- Humana (Atlanta, GA)
- **Become a part of our caring community and help us put health first** The Manager , Utilization Management Behavioral Health utilizes behavioral ... documentation, and communication of medical services and/or benefit administration determinations. The Manager , Utilization Management Behavioral Health… more
- Molina Healthcare (Atlanta, GA)
- …SKILLS & ABILITIES** : + 2 or more years in case, disease or utilization management ; managed care; or medical/ behavioral health settings. + One ... : 5 or more years in case, disease or utilization management ; managed care; or medical/ behavioral...Clinical Social Worker/Counseling (or related field) License Certified Case Manager (CCM), Utilization Management Certification… more
- Molina Healthcare (Atlanta, GA)
- …including 3 or more years in one or more of the following areas: utilization management , case management , care transition and/or disease management ... License, Certification, Association** Any of the following: Certified Case Manager (CCM), Certified Professional in Healthcare Management Certification… more
- CenterWell (Atlanta, GA)
- …education spanning onboarding to continuing education. **Role Description** The LCSW Behavioral Health Educator will be embedded within the clinical education team ... and will oversee training aspects of the cognitive behavioral health screenings, psychosocial assessments, techniques that can be...has a deep understanding of all the High-risk program management roles and gains the respect and confidence of… more
- Elevance Health (Atlanta, GA)
- … health direct care programs and services, such as Employee Assistance Programs, Utilization Management and Crisis Calls. Works in partnership with the Product ... **Director Behavioral Health Program and Services** **Location:** Alternate locations...offers superior clinical mental health and substance use disorder management , a comprehensive employee assistance program, work/life support, specialty… more
- Molina Healthcare (Atlanta, GA)
- …performing one or more of the following activities: care review/ utilization management (prior authorizations, inpatient/outpatient medical necessity, etc.), ... of illness and the site of service. **KNOWLEDGE/SKILLS/ABILITIES** The Manager , Healthcare Services provides operational management and...years in one or more of the following areas: utilization management , case management , care… more
- Highmark Health (Atlanta, GA)
- …Health **Job Description :** **JOB SUMMARY** This job implements effective utilization management strategies including: review of appropriateness of health ... industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable...is part of the compact **Preferred** + Certification in Utilization Management or a related field **SKILLS**… more
- State of Georgia (Dekalb County, GA)
- …Justice, or Social Work) + At least two years' experience in a behavioral health setting providing case management /community support services + Proficient ... Case Manager - Child & Adolescent Georgia - Dekalb...enhance supports in services, and provide family education and utilization of natural supports in the community. DUTIES AND… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …**PRN Social Work Case Manager ** to work with our Social Work Case Management team at Emory University Hospital. As part of our team you will be responsible ... at risk for readmission. The Social Worker / Case Manager will appropriate the facilitation of high quality clinical...a timely and effective manner. You will collaborate with Utilization Review in order to identify and address barriers… more
- Kanaan Communications, LLC (Marietta, GA)
- …Then you may have found your next career move. We're looking for a Project Manager , based out of Marietta, GA, to join our team and help connect America. The ... Project Manager will coordinate all activities involved in the Operations...of key performance metrics (Build production / Overage Job Management / Market Productivity / etc.)- Maintain safe working… more