Current jobs related to Utilization Management Professional - Atlanta, Georgia - Sonder Health Plans
-
Utilization Management Professional
5 days ago
Atlanta, Georgia, United States CVS Health Full timeAbout CVS HealthAt CVS Health, we are committed to delivering enhanced human-centric healthcare for a rapidly changing world. Our purpose guides our commitment to deliver exceptional care and services to our members.Job DescriptionThe Utilization Management Nurse Consultant will play a critical role in ensuring that members receive the right care at the...
-
Utilization Management Specialist
3 weeks ago
Atlanta, Georgia, United States Sonder Health Plans Full timeKey ResponsibilitiesThe Utilization Management Nurse will be responsible for determining the appropriateness of inpatient and outpatient services following the evaluation of medical guidelines and benefit determinations. They will also identify and report any quality of care concerns that occur while members are in acute care and/or skilled nursing...
-
Care Management Professional
2 days ago
Atlanta, Georgia, United States Ace Care Management Full timeCompany OverviewAce Care Management is a licensed provider of healthcare management services, specializing in the SOURCE/EDWP waiver program.">About UsWe are committed to delivering exceptional, personalized care to our members through a seamless process utilizing cutting-edge technology. Our mission is to enhance the quality of life for individuals and...
-
Healthcare Management Professional
4 weeks ago
Atlanta, Georgia, United States Health Systems Management Full timeKey ResponsibilitiesPromote the organizational philosophy, objectives, and standards of care; North Carolina Nursing Practice Act and other governing agencies.Ensure a harmonious working environment by utilizing good communication skills, and team building concepts.Plan, assess, facilitate, direct, and monitor staff development activities to ensure clinical...
-
Healthcare Utilization Management Specialist
3 days ago
Atlanta, Georgia, United States Piedmont Healthcare Full timeJob Description:This role provides hands-on leadership of a care team, overseeing Utilization Management Nurses and Assistants. Key responsibilities include ensuring staff adherence to Piedmont Healthcare policies and procedures, as well as compliance with contractual, state, and federal guidelines. The Team Lead serves as a clinical resource for staff...
-
Utility Planning and Analytics Professional
3 days ago
Atlanta, Georgia, United States Hazen and Sawyer Full timeKey ResponsibilitiesAssist in the development of utility management tools and asset management solutions.Collect, analyze, synthesize, and report on client data.Perform geospatial analysis of water, wastewater, and stormwater systems using GIS.Conduct field activities such as inventory and condition assessment.Prepare reports, workshops, and presentations...
-
Site Work and Utility Services Manager
3 weeks ago
Atlanta, Georgia, United States Wofford Earthworks Llc Full timeJob SummaryWe are seeking an experienced Lead Foreman to join our team at Wofford Earthworks, LLC. As a key member of our site work and utility services team, you will be responsible for supervising a crew of skilled professionals to deliver high-quality projects.The successful candidate will have a proven track record of success in construction management,...
-
Utilization Management Nurse Leader
4 weeks ago
Atlanta, Georgia, United States CVS Health Full timeAbout Our TeamCareers at CVS Health are designed to let you work alongside passionate individuals who are dedicated to making a difference in people's lives. As a Utilization Management Nurse, you will play a vital role in optimizing patient outcomes and ensuring seamless care transitions.Job DescriptionDevelop and implement strategies to promote quality...
-
Key Account Manager
14 hours ago
Atlanta, Georgia, United States Master Meter Full timeJob OverviewMaster Meter is a leading manufacturer of Advanced Metering Infrastructure (AMI) and Automatic Meter Reading (AMR) products for the water utility industry. With nearly 40 years of experience, we provide our customers with innovative solutions to maximize revenue, optimize operations, and deliver exceptional customer support.About the RoleWe are...
-
Retail Management Professional
3 weeks ago
Atlanta, Georgia, United States Airport Retail Management Full timeRole SummaryWe are looking for a skilled Retail Supervisor to join our team at Hartsfield-Jackson Atlanta International Airport.The successful candidate will have experience in retail management, strong leadership skills, and the ability to work effectively in a fast-paced environment.Key AccountabilitiesLead and develop a high-performing team to achieve...
-
Case Manager Coordinator Professional
3 weeks ago
Atlanta, Georgia, United States Ace Care Management Full timeAce Care Management provides excellent and unmatched healthcare management to individuals and families governed by a seamless process using cutting-edge technology to optimize care.We are looking for a skilled Care Manager Coordinator Professional to support our team in providing high-quality care to our members.Job Description:This role involves a...
-
Utility Design Manager
15 hours ago
Atlanta, Georgia, United States Leidos Full timeAbout the Opportunity:We are seeking a highly skilled and experienced Lead Substation Physical Engineer to lead and design high voltage utility substation projects.This is a key position in our organization, responsible for developing and executing comprehensive project plans and collaborating with cross-functional teams to ensure project delivery.Develop...
-
Atlanta, Georgia, United States Amtex Systems Inc. Full timeAbout the RoleWe are looking for a Senior Scrum Master for Utilities Domain Professionals who can lead multiple teams and facilitate agile methodologies. The ideal candidate will have experience working in the utilities sector and a proven track record of implementing SAFe frameworks.
-
Director of Utility Infrastructure Development
1 month ago
Atlanta, Georgia, United States DLB Associates Full timeAbout the RoleThis is a senior leadership position responsible for overseeing the development and implementation of utility infrastructure projects. The Director will lead cross-functional teams to deliver complex projects on time and within budget.ResponsibilitiesDevelop and implement go-to-market strategies for selling services to utility companies and...
-
Utility Arborist Forester
6 hours ago
Atlanta, Georgia, United States Iapetus Holdings LLC Full timeJob OverviewAtlas Field Services is a leading provider of utility vegetation management services, dedicated to delivering excellence in our work and fostering the growth of our employees. As a Consulting Utility Forester/Utility Arborist, you will play a critical role in ensuring the safety and reliability of our clients' power lines.
-
Retail Store Management Professional Wanted
2 days ago
Atlanta, Georgia, United States Airport Retail Management Full timeJoin our team as a Retail Store Management Professional and take your career to the next level!About the JobAirport Retail Management is hiring a Supervised to manage our busy airport stores. As a key member of our team, you will be responsible for leading a team of sales associates and driving sales growth through effective store operations and customer...
-
Utilization Management Physician Role
5 days ago
Atlanta, Georgia, United States Evolent Full timeMain ResponsibilitiesThis Physician will be responsible for:Serving as the Physician match reviewer in Imaging cases that do not initially meet the applicable medical necessity guidelines, as well as other imaging requests.Discussing determinations (peer-to-peer phone calls) with requesting physicians or ordering providers, when available, within the...
-
Electric Utility Liaison
4 weeks ago
Atlanta, Georgia, United States Municipal Electric Authority of GA Full timeAbout UsMEAG Power is a leading provider of electric utility services, dedicated to serving the needs of our Participants and communities. Our team is passionate about delivering exceptional service and support, and we are committed to making a positive impact in the lives of those we serve.We are seeking a highly skilled Regional Manager to join our team,...
-
Utility Sector Developer
7 days ago
Atlanta, Georgia, United States Aggreko Full timeWe are seeking an ambitious Utility Sector Developer to join our team in Southeastern and Atlanta, GA area. As a Utility Sector Developer, you will focus on growing business with existing utility accounts and developing business with high potential prospect accounts.The estimated salary for this position is $140,000 - $200,000 per year, depending on...
-
Atlanta, Georgia, United States Tephra Inc. Full timeAbout Tephra Inc.Tephra Inc. is a leading provider of IT outsourcing services, catering to the Utilities sector. Our company is dedicated to delivering innovative solutions that meet our clients' business and technology needs.Job DescriptionJob Summary:We are seeking an experienced Business Development Director to join our team. The successful candidate will...
Utilization Management Professional
3 weeks ago
This Utilization Management Nurse will be responsible for determining the appropriateness of inpatient and outpatient services based on medical guidelines and benefit determinations. Additionally, they will identify and report any quality of care concerns during acute care or skilled nursing facility stays.
The successful candidate will also support Sonder Health Plan's compliance with regulatory accreditation requirements for state and federal agencies. They will participate in quality audits, chart reviews, and medical record assessments as needed, particularly for complex high-cost cases or those with quality of care issues.
