Utilization Management Medical Director - Medical Oncology - Remote Anywhere In US UnitedHealth Group Inc.Utilization Management Medical Director - Medical Oncology - Remote Anywhere In USAtlanta, GARemote$248,500–$373,000 / yearServe as a subject matter expert in evidence - based oncology guidelines, especially those produced by the National Comprehensive Cancer Network (NCCN), and help ensure all clinically relevant policies and processes are informed by the best available evidence. Total cash compensation includes base pay and bonus and is based on several factors including but not limited to local labor markets, education, work experience and may increase over time based on productivity and performance in the role.
Medical Director Oncology - Utilization Management - Remote Anywhere In US UnitedHealth Group Inc.Medical Director Oncology - Utilization Management - Remote Anywhere In USAtlanta, GARemote$238,000–$357,500 / yearServe as a subject matter expert in evidence - based oncology guidelines, especially those produced by the National Comprehensive Cancer Network (NCCN), and help ensure all clinically relevant policies and processes are informed by the best available evidence. Engage and collaborate with treating providers telephonically; This will include discussion of evidence-based guidelines, opportunities to close clinical quality / service gaps, and care plan changes that can impact health care expense.
Social Work Care Manager Emory HealthcareSocial Work Care ManagerAtlanta, GeorgiaFull timeDescription: The Care Manager is responsible for patient care coordination from admission through discharge; ensuring smooth transitions of care as the patient is discharged from the hospital setting, ensuring and facilitating high quality clinical and cost outcomes, procuring and securing post-acute services, coordinating and advocating for patients and families with both internal and external stakeholders, and identifying and addressing potential barriers to care coordination/discharge planning in an effort to foster efficient care delivery and maximize reimbursement. The Care Manager must communicate confidently, effectively, and therapeutically while being assertive and conveying an impression which reflects favorably upon the organization The Care Manager will initiate and facilitate discussions with the payors in order to act as an advocate on behalf of the patient and hospital in an effort to reduce non-covered, non-authorized, or denied services.
Social Work Care Manager Emory Healthcare IncSocial Work Care ManagerAtlanta, GAThe Care Manager is responsible for patient care coordination from admission through discharge; ensuring smooth transitions of care as the patient is discharged from the hospital setting, ensuring and facilitating high quality clinical and cost outcomes, procuring and securing post-acute services, coordinating and advocating for patients and families with both internal and external stakeholders, and identifying and addressing potential barriers to care coordination/discharge planning in an effort to foster efficient care delivery and maximize reimbursement. The Care Manager must communicate confidently, effectively, and therapeutically while being assertive and conveying an impression which reflects favorably upon the organization The Care Manager will initiate and facilitate discussions with the payors in order to act as an advocate on behalf of the patient and hospital in an effort to reduce non-covered, non-authorized, or denied services.
Medical Social Work, Associate II - Emory Decatur- On Call Kaiser PermanenteMedical Social Work, Associate II - Emory Decatur- On CallDecatur, GAProvides effective client care by serving as an expert in facilitating highly specialized or advanced psychosocial assessment, diagnostic impressions, treatment of individuals/couples/families/groups, and prevention of psychosocial dysfunction/disability/impairment including emotional/mental/behavioral disorders, with senior leaders; collaborating with interdisciplinary teams when conducting psychosocial assessment, including functional status and financial resources to develop and implement an individualized care plan, determine interventions needed, and discuss social service needs; communicating and providing guidance to patients in an empathetic and supportive way to share results, discuss social work and treatment plans, provide resources, and answer complex, clinically-based questions with empathy and support; driving and implementing social work service plans and proactively seeking and applying feedback; and referring members, patients, and staff to the appropriate services and proactively sharing information with providers. Coordinates the care of a caseload of patients with medium to high psychosocial acuity by collaborating with treating clinician to review and ensure quality of patient treatment plans; advising, guiding, and/or coordinating services to improve care coordination based on quality principles; using advanced knowledge to recommend patient referrals for moderately complex cases; developing and maintaining case management policies and procedures to ensure optimal and appropriate member utilization and engagement of services; and solving problems concerning patient treatment plans and follow-up appointment documentation.
Medical Social Work, Associate II - Emory St. Joseph- 36 hours Kaiser PermanenteMedical Social Work, Associate II - Emory St. Joseph- 36 hoursAtlanta, GAProvides effective client care by serving as an expert in facilitating highly specialized or advanced psychosocial assessment, diagnostic impressions, treatment of individuals/couples/families/groups, and prevention of psychosocial dysfunction/disability/impairment including emotional/mental/behavioral disorders, with senior leaders; collaborating with interdisciplinary teams when conducting psychosocial assessment, including functional status and financial resources to develop and implement an individualized care plan, determine interventions needed, and discuss social service needs; communicating and providing guidance to patients in an empathetic and supportive way to share results, discuss social work and treatment plans, provide resources, and answer complex, clinically-based questions with empathy and support; driving and implementing social work service plans and proactively seeking and applying feedback; and referring members, patients, and staff to the appropriate services and proactively sharing information with providers. Coordinates the care of a caseload of patients with medium to high psychosocial acuity by collaborating with treating clinician to review and ensure quality of patient treatment plans; advising, guiding, and/or coordinating services to improve care coordination based on quality principles; using advanced knowledge to recommend patient referrals for moderately complex cases; developing and maintaining case management policies and procedures to ensure optimal and appropriate member utilization and engagement of services; and solving problems concerning patient treatment plans and follow-up appointment documentation.
Medical Social Work, Associate II - Gwinett- 36 hours Kaiser PermanenteMedical Social Work, Associate II - Gwinett- 36 hoursDuluth, GAProvides effective client care by serving as an expert in facilitating highly specialized or advanced psychosocial assessment, diagnostic impressions, treatment of individuals/couples/families/groups, and prevention of psychosocial dysfunction/disability/impairment including emotional/mental/behavioral disorders, with senior leaders; collaborating with interdisciplinary teams when conducting psychosocial assessment, including functional status and financial resources to develop and implement an individualized care plan, determine interventions needed, and discuss social service needs; communicating and providing guidance to patients in an empathetic and supportive way to share results, discuss social work and treatment plans, provide resources, and answer complex, clinically-based questions with empathy and support; driving and implementing social work service plans and proactively seeking and applying feedback; and referring members, patients, and staff to the appropriate services and proactively sharing information with providers. Coordinates the care of a caseload of patients with medium to high psychosocial acuity by collaborating with treating clinician to review and ensure quality of patient treatment plans; advising, guiding, and/or coordinating services to improve care coordination based on quality principles; using advanced knowledge to recommend patient referrals for moderately complex cases; developing and maintaining case management policies and procedures to ensure optimal and appropriate member utilization and engagement of services; and solving problems concerning patient treatment plans and follow-up appointment documentation.
Medical Social Work, Associate II -Emory St. Joseph - On Call Kaiser PermanenteMedical Social Work, Associate II -Emory St. Joseph - On CallAtlanta, GAProvides effective client care by serving as an expert in facilitating highly specialized or advanced psychosocial assessment, diagnostic impressions, treatment of individuals/couples/families/groups, and prevention of psychosocial dysfunction/disability/impairment including emotional/mental/behavioral disorders, with senior leaders; collaborating with interdisciplinary teams when conducting psychosocial assessment, including functional status and financial resources to develop and implement an individualized care plan, determine interventions needed, and discuss social service needs; communicating and providing guidance to patients in an empathetic and supportive way to share results, discuss social work and treatment plans, provide resources, and answer complex, clinically-based questions with empathy and support; driving and implementing social work service plans and proactively seeking and applying feedback; and referring members, patients, and staff to the appropriate services and proactively sharing information with providers. Coordinates the care of a caseload of patients with medium to high psychosocial acuity by collaborating with treating clinician to review and ensure quality of patient treatment plans; advising, guiding, and/or coordinating services to improve care coordination based on quality principles; using advanced knowledge to recommend patient referrals for moderately complex cases; developing and maintaining case management policies and procedures to ensure optimal and appropriate member utilization and engagement of services; and solving problems concerning patient treatment plans and follow-up appointment documentation.
Behavioral Health Clinician ST (Data Manager) -Gwinnett/SAMHSA/Court Services View Point HealthBehavioral Health Clinician ST (Data Manager) -Gwinnett/SAMHSA/Court ServicesLawrenceville, GAFull timeView Point Health Job Title: Behavioral Health Clinician ST (Data Manager) Job Code: HCP050/Social Worker, Licensed 1 Shift: Full-Time (40 hours per week on average) Job Hours: Times May Vary Base Location: Lawrenceville- Court Services- Pike St. Division/Department/Program: Gwinnett SAMHSA/ BU 2253/Court Services View Point Health's Court Services provides group, family, and individual education, skills-based training and supportive counseling to consumers and their families/significant others. Note: Some positions may require licensure in the state of Georgia as an LMSW, LAPC, LCSW, LPC or LMFT Preferred Qualifications: Certification as an addiction counselor (CAC I/II, CADC I/II, MAC, CAADC, etc.)Experience providing case management services.
Care Manager Emory HealthcareCare ManagerAtlanta, GeorgiaFull timeDescription: The Care Manager is responsible for patient care coordination from admission through discharge; ensuring smooth transitions of care as the patient is discharged from the hospital setting, ensuring and facilitating high quality clinical and cost outcomes, procuring and securing post-acute services, coordinating and advocating for patients and families with both internal and external stakeholders, and identifying and addressing potential barriers to care coordination/discharge planning in an effort to foster efficient care delivery and maximize reimbursement. The CM must communicate confidently, effectively, and therapeutically while being assertive and conveying an impression which reflects favorably upon the organization The CM will initiate and facilitate discussions with the payors in order to act as an advocate on behalf of the patient and hospital in an effort to reduce non-covered, non-authorized, or denied services.
Programs Administrator -Central Office - Decatur, GA (CCR) State of GeorgiaPrograms Administrator -Central Office - Decatur, GA (CCR)Decatur, GA$69,134.16–$76,842 / yearMinimum Qualifications: Bachelor's degree in a related area from an accredited college or university and two (2) years of job-related supervisory experience in a human service delivery program; or related certification and one (1) year of job-related supervisory experience in a human service delivery program or two (2) years of experience at the lower level Social Svcs Prgm Mgr Spv (SSP023) or position equivalent. Bachelor's degree in a related area from an accredited college or university and two (2) years of job-related supervisory experience in a human service delivery program; or related certification and one (1) year of job-related supervisory experience in a human service delivery program; or two (2) years of experience at the lower level Social Svcs Prgm Mgr Spv (SSP023) or position equivalent.
Hospice Social Worker - LMSW / LCSW - PRN Northeast Georgia Medical CenterHospice Social Worker - LMSW / LCSW - PRNGainesville, GeorgiaConducts grief needs assessment at the time of death and collaborates with the program’s grief support services to facilitate a smooth transition to after care services. Develops plan of care in coordination with Interdisciplinary Team and provides social services as applicable through the performance of a variety of services, interventions and modalities.
NewHospice Social Worker - LMSW / LCSW Northeast Georgia Medical CenterHospice Social Worker - LMSW / LCSWGainesville, GeorgiaConducts grief needs assessment at the time of death and collaborates with the program’s grief support services to facilitate a smooth transition to after care services. Develops plan of care in coordination with Interdisciplinary Team and provides social services as applicable through the performance of a variety of services, interventions and modalities.
Care Coordinator, Social Worker Northside Hospital IncCare Coordinator, Social WorkerCumming, GAThe Care Coordinator will be responsible for working with neonate, adolescent, adult, and geriatric patients, families, medical staff and community agencies to determine the appropriate setting of care and appropriateness of hospitalization, as well as to assess post hospital care needs. Constantly expanding the quality and reach of our care to our patients and communities creates even more opportunity for the best healthcare professionals in Atlanta and beyond.
Care Coordinator, Social Worker (Emergency Department) Northside Hospital Inc.Care Coordinator, Social Worker (Emergency Department)Lawrenceville, GeorgiaFull timeResponsibilities: The Care Coordinator will be responsible for working with neonate, adolescent, adult, and geriatric patients, families, medical staff and community agencies to determine the appropriate setting of care and appropriateness of hospitalization, as well as to assess post hospital care needs. Constantly expanding the quality and reach of our care to our patients and communities creates even more opportunity for the best healthcare professionals in Atlanta and beyond.
Care Coordinator, Social Worker (Weekends 3-12s) Northside Hospital Inc.Care Coordinator, Social Worker (Weekends 3-12s)Atlanta, GeorgiaResponsibilities: The Care Coordinator will be responsible for working with neonate, adolescent, adult, and geriatric patients, families, medical staff and community agencies to determine the appropriate setting of care and appropriateness of hospitalization, as well as to assess post hospital care needs. Constantly expanding the quality and reach of our care to our patients and communities creates even more opportunity for the best healthcare professionals in Atlanta and beyond.
Care Manager Emory Healthcare IncCare ManagerAtlanta, GAThe Care Manager is responsible for patient care coordination from admission through discharge; ensuring smooth transitions of care as the patient is discharged from the hospital setting, ensuring and facilitating high quality clinical and cost outcomes, procuring and securing post-acute services, coordinating and advocating for patients and families with both internal and external stakeholders, and identifying and addressing potential barriers to care coordination/discharge planning in an effort to foster efficient care delivery and maximize reimbursement. The CM must communicate confidently, effectively, and therapeutically while being assertive and conveying an impression which reflects favorably upon the organization The CM will initiate and facilitate discussions with the payors in order to act as an advocate on behalf of the patient and hospital in an effort to reduce non-covered, non-authorized, or denied services.
Hospice Social Worker - Lmsw / Lcsw - PRN Northeast Georgia Health SystemHospice Social Worker - Lmsw / Lcsw - PRNGainesville, GAPreferred Licensure or other certifications: Preferred Educational Requirements: Preferred Experience: 1-3 years experience in the hospice setting or related clinical experience in a multi-disciplinary setting preferred. Conducts grief needs assessment at the time of death and collaborates with the program's grief support services to facilitate a smooth transition to after care services.
Hospice Social Worker - LCSW - PRN Northeast Georgia Health System IncHospice Social Worker - LCSW - PRNGainesville, GAPreferred Licensure or other certifications: Preferred Educational Requirements: Preferred Experience: 1-3 years experience in the hospice setting or related clinical experience in a multi-disciplinary setting preferred. Conducts grief needs assessment at the time of death and collaborates with the program's grief support services to facilitate a smooth transition to after care services.
NewCare Manager IP Emory HealthcareCare Manager IPAtlanta, GeorgiaFull timeDescription: The Care Manager is responsible for patient care coordination from admission through discharge; ensuring smooth transitions of care as the patient is discharged from the hospital setting, ensuring and facilitating high quality clinical and cost outcomes, procuring and securing post-acute services, coordinating and advocating for patients and families with both internal and external stakeholders, and identifying and addressing potential barriers to care coordination/discharge planning in an effort to foster efficient care delivery and maximize reimbursement. The Care Manager must communicate confidently, effectively, and therapeutically while being assertive and conveying an impression which reflects favorably upon the organization The Care Manager will initiate and facilitate discussions with the payors in order to act as an advocate on behalf of the patient and hospital in an effort to reduce non-covered, non-authorized, or denied services.