1404 Case Manager Supervisor jobs in Atlanta,GA

Lead, Onsite Inpatient Case Manager

Kaiser Permanente

Decatur, GA 30032

~ 29 min OnsiteUrgently Hiring

Knowledge of available health care and community resources.
Minimum two (2) years of current clinical nursing in an acute care setting.
Minimum two (2) years of experience in utilization management, case management, discharge planning in an acute care setting.
Knowledge of ACMA, CMSA, and NASW Standards of Practice.
Comprehensive knowledge of laws, regulations, and professional standards affecting case management practice in an integrated delivery system: including but not limited to CMS, Title 22, and Joint Commission.
A broad knowledge base of health care delivery and case management within a managed care environment.
Bachelors Degree in Nursing required.
Registered Professional Nurse License (Georgia)
Strong critical thinking, problem resolution and time management abilities, and customer relation skills.
Functional knowledge of computer systems.

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Certified Case Management Director

Rehabilitation Hospital of Atlanta

Atlanta, GA 30309

OnsiteUrgently HiringEducation AssistanceHealth InsurancePaid Time OffRetirement Benefit

Must be qualified to independently complete an assessment within the scope of his/her discipline.
For Nursing, must possess bachelor's degree in nursing (BSN) with RN licensure.
Three years of hospital-based Case Management experience, including Utilization Review and Discharge Planning experience.
For other eligible health care professionals, must possess a minimum of a bachelor's degree; a graduate degree is preferred.
If licensure is required for the discipline within the hospital's state, individual must hold an active license.

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Inpatient Case Manager, Town Park, Part Time

Kaiser Permanente

Kennesaw, GA 30156

~ 34 min OnsiteUrgently Hiring

Fundamental word processing & computer navigation skills & the ability to interpret & use analytic data in day to day operations.
Associates Degree Nursing.
Functional knowledge of computers.
Minimum two (2) years of RN experience in patient care delivery or completion of Masters degree in Case Management Program in lieu of minimum years of experience.
Experience with managed health care delivery including Medicare.
Knowledge of healthcare benefits associated with various business lines.
Knowledge of the Nurse Practice Act, TJC, DMHC, CMS, NCQA, HIPPA, ERISA, EMTALA & all other applicable federal/state/local laws & regulations.
Registered Professional Nurse License (Georgia)

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Financial Case Manager

Advanced Recovery Systems

Roswell, GA 30075

$23-$25/hr

~ 28 min OnsiteHealth InsurancePaid Time OffRetirement Benefit

Bachelors' Degree in health-related field, Finance/Accounting or Medical Management office experience preferred
Minimum high school diploma
Familiar with community resources and proficient in providing, discussing, and resolving financial issues and policies
Minimum one- or two-years' experience, preferred experience in the medical, behavioral healthcare or financial field

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SIU Investigator Senior (Major Case Unit)

USAA

Atlanta, GA 30361

RemoteUrgently HiringHealth InsurancePaid Time OffRetirement Benefit

Meet all USAA safe driving requirements including verification of driving record through MVR & possession of valid driver's license.
US military experience through military service or a military spouse/domestic partner
Expert knowledge and understanding of fraud investigations as well as application of case law and state laws and regulations.
Experience in concurrent handling of specialty/complex/litigated claims/cases as well as mediation/arbitration/trial preparation and participation.
Ability to capture broad range of evidence and draw conclusions based on the objective details related to the applicability of fraud.
Demonstrated ability to coordinate and prioritize workload, performing multiple tasks and devising solutions to problems.
4+ years of P&C; SIU/Fraud investigation experience; OR 6+ years relevant fraud industry investigation experience.
Experience using computers and various software packages to enter and extract data for analysis from relevant data sources and systems.
High School Diploma or General Equivalency Diploma.
Knowledge of city, state and local regulations, legal concepts, understanding of contracts, case law, medical treatment, and medical terminology.
Must be a skilled investigator with experience taking sophisticated statements from multiple parties to an event.

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Case Management Director

Rehabilitation Hospital of Newnan

Hapeville, GA 30354

OnsiteEducation AssistanceHealth InsurancePaid Time OffRetirement Benefit

For Nursing, must possess bachelor's degree in nursing (BSN) with RN licensure.
Three years of hospital-based Case Management experience, including Utilization Review and Discharge Planning experience.
Must be qualified to independently complete an assessment within the scope of practice of his/her discipline.
If licensure is required for the discipline within the hospital's state, individual must hold an active license.
For other eligible health care professionals, must possess a minimum of a bachelor's degree

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Pharmacy Operations Supervisor

WellStar Health Systems

Austell, GA 30106

~ 35 min Onsite

Ability to supervise both professional and non-professional employees
Demonstrated ability to work with other Hospital Departments and Department Managers
Ability to converse and work with Medical Staff
Knowledgeable of computerized hospital pharmacy systems
Complies with all Wellstar Health System policies, standards of work, and code of conduct
Oriented and knowledgeable in the specialized functions of a hospital pharmacy
Doctorate PharmD
Worked in a supervisory capacity in a hospital pharmacy or in a clinical or community setting
Experience with Microsoft Office
Minimum 2 years Worked a minimum of two (2) years in a hospital pharmacy
Bachelor's Degree from an accredited School/College of Pharmacy
Strong customer service attitude
Ability to communicate effectively (verbal and written)
Reg Pharmacist
Ability to think/act independently as required by situation
Maintains the pharmacy in a state of readiness for federal, state and local regulatory agency inspections
Knowledgeable in the use of automated dispensing system
Adheres to and enforces the rules and regulations established by the Georgia State Board of Pharmacy