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Working in collaboration with the Vice President / CMO in the WellStar Health System (WHS), the Physician Advisor (PA) will be involved in the following areas: Utilization Management: The Physician Advisor (PA) will conduct clinical review on cases for commercial payers and medicare advantage plans that are referred by Care Coordination/Case Management staff and/or other health care professionals to assess for appropriateness of care; proper level of care in accordance with hospital objectives for assuring quality patient care and effective, efficient utilization of health care services, and to meet regulatory requirements. These duties will include but not be limited to areas such as concurrent assessment of the clinical situation, determination of medical necessity and appropriate level of care, real time feedback to physicians and case managers and all necessary follow-up with appropriate and clear communications of next actions to physicians; care coordinators, social workers, nursing staff and other key people involved in caring for individual patients whose cases have been referred for consultation: a) Assist with level of care and length of stay management.

<p>As the largest healthcare system in the suburbs of Atlanta, WellStar serves more than a million patients a year within our hospitals, health parks, urgent care centers, and medical practices in NW Atlanta. We are a leading not-for-profit health system with state-of-the-art medical technology and a world-class employee family. Onsite concierge services, pension plans and job sharing are just the start of our innovative vision of a ‘Work Life Well Lived!’</p>

WellStar Health System Inc

Physician Advisor

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This encompasses support for working families, which may include backup dependent care, adoption assistance, infertility coverage, family building support, behavioral health solutions, paid parental leave, and paid caregiver leave. Develops action plans to advance projects, particularly by resolving conflicts, identify their root causes, develop options, garner resources, and take action to prevent similar issues arising in the future.

Cencora Inc

Senior Director, Specialty Insights

Required Minimum Skills: Ability to read, write and speak English language, optimize the use of technology to support clinical care and holds basic computer skills; Strong interpersonal, collaborative skills along with customer service skills required; Ability to function in a fast paced environment and respond to emergencies in using a decisive, composed and respectful manner; Possess excellent time management skills; practices nursing using evidence and analytical skills along with possessing strong critical thinking skills. Core Responsibilities and Essential Functions: Exemplary Practice and Outcomes A.Performs the Nursing Process (assessment; diagnosis; identification of outcomes; planning; implementation and evaluation) in the performance of clinical care using evidence base practice, uses analytical/critical thinking and ensuring that care is individualized; coordinating care through effective partnerships recognizing that caring is central to achieve optimal patient care outcomes B.Provides relationship-based patient centered care that is consistent with population specific characteristics (e.g.

ED RN 3a-3p Full Time

ED RN 3a-3p

A.Performs the Nursing Process (assessment; diagnosis; identification of outcomes; planning; implementation and evaluation) in the performance of clinical care using evidence base practice, uses analytical/critical thinking and ensuring that care is individualized; coordinating care through effective partnerships recognizing that caring is central to achieve optimal patient care outcomes. C.Participates and supports performance improvement inclusive of all stakeholders, research and research utilization to promote safe, quality patient care including initiating and/or leading such activities as well as, promoting an inter/intra-disciplinary process and actively supports/participates in shared governance at all levels in the system.

Registered Nurse (RN) - Emergency Department

Required Minimum Skills: Ability to read, write and speak English language, optimize the use of technology to support clinical care and holds basic computer skills Strong interpersonal, collaborative skills along with customer service skills required Ability to function in a fast paced environment and respond to emergencies in using a decisive, composed and respectful manner Possess excellent time management skills practices nursing using evidence and analytical skills along with possessing strong critical thinking skills. Core Responsibilities and Essential Functions: Exemplary Practice and Outcomes A.Performs the Nursing Process (assessment; diagnosis; identification of outcomes; planning; implementation and evaluation) in the performance of clinical care using evidence base practice, uses analytical/critical thinking and ensuring that care is individualized; coordinating care through effective partnerships recognizing that caring is central to achieve optimal patient care outcomes B.Provides relationship-based patient centered care that is consistent with population specific characteristics (e.g.

Registered Nurse (RN) ED - Evenings

Required Minimum Skills: Ability to read, write and speak English language, optimize the use of technology to support clinical care and holds basic computer skills Strong interpersonal, collaborative skills along with customer service skills required Ability to function in a fast paced environment and respond to emergencies in using a decisive, composed and respectful manner Possess excellent time management skills practices nursing using evidence and analytical skills along with possessing strong critical thinking skills. Core Responsibilities and Essential Functions: Exemplary Practice and Outcomes Performs the Nursing Process (assessment; diagnosis; identification of outcomes; planning; implementation and evaluation) in the performance of clinical care using evidence base practice, uses analytical/critical thinking and ensuring that care is individualized; coordinating care through effective partnerships recognizing that caring is central to achieve optimal patient care outcomes Provides relationship-based patient centered care that is consistent with population specific characteristics (e.g.

Registered Nurse (RN) Part-Time - ED Nights

Serves as a liaison between hospital/system administration, departments, clinical staff, vendors and Supply Chain staff to ensure cost-effective utilization of supplies, including but not limited to the following as appropriate: medical/surgical supplies, physician preference items, pharmaceutical supplies, capital equipment, technology and process-related activities. Utilizes clinical knowledge and critical thinking to review and assess applicable financial, clinical, and operational data, as well as evidence-based literature to assist teams in evaluating new supplies and new technology Analysis, Tracking and Reporting Conducts clinical research on supplies and distributes to clinicians in order to determine safety and efficacy of clinical products.

Value Analysis Facilitator lll

Required Minimum Experience: Current advance credential with a minimum of two (2) years clinical experience to work in all critical care areas but not limited to Adult ICU, CVICU, BURN, NICU, Emergency Departments (Adult and Pediatric) as it relates each facility Required. NOTE: New Hires (After 11/13/2022): Must have one or more of the following NBRC Credentials: ACCS, AE-C, NPS, RPFT (AE-C certifications prior to September 1, 2022 issued by National Asthma Educator Certification Board).

Lead Registered Respiratory Therapist - NICU NP Nights @ Cobb Hospital

Required Minimum Experience: Minimum 2 years working in an acute care setting as a Clinical Documentation Specialist (CDS) Required and Minimum 5 years healthcare experience Required and Prior experience of working as a CDI/Coding auditor is preferred Preferred and Prior experience of working in inpatient case management or utilization review is preferred Preferred and. a) Initiates audits and prepares findings to assist CDI Education Lead in preparing and providing regular CDI education to stakeholders based on findings, trends, industry events and based on management needs b) Audits medical records to determine opportunities as they relate to clinical documentation improvement, PSI, HACs, mortality, etc.

Clinical Documentation Auditor

Job Summary: The Clinical Documentation Integrity (CDI) Education Lead collaborates with key stakeholders such as the CDI Leadership team, coding team members, providers, facility and service-line operational leadership, CDI & Coding auditors, and others to train providers on documentation best practices aimed at improving clinical documentation and coding accuracy. It is expected that all non-clinical (coding) background candidates have at least one of the following active/current certifications: (1) Certified Coding Specialist (CCS) from AHIMA, (2) Certified Professional Coder (CPC) from AAPC, (3) Registered Health Information Administrator (RHIA) from AHIMA, or (4) Registered Health Information Technician (RHIT) from AHIMA Upon Hire Required.

Clinical Documentation Education Lead

Bachelors degree from an accredited college or university in health sciences, business, healthcare administration, or health information management and at least one year experience performing quality management functions, such as data analysis, data display, leading improvement projects and teams, and the PDSA improvement projects and teams, and PDSA improvement process. The MCG educational experience is anchored by the main campus in Augusta, with regional clinical campuses for third- and fourth-year students across the state, and two four-year campuses located in Athens (in partnership with the University of Georgia) and in Savannah (in partnership with Georgia Southern University).

Augusta University

Quality Improvement Coordinator

This role focuses on optimizing guideline-directed medical therapy (GDMT), supporting medication titration, improving medication adherence, and collaborating closely with nurses and cardiology providers to improve outcomes for high-risk cardiac patients. A clinically confident cardiology pharmacist who is comfortable working telephonically, communicates complex clinical information in a patient-friendly way, and thrives inside a nurse-led, interdisciplinary care model.

Seamlessassist

Clinical Pharmacist – Cardiology / Value-Based Care

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Much like the specialized technical certifications and self-funded training tracks required to enter fields like veterinary technology or nursing, this program requires a personal tuition investment from the candidate (with financing options and flexible payment plans available for qualified applicants). Pathway Requirement: Successful completion of the required Medical Sales College program (such as TotalOrtho, TotalOrtho+, or specialized diagnostic/orthopedic tracks) serves as the prerequisite industry baseline for candidates lacking direct field experience.

The Medical Sales College has prepared thousands to land their dream job in the medical device sales industry for more than a decade. Our graduates enjoy a 84% job placement rate. The Institute’s affordable 8-week and 12-week programs offer students clinical knowledge, hands-on experience, consultative sales training, and career development. With a growing network of campuses across the country and a variety of financing options, we offer more people than ever an opportunity to learn the best practices for success in medical device sales.

Medical Sales College

Associate Medical Device Sales Representative

Core Responsibilities and Essential Functions: Exemplary Practice and Outcomes A. Performs the Nursing Process (assessment; diagnosis; identification of outcomes; planning; implementation and evaluation) in the performance of clinical care using evidence base practice, uses analytical/critical thinking and ensuring that care is individualized; coordinating care through effective partnerships recognizing that caring is central to achieve optimal patient care outcomes B. Serves as a preceptor and/or or mentor for other professional nurses (and staff or students for all disciplines) to ensure that there is a current and future qualified workforce, modeling the professional practice of nursing and creating a healthy work environment Evidence Based Practice and Research A. Promotes Evidence based practice, nursing research and performance improvement in nursing.

BMW Med/Surg RN-Day Shift

BMW Med/Surg RN-PT Day shift

Core Responsibilities and Essential Functions: Exemplary Practice and Outcomes Performs the Nursing Process (assessment; diagnosis; identification of outcomes; planning; implementation and evaluation) in the performance of clinical care using evidence base practice, uses analytical/critical thinking and ensuring that care is individualized; coordinating care through effective partnerships recognizing that caring is central to achieve optimal patient care outcomes Provides relationship-based patient centered care that is consistent with population specific characteristics (e.g. This includes, but is not limited to diverse and inclusive interdisciplinary communication methods (interdisciplinary rounds, case review, etc); completion of timely documentation and promotion of a respectful, inclusive clinical environment Demonstrates teamwork and collaboration by practicing in a manner that is fiscally responsible and promotes the recruitment and retention of all healthcare team members.

RN-North Fulton-Neuro ICU-Nights

BMW Med/Surg RN-Night shift

RN- Acute Care - Cardiac Telemetry- Full-Time Night Shift

The COM also integrates evidence-based practices into daily nursing routines, empowering staff to deliver optimal care through continuous learning, data utilization, and collaborative advocacy, ultimately ensuring measurable improvements in nursing practice and patient outcomes. Core Responsibilities and Essential Functions: Quality Improvement: Leads continuous quality improvement for registered nurses, identifying improvement areas, planning and implementing changes, and evaluating outcomes.

Utilization Management Nurse Jobs in Georgia

Physician Advisor WellStar Health System Inc

Senior Director, Specialty Insights Cencora Inc

ED RN 3a-3p Full Time WellStar Health System Inc

ED RN 3a-3p WellStar Health System Inc

Registered Nurse (RN) - Emergency Department WellStar Health System Inc

Registered Nurse (RN) ED - Evenings WellStar Health System Inc

Registered Nurse (RN) Part-Time - ED Nights WellStar Health System Inc

Value Analysis Facilitator lll WellStar Health System Inc

Lead Registered Respiratory Therapist - NICU NP Nights @ Cobb Hospital WellStar Health System Inc

Clinical Documentation Auditor WellStar Health System Inc

Clinical Documentation Education Lead WellStar Health System Inc

Quality Improvement Coordinator Augusta University

Clinical Pharmacist – Cardiology / Value-Based Care Seamlessassist

Associate Medical Device Sales Representative Medical Sales College

BMW Med/Surg RN-Day Shift WellStar Health System Inc

BMW Med/Surg RN-PT Day shift WellStar Health System Inc

RN-North Fulton-Neuro ICU-Nights WellStar Health System Inc

BMW Med/Surg RN-Night shift WellStar Health System Inc

RN- Acute Care - Cardiac Telemetry- Full-Time Night Shift WellStar Health System Inc

Clinical Outcomes Manager (Columbia County)-FT Days WellStar Health System Inc

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