Utilization Review Manager - Home Care jobs in Georgia

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)

U
RN Case Manager - Utilization Review (FT Days)
  • Utilization Review (FT Days) - Grady Health System Careers
  • United States, 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

T
Utilization Review (UR) Coordinator
  • Turning Point Care Center
  • Moultrie, GA FULL_TIME
  • Responsibilities: Great opportunity for someone with clinical experience as a Case Manager, Patient Care Advocate, Pre-Cert Nurse, or Clinical Liaison. Come experience a different side of providing qu...
  • 22 Days Ago

L
Utilization Review Coordinator
  • Lighthouse Care Center of Augusta
  • Augusta, GA FULL_TIME
  • Lighthouse Care Center of Augusta (LCCA) is a multi-discipline behavioral healthcare center that offers mental health services to the communities of surrounding Augusta, Georgia. The Lighthouse Care C...
  • 1 Month Ago

G
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; as...
  • 1 Month Ago

V
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/...
  • 14 Days Ago

G
Director- Utilization Review
  • Greenleaf Behavioral Health Hospital
  • Valdosta, GA FULL_TIME
  • Provides accurate and complete clinical information to payors based on synthesized documentation in the medical record. Conducts utilization review on all assigned cases and ensures authorizations are...
  • 15 Days Ago

D
Utility Manager
  • DSJ Global
  • St Louis, MO
  • We are seeking a highly skilled and experienced Utility Manager to oversee the operation and maintenance of utility syst...
  • 4/19/2024 12:00:00 AM

J
Utilities Manager
  • Jacobs
  • Atlantic Beach, FL
  • Your Impact: Challenging Today. Reinventing Tomorrow. We're invested in you and your success. Everything we do is more t...
  • 4/19/2024 12:00:00 AM

I
Utilities Manager
  • Insight Global
  • We recognize that our success depends on the quality of the people we hire. We are currently seeking highly talented ind...
  • 4/18/2024 12:00:00 AM

C
Utilities Manager
  • City of Upland, CA
  • Upland, CA
  • Salary : $124,287.53 - $158,625.88 Annually Location : Public Works - 1370 N. Benson Ave Upland, CA Job Type: Full Time ...
  • 4/17/2024 12:00:00 AM

C
Utilities Manager (At-Will)
  • City of Rialto, CA
  • Rialto, CA
  • Salary : $116,448.00 - $156,060.00 Annually Location : Rialto, CA Job Type: Full-Time Job Number: 23-072 Department: RUA...
  • 4/17/2024 12:00:00 AM

A
Director Utilization Management
  • AMI Network
  • San Diego, CA
  • I’m partnered with a major health plan in San Diego to find a Director of Utilization Management! This top-rated Medicai...
  • 4/17/2024 12:00:00 AM

M
Utilization Management Manager
  • Medasource
  • Fresno, CA
  • Job Title: Interim Case Management Manager Client: Large Healthcare Provider Location: Fresno, California Start Date: AS...
  • 4/16/2024 12:00:00 AM

G
Utilization Manager - Remote
  • Gentiva
  • Mooresville, NC
  • Our Company: Gentiva is an industry leader in hospice, palliative, home health, and personal home care. Our place is by ...
  • 4/15/2024 12:00:00 AM

Georgia is a state in the Southeastern United States.Beginning from the Atlantic Ocean, the state's eastern border with South Carolina runs up the Savannah River, northwest to its origin at the confluence of the Tugaloo and Seneca Rivers. It then continues up the Tugaloo (originally Tugalo) and into the Chattooga River, its most significant tributary. These bounds were decided in the 1797 Treaty of Beaufort, and tested in the U.S. Supreme Court in the two Georgia v. South Carolina cases in 1923 and 1989. The border then takes a sharp turn around the tip of Rabun County, at latitude 35°N, thou...
Source: Wikipedia (as of 04/17/2019). Read more from Wikipedia
Income Estimation for Utilization Review Manager - Home Care jobs
$73,744 to $94,018