Review Nurse, Prior Authorization/Utilization Management - Atlanta

The Case Management Authorization Specialist (CMAS) follows developed policies and procedures to obtain insurance eligibility and benefits by identifying correct insurance plan.Be inspired. Be valued. Belong. · ...

Ensures acute hospital admission have appropriate level of care and meet medical necessity for an acute hospitalization. · ...

The purpose of this position is to ensure that acute hospital admission have the appropriate level of care, patient status, plan of care and meet medical necessity for an acute hospitalization. · ...

The Utility Asset Manager is responsible for planning budgeting overseeing and documenting substation operations and maintenance. This role contributes to the overall performance of a state or region of the company including ensuring profitability targets are met and company-wide ...

Alliant Health Solutions seeks a Review Nurse to conduct prior approval and precertification reviews for Georgia Fee-for-Service Medicaid members. · ...

1+ years of utilization management / utilization review / case management experience is must · ...

The opportunity to help shape the future of a more reliable, resilient and sustainable grid.As a Utility Market Manager at Hitachi Energy you will lead go-to-market strategy across power generation transmission distribution and smart grid solutions. · ...

The Case Management Authorization Specialist IP (CMAS) has a general understanding of insurance requirements as it relates to insurance verification, notification, authorization and collaboration. · Assists the Care Management Inpatient team to timely transition patients into pos ...

Help shape the future of a more reliable, resilient and sustainable grid as a Utility Market Manager at Hitachi Energy. · ...

The Case Management Authorization Specialist IP (CMAS) assists the Care Management Inpatient team in transitioning patients into post-acute services within reimbursable hospital days. They verify insurance eligibility and submit notifications for inpatient admissions. · Care Mana ...

Be inspired. Be valued. Belong. At Emory Healthcare · ...

Be inspired. Be valued. Belong. At Emory Healthcare · ...

· As The Authorizations Manager , You Will · Manage medical insurance authorizations and develop strategies to maximize profits and minimize loss. · Ensure that maintenance strategies are within stated objectives.Interpret to customers and field personnel Company policies/practi ...

Become part of our caring community and help us put health first. As The Authorizations Manager , You Will Manage medical insurance authorizations and develop strategies to maximize profits and minimize loss. · ...

Join the $4.6B SR 400 Express Lanes project in Atlanta—one of the largest roadway projects in the United States—delivered through a public-private partnership led by FlatironDragados and ACCIONA. · ...

· Overview · Join the $4.6B SR 400 Express Lanes project in Atlanta—one of the largest roadway projects in the United States—delivered through a public-private partnership led by FlatironDragados and ACCIONA. This landmark infrastructure project includes the design, construction ...

The Utility Relocation Project Manager will oversee the planning, coordination, and execution of utility relocation activities within one of the project segments. · Lead utility conflict assessments during pre-design, design, and construction phases. · Oversight of electrical tra ...

This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. The Utilization Management Representative III is responsible for coordinating cases for precertification and prior aut ...

This role enables associates to work virtually full-time with maximum flexibility and autonomy. · The Utilization Management Rep II – Benefit Investigation is responsible for managing incoming calls including triage opening of cases and authorizing sessions. · Managing incoming c ...

Utilizes clinical experience and skills in a collaborative process to assess, plan, implement, coordinate, monitor and evaluate options to facilitate appropriate healthcare services/benefits for members. · ...

Overview · Join the $4.6B SR 400 Express Lanes project in Atlanta—one of the largest roadway projects in the United States—delivered through a public-private partnership led by FlatironDragados and ACCIONA. This landmark infrastructure project includes the design, construction, l ...