Clinical Provider Auditor Senior - Payment Integrity SIU Elevance HealthClinical Provider Auditor Senior - Payment Integrity SIUAtlanta, GeorgiaWe are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. We put people at the center-connecting physical, behavioral, social, and pharmacy services, along with clinical expertise, research, operations, and advanced technology to help care work better, together.
Pharmacy Auditor - Payment Integrity Complex and Clinical Audit Elevance HealthPharmacy Auditor - Payment Integrity Complex and Clinical AuditAtlanta, GeorgiaThe Pharmacy Auditor will be responsible for screening, selecting, and auditing high cost drug (HCD), home infusion therapy (HIT), dialysis, and durable medical equipment (DME) claims to ensure they are billed accurately to the medical benefit. Confirms the services rendered are supported by the appropriate documentation and validates the claim is paid correctly according to the provider's contract Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health.
Director Pharmacy Operations Elevance HealthDirector Pharmacy OperationsAtlanta, GeorgiaWe are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. Location: This role requires associates to be in-office 3 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance.
NewCyber Full-Stack Technical Architect/Manager DeloitteCyber Full-Stack Technical Architect/ManagerAtlanta, GA$148,200–$292,300 / yearExperience with one of the following Frontier GenAI Platforms: Anthropic, Google or Open AI, including hands on experience with one of the following key platforms/products; Claude API, Claude for Enterprise, tool use, extended thinking, Claude Code, Gemini API, Vertex AI Agent Builder, Grounding, Google Workspace integration, GPT-4o, Assistants API, Responses API, OpenAI Agents SDK. Our purpose comes through in our work with clients that enables impact and value in their organizations, as well as through our own investments, commitments, and actions across areas that help drive positive outcomes for our communities.
Director, Biomedical Engineering Emory HealthcareDirector, Biomedical EngineeringAtlanta, GeorgiaFull timeDrawing from established RACI accountabilities, the Director holds primary accountability for maintenance and repair strategy, capital planning through the Prioritized Equipment Replacement Plan (PERP), contract administration, quality and patient safety, inventory management, and RTLS administration — while consulting closely with the Director of Interoperability on device integration and cybersecurity matters and collaborating with corporate capital planning on strategic equipment decisions. This Director leads a team that includes the Biomed Services Strategist, Biomed Service Analyst, Biomed Program Manager, and our GE Support Services vendor partnership, ensuring cohesive execution across service operations, capital equipment lifecycle management, and growth initiatives.
Clinician Charge / Medical Surgical Registered Nurse / RN Emory HealthcareClinician Charge / Medical Surgical Registered Nurse / RNAtlanta, GeorgiaFull timeEnvironmental exposures include, but are not limited to: Blood-borne pathogen exposure; Bio-hazardous waste Chemicals/gases/fumes/vapors; Communicable diseases; Electrical shock; Floor Surfaces; Hot/Cold Temperatures; Indoor/Outdoor conditions; Latex; Lighting; Patient care/handling injuries; Radiation; Shift work; Travel may be required; Use of personal protective equipment, including respirators; environmental conditions may vary depending on assigned work area and work tasks. PHYSICAL REQUIREMENTS: (Medium-Heavy) 36-75 lbs, 0-33% of the work day (occasionally); 20-35 lbs, 34-66% of the workday; (frequently); 10-20 lbs, 67-100% of the workday (constantly); Lifting 75 lbs max; Carrying of objects up to 35 lbs; Occasional to frequent standing & walking; Occasional sitting; Close eye work (computers, typing, reading, writing); Physical demands may vary depending on assigned work area and work tasks.
Internal Medicine Med Surg Registered Nurse / RN Clinician Charge Emory HealthcareInternal Medicine Med Surg Registered Nurse / RN Clinician ChargeAtlanta, GeorgiaFull timeEnvironmental exposures include, but are not limited to: Blood-borne pathogen exposure; Bio-hazardous waste Chemicals/gases/fumes/vapors; Communicable diseases; Electrical shock; Floor Surfaces; Hot/Cold Temperatures; Indoor/Outdoor conditions; Latex; Lighting; Patient care/handling injuries; Radiation; Shift work; Travel may be required; Use of personal protective equipment, including respirators; environmental conditions may vary depending on assigned work area and work tasks. PHYSICAL REQUIREMENTS: (Medium-Heavy) 36-75 lbs, 0-33% of the work day (occasionally); 20-35 lbs, 34-66% of the workday; (frequently); 10-20 lbs, 67-100% of the workday (constantly); Lifting 75 lbs max; Carrying of objects up to 35 lbs; Occasional to frequent standing & walking; Occasional sitting; Close eye work (computers, typing, reading, writing); Physical demands may vary depending on assigned work area and work tasks.
Surgical Acute Care Unit Charge Registered Nurse / RN Emory HealthcareSurgical Acute Care Unit Charge Registered Nurse / RNDecatur, GeorgiaFull timeEnvironmental exposures include, but are not limited to: Blood-borne pathogen exposure; Bio-hazardous waste Chemicals/gases/fumes/vapors; Communicable diseases; Electrical shock; Floor Surfaces; Hot/Cold Temperatures; Indoor/Outdoor conditions; Latex; Lighting; Patient care/handling injuries; Radiation; Shift work; Travel may be required; Use of personal protective equipment, including respirators; environmental conditions may vary depending on assigned work area and work tasks. PHYSICAL REQUIREMENTS: (Medium-Heavy) 36-75 lbs, 0-33% of the work day (occasionally); 20-35 lbs, 34-66% of the workday; (frequently); 10-20 lbs, 67-100% of the workday (constantly); Lifting 75 lbs max; Carrying of objects up to 35 lbs; Occasional to frequent standing & walking; Occasional sitting; Close eye work (computers, typing, reading, writing); Physical demands may vary depending on assigned work area and work tasks.
Medical Surgical / Unit Charge Nurse Emory HealthcareMedical Surgical / Unit Charge NurseAtlanta, GeorgiaFull timeEnvironmental exposures include, but are not limited to: Blood-borne pathogen exposure; Bio-hazardous waste Chemicals/gases/fumes/vapors; Communicable diseases; Electrical shock; Floor Surfaces; Hot/Cold Temperatures; Indoor/Outdoor conditions; Latex; Lighting; Patient care/handling injuries; Radiation; Shift work; Travel may be required; Use of personal protective equipment, including respirators; environmental conditions may vary depending on assigned work area and work tasks. PHYSICAL REQUIREMENTS: (Medium-Heavy) 36-75 lbs, 0-33% of the work day (occasionally); 20-35 lbs, 34-66% of the workday; (frequently); 10-20 lbs, 67-100% of the workday (constantly); Lifting 75 lbs max; Carrying of objects up to 35 lbs; Occasional to frequent standing & walking; Occasional sitting; Close eye work (computers, typing, reading, writing); Physical demands may vary depending on assigned work area and work tasks.
Medical Oncology Unit Charge / RN Emory HealthcareMedical Oncology Unit Charge / RNAtlanta, GeorgiaFull timeEnvironmental exposures include, but are not limited to: Blood-borne pathogen exposure; Bio-hazardous waste Chemicals/gases/fumes/vapors; Communicable diseases; Electrical shock; Floor Surfaces; Hot/Cold Temperatures; Indoor/Outdoor conditions; Latex; Lighting; Patient care/handling injuries; Radiation; Shift work; Travel may be required; Use of personal protective equipment, including respirators; environmental conditions may vary depending on assigned work area and work tasks. PHYSICAL REQUIREMENTS: (Medium-Heavy) 36-75 lbs, 0-33% of the work day (occasionally); 20-35 lbs, 34-66% of the workday; (frequently); 10-20 lbs, 67-100% of the workday (constantly); Lifting 75 lbs max; Carrying of objects up to 35 lbs; Occasional to frequent standing & walking; Occasional sitting; Close eye work (computers, typing, reading, writing); Physical demands may vary depending on assigned work area and work tasks.
Home Health RN Clinical Manager, $10K Sign-on Bonus (Eligible) CenterWellHome Health RN Clinical Manager, $10K Sign-on Bonus (Eligible)Kennesaw, GeorgiaOur care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers – all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives. As the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients.
Dialysis Clinical Manager Registered Nurse - RN Fresenius Medical Care AG & Co KGaADialysis Clinical Manager Registered Nurse - RNGainesville, GAAddress: 2565 Thompson Bridge Rd, Gainesville, Georgia, 30501, United States of America. Dialysis Clinical Manager Registered Nurse - RN.
Clinical Trial Manager - East Coast HeartFlowClinical Trial Manager - East CoastAtlanta, GARemote$95,000–$130,000 / yearHeartflow is the first AI-driven non-invasive integrated heart care solution across the CCTA pathway that helps clinicians identify stenoses in the coronary arteries (RoadMapAnalysis), assess coronary blood flow (FFRCT Analysis), and characterize and quantify coronary atherosclerosis (Plaque Analysis). The flagship product-an AI-driven, non-invasive cardiac test supported by the ACC/AHA Chest Pain Guidelines called the Heartflow FFRCT Analysis-provides a color-coded, 3D model of a patient's coronary arteries indicating the impact blockages have on blood flow to the heart.
Full-Time CORE Assistant Clinical Director Georgia Families in TransitionFull-Time CORE Assistant Clinical DirectorDecatur, GeorgiaRemoteThe Assistant Clinical Director provides direct clinical oversight and operational support to the CORE Program by ensuring quality service delivery, regulatory compliance, staff development, client retention, and crisis management. The Assistant Clinical Director will work closely with the Executive Director to monitor program performance, strengthen staff accountability, improve client outcomes, and ensure compliance with DBHDD, Medicaid, and organizational requirements.
Clinical Outpatient Program Coordinator The Recovery VillageClinical Outpatient Program CoordinatorSandy Springs, GAThe Program Coordinator partners closely with the local inpatient facility Clinical Director/Site CEO, Admissions, Business Development, and ancillary departments to ensure program integrity, census growth, staff performance, patient engagement, and exceptional patient experience, while fostering a positive, safe, and therapeutic environment for both patients and staff. The Program Coordinator provides and ensures the clinical team provides individual, group, and family therapy; conducts biopsychosocial assessments; develops and maintain Master Treatment Plans; and supports discharge and aftercare planning.
Licensed Clinical Social Worker (LCSW) / Licensed Master Social Worker (LMSW) Pyramid Consulting, IncLicensed Clinical Social Worker (LCSW) / Licensed Master Social Worker (LMSW)Alpharetta, GASocial Worker, Clinical Social Worker, LCSW, LMSW, Licensed Clinical Social Worker, Licensed Master Social Worker, MSW, Case Management, Discharge Planning, Care Coordination, Utilization Review, Behavioral Health, Mental Health, Crisis Intervention, Tuba City AZ, Navajo Nation, Hopi, Native American Health, Travel Social Worker, Local Contract, 13-week contract, BLS, Allscripts, Patient Advocacy, Interdisciplinary Team. License/Certification: Licensed Master Social Worker (LMSW) or Licensed Clinical Social Worker (LCSW) required.
Clinical Research Nurse Alcanza Clinical ResearchClinical Research NurseDecatur, GARequesting and tracking medical record requests; Updating and maintaining logs, chart filings; Maintaining & ordering study specific supplies; Scheduling subjects for study visits and conducts appointment reminders; Building/updating source as needed; Conducting monitoring visits and resolves issues as needed in a timely manner; Ensuring study related reports and patient results are reviewed by investigator in a timely manner; o Filing SAE/Deviation reports to Sponsor and IRB as needed; o Documenting and reporting adverse events; o Reporting non-compliance to appropriate staff in timely manner; o Maintaining positive and effective communication with clients and team members; o Always practicing ALCOAC principles with all documentation; Be thoroughly familiar with the protocol, case report form, informed consent, source documentation, patient diary (when applicable), and study medication(s) for the assigned research study; Complete all needed activities for study start-up, including completing required training, uploading / printing certificates to file in ISF, etc. Responsibilities may include but are not limited to: Under the direction of the Site Manager/Director and the Principal/Sub Investigators, conducts the following according to study protocol, company processes & procedures, and in compliance with FDA, GCP, ICH regulations and guidelines: Screening of patients for study enrollment; Patient consents; Patient follow-up visits; Documenting in source clinic charts; Entering data in EDC and answers queries; Obtaining vital signs and ECGs; May perform basic lab procedures per protocol, such as: blood specimen collection, centrifuge operation, storing and shipping of lab specimens, accountability of specimens and notification of courier for specimen pick-up; Performing procedures commensurate with licensure including vitals, ECGs/EKGs, venipunctures, injections, infusions, mixing drug and/or dispense investigational product; etc.
NewPharmacist-Clinical Staff PRN Northeast Georgia Medical CenterPharmacist-Clinical Staff PRNGainesville, GeorgiaDemonstrate knowledge of Continuous Quality Improvement and its application to patient care and actively participate by monitoring assigned indicators monthly and giving input and ideas to improve the pharmacy system. Responsible for providing “pharmaceutical care” which is defined as the responsible provision of drug therapy for the purpose of achieving definite outcomes that improves a patient’s quality of life.
Licensed Clinical Social worker (LCSW) Pyramid Consulting, IncLicensed Clinical Social worker (LCSW)Lawrenceville, GAProvides support services to severely emotionally disturbed adult behavioral health clients in order to meet the individual needs of the clients, to coordinate treatment, to assist the client with achieving the best possible functional level, to maximize symptom self-management and to enhance quality of life and recovery. By applying to our jobs you agree to receive calls, AI-generated calls, text messages, or emails from Pyramid Consulting, Inc. and its affiliates, and contracted partners.
Store Sales Manager LaserAwayStore Sales ManagerAtlanta, GA$80,000–$115,000 / yearLaserAway, the industry leader with over 10 million treatments performed and 18+ years of experience, is seeking a dynamic Store Sales Manager to oversee operations, drive clinic performance, and deliver an outstanding patient experience. Leadership: A dynamic leader who thrives on talent acquisition, team development, and fostering collaboration across sales and clinical teams.