557 utilization jobs at 201 companies in South Fulton, GA
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Utilization Review Specialist
Decatur, Georgia, United States
OnsiteFull Time
Positive Impact Health Centers: Provides comprehensive medical and behavioral healthcare for HIV communities.
2+ YOE2+ years behavioral health experience; experience in utilization review or care management; knowledge of ASAM criteria, ICD-10, payer requirements; EMR proficiency; strong communication and problem-solving skills.
Acadia HealthcareNASDAQ: ACHC: Provides behavioral healthcare and substance use treatment services.
2+ YOEClinical experience required (or 2+ years working with the population). High school diploma required; associate/bachelor/masters in social work, behavioral health, nursing preferred. CPR, de-escalation and restraint certification required; LPN/RN/LMSW/LCSW/LPC preferred.
OncoHealth: Digital health platform providing oncology utilization management and patient support.
3+ YOERequires 3–5 years in healthcare operations or utilization management, training or leadership experience preferred, strong facilitation, communication, analytical, organizational, and project management skills.
Microsoft Office Suite, OneUM, Electronic Medical Records (EMR), HIPAA
Emory Healthcare: Academic healthcare system providing patient care and medical services.
3+ YOEValid Georgia nursing license, BSN required, 3+ years healthcare and utilization review experience, UR RN II experience, competency in utilization review processes, training and auditing skills.
Smyrna or Fort Riley or Topeka or Salt Lake City or Seattle or Phoenix or Los Angeles or San Francisco or Denver or Washington or Miami or Atlanta or Chicago or Indianapolis or New Orleans or Boston or Minneapolis or Kansas City or Albuquerque or New York or Oklahoma City or Portland or Austin or Hot Springs or Waco
$75k-$123k/yrOnsiteFull Time
Department of Veterans Affairs: Provides healthcare, benefits, and cemetery services to military veterans.
1+ YOERequires one year of specialized procurement experience at the next lower federal grade, U.S. citizenship, and experience with acquisition strategy, contract compliance, procurement documentation, federal regulations, stakeholder coordination, and presentations.
Meridian or Atlanta or Lake Mary or Indianapolis or Louisville or Tampa or Miami or Durham or Columbus or Winston-Salem
RemoteFull Time
Elevance HealthNYSE: ELV: Provides health insurance plans and integrated healthcare services.
1+ YOERequires a high school diploma or GED and at least 1 year of customer service or call-center experience; inbound call center and medical or insurance experience preferred.
Piedmont Healthcare: Provides integrated medical care and hospital services in Georgia.
5+ YOE2+ MgmtBachelor's degree, 5+ years behavioral health UM/UR experience with InterQual or Milliman, 2+ years leadership, required state clinical licensure (RN/LPC/LMSW/LCSW/LMFT) and IQCI certification.
Business Finance Revenue Cycle Utilization Manager
Chicago or Austin or Atlanta or United States or Denver or Detroit or Philadelphia or Houston or Tampa or Dallas or Charlotte or Raleigh or Louisville
RemoteFull Time
Sevita: Specialized home and community-based healthcare and rehabilitation provider.
5+ YOE3+ MgmtBachelor's degree or 5+ years relevant experience, prior management experience, 3–5 years managing hourly staff, strong communication and analytical skills, and revenue cycle or healthcare systems experience.
AccentureNYSE: ACN: Global provider of management consulting and technology services.
5+ YOE5+ years in Healthcare IT in an Epic non-clinical leader role, Epic Tapestry certification and certification in an Epic non-clinical app, bachelor's degree or equivalent, project planning, stakeholder communication, and system configuration/testing experience.
Children's Healthcare of Atlanta: Provides specialized medical care and research for pediatric patients.
3+ YOEActive Georgia RN licensure (or multi-state via compact), 3+ years healthcare experience, utilization review experience preferred, working knowledge of MCG/InterQual and Epic, strong decision-making and computer skills.
Fayette County: Local government entity providing public services in Fayette County, Georgia.
High school diploma or GED, basic relevant experience, Georgia driver's license, and ability to obtain forklift, flagging, GSWCC White Card, and state water distribution operator certifications.
AMR, AMI, electronic locating equipment, digital maps, cement mixer, gas powered saw, asphalt and cement cutter, trenching/boring machine, jackhammer
Certified Class 1 - Water Treatment Operations Supervisor
Alpharetta, Georgia, United States
OnsiteFull Time
VeoliaEuronext Paris: VIE: Provides water, waste, and energy management services globally.
5+ YOE1+ MgmtHigh school diploma/GED, highest-level water and wastewater certifications, and 5–7 years in water or wastewater treatment. Requires supervisory experience, troubleshooting, reporting, safety, and computer skills.
Programmable Logic Controller (PLC), Microsoft Excel
Cobb County: Provides public services and local governance for Cobb County.
5+ YOEHigh school diploma or GED, technical water reclamation training, five years operating water reclamation facilities, valid driver's license, and Georgia Class I Wastewater license.
Inframark: Provides water and wastewater infrastructure operations and maintenance services.
2+ YOEHigh school diploma or GED, 2 years of water/wastewater experience, valid driver's license, and state/site-specific operator license. Requires equipment operation, Microsoft Office, internet, electrical, and confined-space work skills.
STV: Provides engineering and architectural design for public infrastructure.
7+ YOEBachelor’s degree in civil engineering or related field, 7+ years of civil, water/wastewater, or utility engineering experience, PE license, and water/wastewater pipeline and utility relocation experience.
Accura Engineering & Consulting: Independent civil construction services provider
7+ YOEPart-Time Utility Coordinator with 7+ years in transportation construction, inspection, design, or utility coordination; HS diploma required, Bachelor’s preferred; strong communication and leadership skills.