Utilization Review Manager - Home Care jobs in Atlanta, GA

Utilization Review Manager - Home Care ensures quality and level of care for patients are up to established standards and comply with federal, state, and local regulations. Investigates and resolves reports of inappropriate care. Being a Utilization Review Manager - Home Care may require a bachelor's degree. Typically reports to a head of a unit/department. To be a Utilization Review Manager - Home Care typically requires 4 to 7 years of related experience. Contributes to moderately complex aspects of a project. Work is generally independent and collaborative in nature. (Copyright 2024 Salary.com)

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RN Case Manager - Utilization Review (FT Days)
  • Grady Health System
  • Atlanta, GA FULL_TIME
  • SUMMARY

    The Nurse Case Manager collaborates with other members of the case management and health care teams, utilizes professional nursing skills to: assist the patient in achieving optimal health; assure appropriate use of health care resources; facilitate/coordinate timely care along the continuum; decrease unnecessary variances in care through proactive case management; develop a safe and timely discharge plan to meet the patient’s needs.

    QUALIFICATIONS

    • Bachelor's Degree required, preferably in Nursing.
    • Current Georgia Registered (RN) license
    • Current Basic Life Support Healthcare Provider (American Heart Association) certification required.
    • Minimum of three years of direct nursing experience and demonstrated clinical competence required.
    • Experience in Case Management preferred.
    • Knowledge of age specific needs of population served.

    Equal Opportunity Employer-Minorities/Females/Veterans/Individuals with Disabilities/Sexual Orientation/Gender Identity.

  • 1 Month Ago

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Utilization Review Specialist
  • Verida Inc
  • Villa Rica, GA FULL_TIME
  • Summary: The primary responsibility of this role consists of reviewing member transportation requests that are over the contractual mileage guidelines.ESSENTIAL FUNCTIONSReviewing and making approval/...
  • 19 Days Ago

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Utilization Review Specialist
  • Acadia Behavioral Health (Pioneer Behavioral Health)
  • Riverdale, GA FULL_TIME
  • Employment Type: Full-Time ESSENTIAL FUNCTIONS: · Act as liaison between managed care organizations and the facility professional clinical staff. · Conduct reviews, in accordance with certification re...
  • 3 Days Ago

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Office Manager | Adult Day Center Home Care
  • Skylark Senior Care
  • Atlanta, GA FULL_TIME
  • Are you a genuine, hard-working individual with outstanding organizational skills with a passion for Seniors? Do you enjoy juggling customer, associates, and business needs daily? This might be the pe...
  • 20 Days Ago

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Patient Care Manager RN (Home Health)
  • Georgia Home Health
  • Atlanta, GA OTHER
  • We are hiring for a Patient Care Manager - RN. Registered Nurse is required and home health experience is preferred. At Gerogia Home Health, a part of LHC Group, we embrace a culture of caring, belong...
  • 1 Day Ago

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Home Care Consultant
  • Home Instead Senior Care
  • Lawrenceville, GA FULL_TIME
  • Do you enjoy Building Relationships that Drive Business Results? Do you enjoy Making a Difference in the Community and Helping People?Home Instead employs successful sales professionals (people person...
  • 21 Days Ago

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0 Utilization Review Manager - Home Care jobs found in Atlanta, GA area

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REMOTE: Medical Director, Utilization Management and Medical Policy
  • Evry Health
  • Atlanta, GA
  • About the Role Evry Health is hiring a tech-savvy Medical Director to lead medical policy and utilization management. As...
  • 4/24/2024 12:00:00 AM

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Strategy Manager
  • CRH
  • Atlanta, GA
  • CRH is a leading global diversified building materials group, employing over 75,800 people at more than 3,160 locations ...
  • 4/24/2024 12:00:00 AM

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Project Manager
  • Sterling Engineering
  • Atlanta, GA
  • Title: Project Manager Location: Atlanta, GA Overview: Sterling has helped build careers for thousands for professionals...
  • 4/24/2024 12:00:00 AM

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Project Manager
  • JBAndrews
  • Atlanta, GA
  • Role: Project Manager – Ground Up Commercial, Mixed-Use, Multi-family, Hospitality, & Higher Education Construction Expe...
  • 4/24/2024 12:00:00 AM

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ADMINISTRATIVE AND ACQUISITION MANAGER
  • City of South Fulton
  • Atlanta, GA
  • Job Description Job Description GENERAL STATEMENT OF JOB This classification is responsible for administrative managemen...
  • 4/22/2024 12:00:00 AM

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Compensation Strategy and Sales Planning Lead
  • Guardian Life Insurance Company
  • Atlanta, GA
  • Are you a highly motivated and analytical individual with a passion for driving sales performance? Are you looking for a...
  • 4/22/2024 12:00:00 AM

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Sr Product Manager - UM/CM/Rx - Remote ($135K)
  • Confidential
  • Atlanta, GA
  • Remote potential | Green Card or Citizen requirement This Sr. Product Manager will support customer implementation of ou...
  • 4/21/2024 12:00:00 AM

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Bridge Project Manager- Georgia
  • CHA Consulting, Inc.
  • Atlanta, GA
  • WHY CHA?: Finding a better way. At CHA, we believe in the power of clean water, resilient energy, safer roads, and struc...
  • 4/21/2024 12:00:00 AM

Atlanta (/ætˈlæntə/) is the capital of, and the most populous city in, the U.S. state of Georgia. With an estimated 2017 population of 486,290, it is also the 38th most-populous city in the United States. The city serves as the cultural and economic center of the Atlanta metropolitan area, home to 5.8 million people and the ninth-largest metropolitan area in the nation. Atlanta is the seat of Fulton County, the most populous county in Georgia. A small portion of the city extends eastward into neighboring DeKalb County. Atlanta was originally founded as the terminating stop of a major state-sp...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Utilization Review Manager - Home Care jobs
$74,660 to $95,184
Atlanta, Georgia area prices
were up 1.4% from a year ago