Top 16742 Part time Jobs in Decatur, GA

Utilization Specialist
RiverWoods Behavioral Health —Riverdale, GA
- Part-time
- CPR Certification
- Nursing
- RN License
Part-Time Evening Trash Collector
Affinity Waste Solutions LLC —Stonecrest, GA
- $400 - $1,300 a month
- Part-time
- Background check
- Pass drug screening
- Ability to lift 50 pounds
- Paid training
Quick Apply
Bank Clerk - AI Trainer
DataAnnotation —Atlanta, GA
- $50 - $100 an hour
- Part-time
- Remote
- English
- Mid-level
- Master's degree
Quick Apply
Delivery Dispatcher/Independent Contractor
AME Pharmacy Courier —Peachtree Corners, GA
- $250 - $1,500 a week
- Part-time
- HIPAA
- Mid-level
- Driver's License
- Flexible schedule
Quick Apply
2d
Proofreader - AI Trainer
DataAnnotation —Sandy Springs, GA
- $25 - $30 an hour
- Part-time
- Remote
- Writing skills
- English
- Research
Quick Apply
Greeter
Houston's —Atlanta, GA
- $25 - $30 an hour
- Part-time
- US work authorization
- Restaurant
- Entry level
- Dental insurance
Quick Apply
Personal Shopper (In-Store)
Walmart —Decatur, GA
- $15 - $28 an hour
- Part-time
- High school
- Entry level
- Paid jury duty
- Disability insurance
Appointment Setter
Wealthy Leadership Inc. —Atlanta, GA
- $900 - $1,800 a week
- Part-time
- Remote
- Communication skills
- Entry level
Quick Apply
Part Time Customer Care
Zifty —Decatur, GA
- $20 - $22 an hour
- Part-time
- Computer literacy
- Office
- Computer skills
Quick Apply
Records Clerk - Part Time
IST Management Services —Atlanta, GA
- $22 - $25 an hour
- Part-time
- Customer service
- Mid-level
- Office
- Free parking
Part Time Stocker
All American Quality Food Inc —Stone Mountain, GA
- Part-time
- Merchandising
- Basic math
- Ability to lift 50 pounds
Quick Apply
Team Member (Part Time)
SKIMS —Atlanta, GA
- $18 an hour
- Part-time
- 18 years or older
- Cleaning
- Communication skills
- Employee discount
- Paid sick time
Quick Apply
Laboratory Courier
Children's Healthcare of Atlanta —Atlanta, GA
- Part-time
- CDL
- High school diploma or GED
- Children
Quick Apply
Store Associate
SHOE SHOW —Stone Mountain, GA
- Part-time
- Merchandising
- Entry level
- Employee discount
Quick Apply
Checkout Team Associate
Walmart —Stone Mountain, GA
- $15 - $28 an hour
- Part-time
- High school
- Entry level
- Paid jury duty
- Disability insurance
Shipping Assistant
Revolution Field Strategies —Atlanta, GA
- $20 an hour
- Part-time
- Background check
- US work authorization
- Organizational skills
- Health insurance
- Dental insurance
Quick Apply
8d
Host/Hostess
Houston's —Atlanta, GA
- $28 - $35 an hour
- Part-time
- US work authorization
- Restaurant
- Entry level
- Health insurance
- Dental insurance
Quick Apply
Cookie Crew
Insomnia Cookies —Atlanta, GA
- Part-time
- 18 years or older
- Bakery
- Quick service & fast food restaurant
- Employee discount
- Pet insurance
Quick Apply
Check-in Admin- Mercedes Benz Stadium
Levy Sector —Atlanta, GA
- $21 an hour
- Part-time
- Background check
- Team management
- Entry level
- Wellness program
- Paid time off
Quick Apply
Online Store Associate
Beauty Exchange Beauty Supply —Stone Mountain, GA
- $13 - $14 an hour
- Part-time
- Computer literacy
- High school diploma or GED
- Driver's License
- Employee discount
Quick Apply
5d

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Utilization Specialist

RiverWoods Behavioral Health -
Riverdale, GA

Apply Now

Job Details

Part-time

Qualifications

CPR Certification
BLS Certification
High school diploma or GED

Full Job Description

Overview:

PURPOSE STATEMENT:

Proactively monitor utilization of services for patients to optimize reimbursement for the facility.

Responsibilities:

ESSENTIAL FUNCTIONS:

Act as liaison between managed care organizations and the facility professional clinical staff.
Conduct reviews, in accordance with certification requirements, of insurance plans or other managed care organizations (MCOs) and coordinate the flow of communication concerning reimbursement requirements.
Monitor patient length of stay and extensions and inform clinical and medical staff on issues that may impact length of stay.
Gather and develop statistical and narrative information to report on utilization, non-certified days (including identified causes and appeal information), discharges and quality of services, as required by the facility leadership or corporate office.
Conduct quality reviews for medical necessity and services provided.
Facilitate peer review calls between facility and external organizations.
Initiate and complete the formal appeal process for denied admissions or continued stay.
Assist the admissions department with pre-certifications of care.
Provide ongoing support and training for staff on documentation or charting requirements, continued stay criteria and medical necessity updates.

OTHER FUNCTIONS:

Perform other functions and tasks as assigned.

Qualifications:

EDUCATION/EXPERIENCE/SKILL REQUIREMENTS:

Required Education: High school diploma or equivalent.
Preferred Education: Associate's, Bachelor's, or Master’s degree in Social Work, Behavioral or Mental Health, Nursing, or a related health field.
Experience: Clinical experience is required, or two or more years' experience working with the facility's population. Previous experience in utilization management is preferred

LICENSES/DESIGNATIONS/CERTIFICATIONS:

Preferred Licensure: LPN, RN, LMSW, LCSW, LPC, LPC-I within the state where the facility provides services; or current clinical professional license or certification, as required, within the state where the facility provides services.
CPR and de-escalation and restraint certification required (training available upon hire and offered by facility.
First aid may be required based on state or facility requirements.

ADDITIONAL REGULATORY REQUIREMENTS:

While this job description is intended to be an accurate reflection of the requirements of the job, management reserves the right to add or remove duties from particular jobs when circumstances
(e.g. emergencies, changes in workload, rush jobs or technological developments) dictate.

We are committed to providing equal employment opportunities to all applicants for employment regardless of an individual’s characteristics protected by applicable state, federal and local laws.

Apply Now

Refine Your Search

part time jobs in Decatur, GA

Utilization Specialist

Part-Time Evening Trash Collector

Bank Clerk - AI Trainer

Delivery Dispatcher/Independent Contractor

Proofreader - AI Trainer

Greeter

Personal Shopper (In-Store)

Appointment Setter

Part Time Customer Care

Records Clerk - Part Time

Part Time Stocker

Team Member (Part Time)

Laboratory Courier

Store Associate

Checkout Team Associate

Shipping Assistant

Host/Hostess

Cookie Crew

Check-in Admin- Mercedes Benz Stadium

Online Store Associate

I want to receive the latest job alert for part time in Decatur, GA

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