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Remote Concurrent Review Nurse Jobs in Georgia (NOW HIRING)

Monogram Health

Market Physician Executive

Valdosta, GA · Remote

Review and approve APP, RN, SW, and Pharmacy plans of care, and co-sign APP encounters. * Maintain ... Actively lead daily high-risk and concurrent review rounds. * Provide direct supervision to front ...

Integrated Resources INC

Case Manager

Alpharetta, GA · Remote

$19.50 - $25.25/hr

Master's This is a TEMP- TO-PERM Care Manager RN position. The position is created to meet and ... Performs concurrent reviews for inpatient care and other levels of care as allowed by scope of ...

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Market Physician Executive

Monogram Health

Savannah, GA • Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 29 days ago

Job description

Monogram Health is seeking a mission-driven Market Physician Executive (MPE) to lead its in-home multi-specialty polychronic care model in the Savannah, GA market. This key clinical leadership role involves developing and overseeing clinical strategies, policies, and operations to improve patient health outcomes. The MPE will deliver exceptional outcomes through disease detection, evidence-based clinical pathways, and direct patient care, while also focusing on patient experience, population health, provider satisfaction, and cost reduction.

Practice Info

  • Lead an in-home multi-specialty polychronic care model in an assigned market.
  • Each market is comprised of 5-10 territories led by local advanced practice providers (APP), registered nurses (RN), licensed clinical social workers (LCSW), and pharmacists.
  • Collaborate with Monogram Health's Multi-Specialty Platform to leverage employed specialists to deliver in-home specialty care.
  • Deploy a proven risk-based model to ensure health equity and health equality leveraging proprietary next generation AI algorithms.
  • This position will be remote within the designated market with occasional in-home patient treatment visits and occasional domestic travel.

Responsibilities

  • Lead daily high risk and concurrent review rounds.
  • Provide direct and indirect patient care, including diagnosis and treatment of acute and chronic diseases.
  • Review and approve APP, RN, SW, and Pharmacy plans of care.
  • Review, approve, and co-sign APP encounters.
  • Oversee and delegate operational responsibility to Market Manager for daily operations.
  • Conduct Peer to Peer consults with community, facility, and health plan partners.
  • Provide clinical guidance and direction to Market teams to drive Population Health Management activities.
  • Participate in Monogram On-Call rotation, which will vary (e.g., 7 days on call minimum once/quarter).

Compensation

  • Competitive compensation.

Benefits

  • Medical, dental, and vision insurance.
  • Employee assistance program.
  • Employer-paid and voluntary life insurance.
  • Disability insurance.
  • Health and flexible spending accounts.
  • 401k with employer match.
  • Financial wellness resources.
  • Paid holidays.
  • Flexible vacation time/PSSL.
  • Paid parental leave.
  • Work life assistance resources.
  • Physical wellness perks.
  • Mental health support.
  • Employee referral program.
  • BenefitHub for employee discounts.

Shift & Schedule

  • Participate in Monogram On-Call rotation which will vary; e.g. 7 days on call minimum once/quarter.

Requirements

  • Current state medical license without restrictions to practice and free of sanctions from Medicaid or Medicare.
  • Willingness to become licensed in multiple states.
  • MD or DO degree from an accredited medical school.
  • BC or BE in an ACGME approved specialty such as Nephrology, Internal Medicine, Family Practice, Emergency Medicine, Critical Care, Cardiology, Endocrinology, Hepatology, or Geriatrics.
  • Active, unrestricted state medical license required in each state within the market, and ability to obtain additional states as needed.
  • Demonstrated experience applying evidence-based clinical criteria.
  • Experience in multispecialty, geriatrics, and/or value-based care.
  • Advanced management and communication skills.
  • Experience with high need Medicare Advantage and managed Medicaid populations.
  • Experience with NCQA, HEDIS, Medicaid, Medicare, quality improvement, medical utilization management, and risk adjustment.

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