Clinical Utilization Manager
16 hours ago
We are seeking a highly skilled Clinical Utilization Manager to join our team at Acadia Healthcare. As a key member of our Utilization Review Department, you will play a critical role in ensuring the efficient and effective management of patient care.
Key Responsibilities- Conduct admission and concurrent reviews for assigned program patients, obtaining necessary information and verifying insurance benefits.
- Review charts and conduct pre-certification reviews with third-party payors, meeting specified time limits.
- Communicate review results to physicians and treatment team members, ensuring seamless coordination of care.
- Serve as a liaison to on-site external reviews, maintaining open lines of communication.
- Maintain relevant reports and data for the UR Department, ensuring accurate and timely information.
- Complete all paperwork related to pre-certification and concurrent reviews, adhering to UR policies.
- Daily communication with physicians, treatment team, and Business Office regarding certification and denials.
- Coordinate and participate in the treatment planning process, ensuring patient-centered care.
- Monitor documentation and discharge planning processes, providing feedback to improve quality.
- Conduct ongoing reviews of clinical charts, identifying areas for improvement.
- Facilitate Peer Review as outlined in the Utilization Management Plan, promoting best practices.
- Education: Associate's or higher in Nursing/Healthcare, or Master's or higher in Social Work or Psychology.
- Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities.
The contractor will not discharge or discriminate against employees or applicants due to pay inquiries or discussions.
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Clinical Utilization Manager
3 weeks ago
Norcross, Georgia, United States Acadia Healthcare Full timeJob SummaryWe are seeking a skilled Clinical Utilization Manager to join our team at Acadia Healthcare. In this role, you will be responsible for conducting admission and concurrent reviews for assigned program patients, obtaining admission information and insurance verification/benefits information from the Admissions Department, and communicating results...
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Clinical Utilization Manager
3 weeks ago
Norcross, Georgia, United States Acadia Healthcare Full timeJob SummaryWe are seeking a skilled Clinical Utilization Manager to join our team at Acadia Healthcare. As a key member of our Utilization Review Department, you will play a critical role in ensuring the efficient and effective management of patient care.Key ResponsibilitiesConduct thorough admission and concurrent reviews for assigned program patients,...
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Clinical Utilization Review Specialist
3 weeks ago
Norcross, Georgia, United States Acadia Healthcare Inc. Full timeJob SummaryWe are seeking a skilled Clinical Utilization Review Specialist to join our team at Acadia Healthcare Inc. This role is responsible for conducting admission and concurrent reviews for assigned program patients, obtaining admission information and insurance verification/benefits information from the Admissions Department, and communicating results...
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Director of Utilization Management
3 weeks ago
Norcross, Georgia, United States Acadia Healthcare Inc. Full timeJob SummaryWe are seeking a highly skilled and experienced Director of Utilization Management to join our team at Acadia Healthcare Inc.Key ResponsibilitiesConduct Admission and Concurrent Reviews: Conduct thorough admission and concurrent reviews for assigned program patients, ensuring timely and accurate processing of patient information.Obtain Admission...
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Utility Relocation Manager
3 weeks ago
Norcross, Georgia, United States INFRASTRUCTURE CONSULTING & ENGINEERING Full timeJob SummaryWe are seeking a highly skilled Utility Coordinator Specialist to join our team at Infrastructure Consulting & Engineering. The successful candidate will be responsible for assisting projects with locating and designing the relocation of utility lines and systems when needed, in accordance with industry codes and regulations.Key...
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Senior Utility Coordinator
2 weeks ago
Norcross, Georgia, United States T2 UES, Inc. Full timeJob Title: Senior Utility CoordinatorAt T2 Utility Engineers, we are seeking a highly skilled Senior Utility Coordinator to join our team. As a key member of our team, you will be responsible for coordinating utility projects, identifying potential conflicts, and developing strategies to mitigate risks.Key Responsibilities:Identify and execute utility...
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Infrastructure Utility Expert
4 weeks ago
Norcross, Georgia, United States INFRASTRUCTURE CONSULTING & ENGINEERING Full timeJob SummaryWe are seeking a highly skilled Utility Coordinator Specialist to join our team at Infrastructure Consulting & Engineering. The successful candidate will be responsible for assisting projects with locating and designing the relocation of utility lines and systems when needed, in accordance with industry codes and regulations.Key...
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Clinical Educator
3 days ago
Norcross, Georgia, United States Acadia Healthcare Inc. Full timeJob SummaryWe are seeking a skilled Clinical Educator to join our team at Acadia Healthcare Inc. The successful candidate will be responsible for creating and delivering ongoing education to clinical and administrative staff, overseeing annual health screenings, and participating in meetings and investigations as needed.Key ResponsibilitiesEducation and...
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Clinical Educator Specialist
1 week ago
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Clinical Educator
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Norcross, Georgia, United States Lakeview Behavioral Health Hospital Full timeJob SummaryWe are seeking a highly skilled Clinical Educator - RN to join our team at Lakeview Behavioral Health Hospital. As a key member of our staff, you will be responsible for providing education and training to clinical and administrative staff, overseeing health screenings, and participating in meetings and investigations.Key...
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Registered Nurse Oncology Clinic-NGOC Marietta
2 weeks ago
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Clinical Supervisor RN
2 weeks ago
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Medical Director
3 weeks ago
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RN Case Manager Home Health Professional
1 week ago
Norcross, Georgia, United States Wellstar Health System, Inc. Full timeJob SummaryThe RN Case Manager is responsible for providing and supervising primary care to patients in their home setting. This includes age-appropriate interventions that meet physical, emotional, developmental, psychosocial, and educational needs. The RN Case Manager coordinates all disciplines throughout the episode of care, communicating with team...
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RN Case Manager Home Health Professional
2 weeks ago
Norcross, Georgia, United States WellStar Health System, Inc. Full timeJob SummaryThe RN Case Manager Home Health is responsible for providing and supervising primary care to approximately 25-35 patients in their home setting. This includes age-appropriate interventions that meet physical, emotional, developmental, psychosocial, and educational needs. The RN Case Manager Home Health is responsible for the coordination of all...
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Healthcare Educator
4 weeks ago
Norcross, Georgia, United States Lakeview Behavioral Health Hospital Full timeJob SummaryWe are seeking a highly skilled RN Clinical Educator to join our team at Lakeview Behavioral Health Hospital. As a key member of our healthcare team, you will be responsible for creating and providing ongoing education to clinical and administrative staff, ensuring they have the knowledge and skills needed to deliver exceptional patient care.Key...
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Licensed Practical Nurse
4 weeks ago
Norcross, Georgia, United States TotalMed Staffing Full timeAbout the RoleAs a Licensed Practical Nurse (LPN) with TotalMed Staffing, you will play a vital role in delivering high-quality patient care in a dynamic clinic setting. Your primary responsibilities will include assessing patient needs, developing personalized care plans, and coordinating medical services to ensure optimal patient outcomes.You will serve as...
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Staffing Manager
2 weeks ago
Norcross, Georgia, United States Randstad USA Full timeUnlock Your Potential as a Staffing ManagerRandstad USA, a leading talent company, is seeking a skilled Staffing Manager to drive sales and recruitment efforts. As a key member of our team, you will play a crucial role in connecting top talent with our clients' organizations, driving productivity and profitability.Key Responsibilities:Develop and execute...
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Plant Management Executive
3 weeks ago
Norcross, Georgia, United States The Fountain Group Full timeThe Fountain Group is seeking a seasoned professional to fill the role of Plant Operations Manager. This position is a great opportunity for an experienced leader to join our team and make a meaningful impact.$65.00/HR to start based on experienceTemp to perm on-site assignmentKey Responsibilities:Lead and manage diverse working teams, including talent...
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Customer Service Manager
1 week ago
Norcross, Georgia, United States Sidel Group Full timeJob SummaryWe are seeking a highly skilled Customer Care Manager to join our team at Sidel Group. As a key member of our customer support team, you will be responsible for providing technical assistance and resolving customer issues in a timely and professional manner.Key ResponsibilitiesCollect and filter customer calls, identify needs, and answer or manage...