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Part Time Utilization Management Jobs in Georgia

Nurse Case Manager

Atlanta, GA ยท On-site

$30 - $35/hr

Ascensa Health is currently hiring a Part Time (28 hours/ week) Nurse Case Manager for our ... Proficiency in medical case management, utilization management, and data tracking processes.

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Part Time Utilization Management information

What is the difference between Part Time Utilization Management vs Part Time Care Coordinator?

AspectPart Time Utilization ManagementPart Time Care Coordinator
Primary RoleReviewing and approving healthcare services to ensure appropriate utilizationCoordinating patient care plans and services across providers
CertificationsTypically requires healthcare or insurance-related certificationsOften requires healthcare or case management certifications
Work EnvironmentOffice-based, insurance companies, healthcare organizationsHealthcare facilities, clinics, or community health settings
Employer & Industry UsageInsurance companies, managed care organizationsHospitals, clinics, healthcare providers

While both roles involve healthcare coordination, Part Time Utilization Management focuses on reviewing and authorizing services, whereas Part Time Care Coordinators actively manage patient care plans. Understanding these differences helps in choosing the right career path or job search focus.

What are the key skills and qualifications needed to thrive as a Part Time Utilization Management professional, and why are they important?

To thrive as a Part Time Utilization Management professional, you need a background in nursing or healthcare, critical thinking skills, and knowledge of medical necessity criteria, often supported by RN or LPN licensure. Familiarity with utilization review software, electronic health records (EHRs), and systems like InterQual or Milliman is typically required. Strong communication, attention to detail, and organizational skills help you effectively coordinate with providers and ensure accurate documentation. These abilities are essential for making informed coverage determinations, optimizing resource use, and maintaining compliance with healthcare regulations.

What is a part-time utilization management job?

A part-time utilization management job involves reviewing and evaluating the medical necessity, appropriateness, and efficiency of healthcare services, procedures, and facilities on a part-time basis. These professionals help ensure that patients receive the right care at the right time while controlling healthcare costs and complying with insurance policies. Part-time roles may be suitable for nurses, social workers, or other healthcare professionals who want flexible hours while contributing to quality patient care and resource management.
What are the most commonly searched types of Utilization Management jobs in Georgia? The most popular types of Utilization Management jobs in Georgia are:
What cities in Georgia are hiring for Part Time Utilization Management jobs? Cities in Georgia with the most Part Time Utilization Management job openings:
Nurse Case Manager

Nurse Case Manager

Ascensa Health

Atlanta, GA โ€ข On-site

$30 - $35/hr

Part-time

Posted 7 days ago


Job description

About the Role:

Ascensa Health is currently hiring a Part Time (28 hours/ week) Nurse Case Manager for our Medication Assisted Treatment Program.

The Nurse Case Manager plays a critical role in coordinating and managing patient care to ensure optimal health outcomes while controlling healthcare costs. This position involves comprehensive assessment, planning, implementation, and evaluation of patient care plans for clients in the MAT (Medication Assisted Treatment) Program. By utilizing evidence-based practices and healthcare management principles, the Nurse Case Manager ensures that patients receive appropriate, timely, and appropriate.

Minimum Qualifications:

  • Current and valid Licensed Practical Nurse (LPN) or Registered Nurse (RN) license in Georgia.
  • Minimum of 3 years clinical nursing experience, preferably in case management, Substance Abuse Treatment, and/ or Medication Assisted Treatment
  • Proficiency in medical case management, utilization management, and data tracking processes.

Responsibilities:

  • Conduct thorough assessments of patientsโ€™ medical histories, current health status, use history, and care needs to develop individualized case management plans for clients in the MAT program.
  • Coordinate with multidisciplinary healthcare teams, including physicians, nurses, social workers, and therapists, to implement and monitor patient care plans.
  • Manage utilization review processes to ensure that healthcare services are medically necessary and align with payer guidelines.
  • Provide education and support to patients regarding medication management, treatment options, and available community resources.
  • Monitor patient progress and adjust care plans as needed.
  • Maintain accurate and timely documentation of case management activities in compliance with regulatory and organizational standards.

EOE/ Drug Free Workplace


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About Ascensa Health

Sourced by ZipRecruiter

Ascensa Health, formerly known as St. Jude's Recovery Center, has helped to rebuild the lives of individuals who suffer from the disease of addiction and co occurring mental health disorders since 1962. Based in Metro Atlanta, Ascensa Health provides behavioral health care for addiction and co-occurring mental health disorders that sustains recovery and returns individuals to their families and communities. Our programs and services are based on the belief that addiction is a disease. We focus on treating the whole person and we support people over a lifetime of recovery. Ascensa Health is open to anyone seeking treatment for addiction and co occurring mental health disorders. Most people who come to Ascensa Health are low income, experiencing homelessness, do not have health insurance and or cannot afford life saving treatment.

Industry

Non-profits

Company size

51 - 200 Employees

Headquarters location

Atlanta, GA, US

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