and substance abuse benefits, community treatment resources, mental health managed care programs, and company policies and procedures, and criteria. Interacts with Physician Advisors to discuss clinical and authorization questions and concerns regarding specific cases.
· Participates in quality improvement activities, including data collection, tracking, and analysis.
· Maintains an active work load in accordance with National Care Manager performance standards.
· Works with community agencies as appropriate.
· Proposes alternative plans of treatment when requests for services do not meet medical necessity criteria.
· Participates in network development including identification and recruitment of quality providers as needed.
· Advocates for the patient to ensure treatment needs are met. Interacts with providers in a professional, respectful manner that facilitates the treatment process.
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PCA 1 - Personal Care Aide
2 weeks ago
Atlanta, United States Myland Home Care Full timeJob DescriptionJob DescriptionSalary: $15/hourAt Myland Homecare, we’re seeking dedicated Personal Care Aides (PCAs) to join our compassionate team. If you’re a person with a desire to serve with compassion and dedication and have at least 1 year of customer service experience, we encourage you to explore this exciting opportunity. With a successful...
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Director of Managed Care
2 weeks ago
Atlanta, United States SENTA Partners Full timeDescriptionOverview: We are seeking a proactive and experienced Director of Managed Care to lead our managed care initiatives for our ENT and Allergy private practices. The ideal candidate will have a deep understanding of the healthcare industry. This role is pivotal in optimizing reimbursement strategies and strengthening our partnership with health...
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Patient Care Manager
3 weeks ago
Atlanta, United States Affinity Inc Full timeThe Home Health RN Patient Care Manager (Registered Nurse, RN) is responsible for the overall supervision and coordination of clinical services. Coordinates and supervises an interdisciplinary team of staff to assure the continuity of high quality care to home health patients assigned to the team's area in accordance with physician prescribed plan of care,...
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Care Management Associate
3 weeks ago
Atlanta, United States Viva USA, Inc. Full timeTitle: Care Management Associate - Remote Description: Position Summary & Duties : Enhancement of Medical Appropriateness and Quality of Care: Using holistic approach consults with utilization management clinicians, hospital discharge planning staff, supervisors, and/or other health programs to overcome barriers...
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Workers Compensation Case Manager
3 weeks ago
Atlanta, United States Piedmont Urgent Care by Wellstreet Full timeJob DescriptionJob DescriptionWorker’s Compensation Clinical Case ManagerLocation: GA/MI Markets Employee type: Full-TimeReports to: Director of Occupational ServicesJob DescriptionThe Worker’s Compensation Case Manager (WCCCM) oversees management of workers compensation patient care with an understanding of Georgia Workers Compensation and OSHA...
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Atlanta, United States AllCare Primary and Immediate Care Full timeJob DescriptionJob DescriptionDescription:Overview: AllCare Primary and Immediate Care is seeking a dynamic and experienced Medical Director to join our leadership team. As a physician-led organization, AllCare is dedicated to providing high-quality healthcare and making a positive impact throughout our patients’ healthcare journey.The Medical Director...
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Legal Operations Specialist
1 week ago
Atlanta, United States Care Full timeJOB SUMMARY: This position serves in the Legal Department of one of the largest international mission-driven charitable organizations. The position provides leadership and independent management and advice to relevant CARE business units in various legal and compliance tasks including compliance and ethics management, global systems administration, and...
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Patient Care Manager RN
4 days ago
Atlanta, United States Georgia Home Health Full timeWe are hiring for a Patient Care Manager - RN. Registered Nurse is required and home health experience is preferred. At GA Home Health, a part of LHC Group, we embrace a culture of caring, belonging, and trust and enjoy the meaningful connections that come from it: for the whole patient, their families, each other, and the communities we serve—it...
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Patient Care Manager RN
5 days ago
Atlanta, United States Georgia Home Health Full timeWe are hiring for a Patient Care Manager - RN. Registered Nurse is required and home health experience is preferred. At GA Home Health, a part of LHC Group, we embrace a culture of caring, belonging, and trust and enjoy the meaningful connections that come from it: for the whole patient, their families, each other, and the communities we serve—it...
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Skin Care Territory Sales Manager
3 weeks ago
Atlanta, United States Prime Recruitment Full timeJob Description Job Description Job Function Summary: The Skin Care Territory Manager is responsible for achieving territory sales objectives through selling activities which include cultivating business partnerships with key decision makers, product in-services, driving market share and sales growth. The Territory Manager will target acute care customers by...
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Skin Care Territory Sales Manager
1 month ago
Atlanta, United States Prime Recruitment Full timeJob DescriptionJob DescriptionJob Function Summary: The Skin Care Territory Manager is responsible for achieving territory sales objectives through selling activities which include cultivating business partnerships with key decision makers, product in-services, driving market share and sales growth. The Territory Manager will target acute care customers by...
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Nursing Home Administrator
3 weeks ago
Atlanta, United States Caldera Care Full timeCaldera means REBIRTH--are you ready to become reborn from just an employee to a proud member of our Workplace Family? At Caldera Care, we are known for our commitment to our staff and the local communities in which we serve. Our goal it to provide the best possible care to our residents and instill a sense of confidence within the community that when a...
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Pediatrics - Physician
7 days ago
Atlanta, United States Mercy Care Full timeMercy Care has an exciting full-time employment opportunity for a Pediatric physician to join our team in providing care for the underserved population in downtown Atlanta, Georgia. Mercy Care is a Federally Qualified Health Center (FQHC) in Atlanta serving nearly 16,000 low-income and at-risk individuals annually. The agency started as a volunteer-driven...
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Development Manager
3 weeks ago
Atlanta, United States Total Care Services, Inc. Full timeThe Development Manager is critical in driving the organization's growth and sustainability through effective program enhancement and revenue generation. The Development Manager supports building the capacity and impact of the organization's services through the identification of new sources of funding, the identification of new programs and services aligned...
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Development Manager
3 weeks ago
Atlanta, United States Total Care Services, Inc. Full timeJob DescriptionJob DescriptionThe Development Manager is critical in driving the organization’s growth and sustainability through effective program enhancement and revenue generation. The Development Manager supports building the capacity and impact of the organization’s services through the identification of new sources of funding, the identification of...
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CNA Camp Creek Area for ComForCare Home Care
2 weeks ago
Atlanta, United States ComForCare Home Care - West Georgia Full timeBenefits: Flexible schedule Live your best life possible by helping others live theirs. Our Caregivers are the heart and soul of what we do. At ComForCare, we like to celebrate successes and have fun while building meaningful relationships. Join our team and be a part of a certified Great Place To Work®! Let our caregivers tell you how we put our caregivers...
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Care at Home Director
5 days ago
Atlanta, United States Kaiser Permanente Full timeJob Summary: The Director of Care at Home is responsible for leading and overseeing the delivery of high-quality, cost-effective, and patient-centered care at home, DME, and transportation services for members of the health plan. The Director of Care at Home will collaborate with other departments, providers, and community partners to ensure that members...
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Care at Home Director
2 weeks ago
Atlanta, United States Kaiser Permanente Full timeJob Summary: The Director of Care at Home is responsible for leading and overseeing the delivery of high-quality, cost-effective, and patient-centered care at home, DME, and transportation services for members of the health plan. The Director of Care at Home will collaborate with other departments, providers, and community partners to ensure that members...
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Executive Assistant
3 weeks ago
Atlanta, United States Ace Care Management Full timeJob DescriptionJob DescriptionWe are in search of an exceptional Executive Assistant who can be a real asset to our team. As an Executive Assistant to the C Level Executive, you will be a key contributor in ensuring the efficient and effective functioning of our executive office. You will play a vital role in supporting them with managing their schedule,...
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Sr Nurse Manager, Palliative Care
3 weeks ago
Atlanta, United States Emory Healthcare Full timeOverview Heart. Soul. Expertise. That’s what defines an Emory nurse. No matter where you are in your nursing career, when you chose this distinguished profession, you chose to change lives. Emory Healthcare is the only health system in Georgia with four Magnet-designated hospitals as well as the first and only in Georgia with a...