212 Healthcare jobs in Grayson

Home Health Physical Therapist Assistant (PTA)

 Midtown / Downtown Atlanta GA

Fulton County

Interim HealthCare of Atlanta, GA is seeking a full time Home Care Physical Therapist Assistant (PTA) to join our team. Work a flexible schedule maintaining a healthy work/life balance while receiving top notch pay and an impressive benefit package

Step into a therapy career where you are valued, supported and empowered to make a positive impact in a patient’s life. At Interim HealthCare®, these are just a few of the rewards you’ll enjoy as a Home Health PTA making Home Health visits.

What sets us apart? For starters, more than 65 percent of our leaders are nurses and medical professionals.  So, we know firsthand what it takes to care for patients and the sacrifices you make to do so. Moreover, we recognize the crucial role PTAs play in the healing process. If you’re ready to experience the rewards of home health therapy, you are made for this!  

 Our Home Health Physical Therapist Assistant enjoy some notable benefits:

• Best pay rates in town
• 1:1 therapist-to-patient ratios where you impact outcomes
• Flexible schedule, autonomy and work-life balance
• Tuition discounts through Rasmussen University
• Online training courses to promote growth
• PTO, Holiday Pay, Medical/Dental/Vision/Life/ Short & Long Term Disability/ Accident & 401k with company match benefits

As a Home Health Physical Therapist Assistant, here’s a big-picture view of what you’ll do:

• Provide home-based care to patients with illnesses, injuries and chronic diseases—often after discharge from a hospital, rehab or nursing facility
• Work with a team of physicians and oversee paraprofessional staff providing patient care
• Examine patients, complete assessments, document progress and report changes to their physician
• Educate patients on their plan of care, prescribed medication, therapy, diet and exercise
• Coach family members on the patient’s plan of care, medication and home safety  
• Ensure goals are met by effectively communicating with members of the interdisciplinary healthcare team providing care to promote coordination of patient care and planning for discharge

A few must-haves for Home Health Physical Therapists Assistants:

• Active licensure or certification as a Physical Therapist Assistant in the state of GA
• Within the last 5 years, minimum of 2 years of experience as a PTA in home healthcare
• HCHB charting experience
• CPR certification, negative ppd screening or chest x-ray
• Drivers license, reliable transportation & auto insurance 
• Knowledge of state and federal home health regulations
• Good clinical judgement /proficiency, strong communication skills, dexterity and compassion
• Able to pass federal and state required criminal / abuse background checks and drug screen

Why Work for Interim HealthCare?

Founded in 1966, Interim HealthCare is the nation’s first home care company and a leading employer of Home Health Physical Therapist Assistants (PTAs). Operating through 300+ offices, our commitment to you is expressed through a family-oriented culture that values and appreciates therapists, and a passion to put patients first. Join a nationwide network of PTAs who are making a significant impact in the lives of others through the personalized, home-based therapy they provide.

Interim HealthCare is an equal opportunity employer that is committed to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws.

#ATLIND1

ChenMed invites BC/BE Geriatricians for consideration! Our Atlanta, GA team is growing our services to lead preventative VIP care for seniors in our community. ChenMed is based in the greater Miami Area but leads the Senior Care Revolution in 12 states and 21 cities through our 100+ clinics and centers. We are a physician-led, rapidly expanding organization that has 1 focus area; rescue any and every senior in need of primary care services through our values: Love, Accountability, and Passion. Our physicians enjoy the following:Compensation and Benefits:- Market competitive base salary- Commencement bonus and quality incentives- 27 Combined Days Off (PTO, Holidays, and Personal)- An additional 5 CME days with an allowance of $3,500Comprehensive benefits offering, to include: - Health, Dental, Vision, 401k w/match- Provided relocation expensePractice Details:- Monday-Friday, 8:00 a.m. - 5:00 p.m.; admin time is factored into each providers schedule- Patient panel cap of 450- Multiple leadership opportunities with encouraged and outlined advancement tracksDedicated in-house staff, to include: Nursing services, Case Managers, Social Workers, and ConsultantsPlease contact me if you might be interested. I would love to discuss this opportunity at your convenience.

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.

As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.

Position Summary/Mission

The role of Medical Director - Clinical Support is an exciting opportunity for a physician to use their clinical background, skills, and experience to help improve the health and well-being of our members at the individual and population health levels. The Medical Director provides clinical leadership and support to our portfolio of clinical products and programs as well as sales and account management. Duties include support for - case management, clinical content research & development, chronic condition management, lifestyle and well-being programs, clinical support of prospects and existing clients, educational support to clinical staff, account & sales teams, and other clinically-related services as assigned.

Fundamental Components & Physical Requirements

• Collaborate with internal and external stakeholders to optimize member care and outcomes.

• Support clinical operations' delivery of population health interventions - including and not limited to reviewing care plans, conducting case reviews, providing clinical guidance.

• Identify areas for improvement and support initiatives to address gaps and optimize processes.

• Communicate effectively presenting clinical insights, strategies, and performance reports.

• Support research initiatives aimed at evaluating solution outcomes.

• Collaborate with the sales and business development teams to support client acquisition and retention efforts.

• Ensure provision of clinical expertise and insights during client meetings, presentations, and negotiations.

• Develop clinical content for sales collateral, proposals, and client communications to showcase the value of our population health solutions.

• Participate in client onboarding processes, ensuring smooth transitions and alignment of clinical services with client needs and goals.

• Act as a medical advisor and liaison for key client accounts, addressing clinical inquiries, concerns, and escalations.

• Represent the company in medical conferences, seminars, and industry events.

• Stay updated with the latest clinical research, trends, and technologies relevant to population health management.

• Support innovation by identifying opportunities for new programs, services, or partnerships that enhance member care and outcomes.

Required Qualifications

Minimum of 3 years of clinical experience in health care delivery (clinical practice)

Experience in managed care, care management, utilization management, quality management, or population health

MD or DO degree, Board Certification in a ABMS or AOA recognized specialty including post-graduate patient care training

Preferred Qualifications

Comprehensive knowledge of Microsoft Office Suite

Electronic Medical System experience (Epic will be most useful)

Strong organizational skills

Ability to set and achieve goals

Ability to multi-task effectively and efficiently

Strong oral, presentation, and written skills

Strong interpersonal skills

Ability to work independently and adapt to team approach as necessary

Strong ability to work in and affect change in a highly matrixed environment

Additional training or experience in Health IT and analytics

Education

MD or DO degree, Board Certification in a ABMS or AOA recognized specialty including post-graduate patient care training

Active and current state medical license (any state)

Ability to get additional state medical licenses as required for the business

Clinical Licensure Required

Current, unrestricted U.S. medical license

Board Certified MD

May be required to get additional state licenses

Location

• Work From Home - Mid-Atlantic or Southeast preferred (will consider any state) Work from Home - Ability to work East Coast hours.

• Travel: 20 %

Pay Range

The typical pay range for this role is:

$174,070.00 - $374,920.00

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. This position also includes an award target in the company's equity award program.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:

• Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan .

• No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.

• Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.

For more information, visit

We anticipate the application window for this opening will close on: 10/01/2025

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.

Be inspired. Be rewarded. Belong. At Emory Healthcare.  

At Emory Healthcare we fuel your professional journey with better benefits, valuable resources, ongoing mentorship and leadership programs for all types of jobs, and a supportive environment that enables you to reach new heights in your career and be what you want to be.  We provide: 

• Comprehensive health benefits that start day 1 
• Student Loan Repayment Assistance & Reimbursement Programs 
• Family-focused benefits  
• Wellness incentives 
• Ongoing mentorship, development, and leadership programs  
• And more 

*This position requires previous Cardiac Device Experience. 

**A CCDS certification is highly preferred for this role. 

8am-5pm / Monday-Friday / Full Time

We are seeking a capable Senior Nurse Manager who has acquired broad experience in caring for patients and has developed a sound understanding about the care of a particular patient population.

• The Nurse Manager plays a key leadership role within the nursing and clinical teams, overseeing daily clinical and operational functions to ensure seamless patient care across the care continuum.
• This role demands a dynamic leader capable of managing both clinical excellence and operational performance, all while ensuring that patient care remains the top priority.
• You will lead staff, drive clinical practice development, and manage patient care delivery, while being accountable for team performance, quality, safety, compliance, financials, throughput, and operational efficiency.
• Reporting to the Director of Patient Care Service, you will develop, implement, and evaluate systems that promote high-quality, cost-effective, and safe care.
• Key Responsibilities: Leadership & Team Development:
• Develop and maintain high engagement, visibility, and accountability within the healthcare team to achieve organizational vision, mission, and goals.
• Foster a culture of collaboration, excellence, accountability, and mutual respect within inter-professional care teams.
• Provide education, coaching, and guidance to staff, ensuring adherence to clinical standards and best practices.
• Facilitate staff onboarding, competency assessment, and continuous professional development.
• Manage and support a diverse workforce based on organizational goals, staffing needs, and budget considerations. Clinical & Operational Management:
• Oversee clinical and operational workflows, ensuring seamless patient integration and service efficiency.
• Lead and implement quality and safety initiatives specific to your area, aligning with organizational objectives.
• Execute financial and productivity initiatives in line with organizational goals.
• Collaborate with division leadership to ensure patient safety and monitor quality and safety objectives across the care continuum.
• Identify and implement evidence-based practices to enhance patient safety and reduce risk, in alignment with the Magnet® model. Performance & Compliance:
• Manage performance, providing feedback and addressing issues related to patient care and professional conduct.
• Ensure compliance with regulatory standards, accreditation requirements, and organizational policies.
• Lead continuous quality improvement efforts through data analysis, problem-solving, and monitoring key performance indicators (KPIs).
• Ensure adherence to Magnet Model principles and implement strategies that enhance clinical practice outcomes. Strategic & Operational Oversight:
• Plan, prioritize, and execute operations efficiently, anticipating resource needs and achieving results within budget.
• Address operational challenges and apply problem-solving skills to resolve issues, working in partnership with triad leadership. 
• Advocate for optimal resource allocation to support patient care and improve overall service delivery.
• Workplace Culture & Staff Well-Being:
• Foster an inclusive and diverse work environment that values individual differences and promotes staff well-being.
• Create and support a healthy work environment that encourages professional growth and high staff morale.
• Demonstrate leadership in challenging situations, adapting styles as needed, and effectively communicating unit goals. Professional Practice Oversight:
• Actively monitor nursing practice to ensure adherence to established clinical standards, policies, and procedures.
• Provide ongoing education and training to nurses, ensuring up-to-date clinical skills and regulatory knowledge.
• Advocate for patient safety and optimal care by addressing concerns regarding staffing, resources, and care delivery.

MINIMUM QUALIFICATION:

• Education: Bachelor's degree in nursing (BSN) required Experience: A minimum of five (5) total years of professional nursing practice experience in acute and/or ambulatory care settings; with two (2) years of lead, supervisory, management, and/or leadership experience in nursing and/or health system position/role.
• Licensure: Acute / Ambulatory Setting: A valid, unencumbered Registered Nursing License approved by the Georgia Board of Nursing.
• Virtual Care Setting: If overseeing virtual care activities, an active compact/multistate license (eNLC) is required within 60 days of hire.
• Certifications: BLS required
• ACLS certification may be necessary depending on specialty area, post hire
• Additional certifications may be required based on department and specialty Skills:
• Demonstrated leadership in promoting collaboration, diversity, equity, inclusion, and social justice within the populations served and the health system.
• Experience overseeing intricate, complex service line operations within a healthcare system.
• Ongoing demonstrated clinical and leadership competence.
• Preferred Qualifications: Education: Master's degree in nursing or Doctoral degree (DNP, PhD, DrPH) strongly preferred.
• Experience: A minimum of five (5) total years of professional nursing practice experience in acute and/or ambulatory care settings; three (3) years of lead, supervisory, management, and/or leadership experience within a complex academic health system preferred.
• Certification: Nurse Executive Certification (NE-BC, NEA-BC) or comparable certifications (CNML or CENP)

JOIN OUR TEAM TODAY! Emory Healthcare (EHC), part of Emory University (EUV), is the most comprehensive academic health system in Georgia and the first and only in Georgia with a Magnet® designated ambulatory practice. We are made up of 11 hospitals-4 Magnet® designated, the Emory Clinic, and more than 425 provider locations. The Emory Healthcare Network, established in 2011, is the largest clinically integrated network in Georgia, with more than 3,450 physicians concentrating in 70 different subspecialties. 

Emory is an equal opportunity employer, and qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or other characteristics protected by state or federal law.

Emory Healthcare is committed to providing reasonable accommodations to qualified individuals with disabilities upon request. Please contact Emory Healthcare's Human Resources at careers@ . Please note that one week's advance notice is preferred.

Overview

Be inspired. Be rewarded. Belong. At Emory Healthcare.

At Emory Healthcare we fuel your professional journey with better benefits, valuable resources, ongoing mentorship and leadership programs for all types of jobs, and a supportive environment that enables you to reach new heights in your career and be what you want to be. We provide:

• Comprehensive health benefits that start day 1

• Student Loan Repayment Assistance & Reimbursement Programs

• Family-focused benefits

• Wellness incentives

• Ongoing mentorship, development, and leadership programs

• And more

*This position requires previous Cardiac Device Experience.

**A CCDS certification is highly preferred for this role.

Description

8am-5pm / Monday-Friday / Full Time

We are seeking a capable Senior Nurse Manager who has acquired broad experience in caring for patients and has developed a sound understanding about the care of a particular patient population.

• The Nurse Manager plays a key leadership role within the nursing and clinical teams, overseeing daily clinical and operational functions to ensure seamless patient care across the care continuum.

• This role demands a dynamic leader capable of managing both clinical excellence and operational performance, all while ensuring that patient care remains the top priority.

• You will lead staff, drive clinical practice development, and manage patient care delivery, while being accountable for team performance, quality, safety, compliance, financials, throughput, and operational efficiency.

• Reporting to the Director of Patient Care Service, you will develop, implement, and evaluate systems that promote high-quality, cost-effective, and safe care.

• Key Responsibilities: Leadership & Team Development:

• Develop and maintain high engagement, visibility, and accountability within the healthcare team to achieve organizational vision, mission, and goals.

• Foster a culture of collaboration, excellence, accountability, and mutual respect within inter-professional care teams.

• Provide education, coaching, and guidance to staff, ensuring adherence to clinical standards and best practices.

• Facilitate staff onboarding, competency assessment, and continuous professional development.

• Manage and support a diverse workforce based on organizational goals, staffing needs, and budget considerations. Clinical & Operational Management:

• Oversee clinical and operational workflows, ensuring seamless patient integration and service efficiency.

• Lead and implement quality and safety initiatives specific to your area, aligning with organizational objectives.

• Execute financial and productivity initiatives in line with organizational goals.

• Collaborate with division leadership to ensure patient safety and monitor quality and safety objectives across the care continuum.

• Identify and implement evidence-based practices to enhance patient safety and reduce risk, in alignment with the Magnet® model. Performance & Compliance:

• Manage performance, providing feedback and addressing issues related to patient care and professional conduct.

• Ensure compliance with regulatory standards, accreditation requirements, and organizational policies.

• Lead continuous quality improvement efforts through data analysis, problem-solving, and monitoring key performance indicators (KPIs).

• Ensure adherence to Magnet Model principles and implement strategies that enhance clinical practice outcomes. Strategic & Operational Oversight:

• Plan, prioritize, and execute operations efficiently, anticipating resource needs and achieving results within budget.

• Address operational challenges and apply problem-solving skills to resolve issues, working in partnership with triad leadership.

• Advocate for optimal resource allocation to support patient care and improve overall service delivery.

• Workplace Culture & Staff Well-Being:

• Foster an inclusive and diverse work environment that values individual differences and promotes staff well-being.

• Create and support a healthy work environment that encourages professional growth and high staff morale.

• Demonstrate leadership in challenging situations, adapting styles as needed, and effectively communicating unit goals. Professional Practice Oversight:

• Actively monitor nursing practice to ensure adherence to established clinical standards, policies, and procedures.

• Provide ongoing education and training to nurses, ensuring up-to-date clinical skills and regulatory knowledge.

• Advocate for patient safety and optimal care by addressing concerns regarding staffing, resources, and care delivery.

MINIMUM QUALIFICATION:

• Education: Bachelor's degree in nursing (BSN) required Experience: A minimum of five (5) total years of professional nursing practice experience in acute and/or ambulatory care settings; with two (2) years of lead, supervisory, management, and/or leadership experience in nursing and/or health system position/role.

• Licensure: Acute / Ambulatory Setting: A valid, unencumbered Registered Nursing License approved by the Georgia Board of Nursing.

• Virtual Care Setting: If overseeing virtual care activities, an active compact/multistate license (eNLC) is required within 60 days of hire.

• Certifications: BLS required

• ACLS certification may be necessary depending on specialty area, post hire

• Additional certifications may be required based on department and specialty Skills:

• Demonstrated leadership in promoting collaboration, diversity, equity, inclusion, and social justice within the populations served and the health system.

• Experience overseeing intricate, complex service line operations within a healthcare system.

• Ongoing demonstrated clinical and leadership competence.

• Preferred Qualifications: Education: Master's degree in nursing or Doctoral degree (DNP, PhD, DrPH) strongly preferred.

• Experience: A minimum of five (5) total years of professional nursing practice experience in acute and/or ambulatory care settings; three (3) years of lead, supervisory, management, and/or leadership experience within a complex academic health system preferred.

• Certification: Nurse Executive Certification (NE-BC, NEA-BC) or comparable certifications (CNML or CENP)

JOIN OUR TEAM TODAY! Emory Healthcare (EHC), part of Emory University (EUV), is the most comprehensive academic health system in Georgia and the first and only in Georgia with a Magnet® designated ambulatory practice. We are made up of 11 hospitals-4 Magnet® designated, the Emory Clinic, and more than 425 provider locations. The Emory Healthcare Network, established in 2011, is the largest clinically integrated network in Georgia, with more than 3,450 physicians concentrating in 70 different subspecialties.

Additional Details

Emory is an equal opportunity employer, and qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or other characteristics protected by state or federal law.

Emory Healthcare is committed to providing reasonable accommodations to qualified individuals with disabilities upon request. Please contact Emory Healthcare's Human Resources at . Please note that one week's advance notice is preferred.

Connect With Us!

Connect with us for general consideration!

Division The Emory Clinic

Campus Location Atlanta, GA, 30322

Campus Location US-GA-Atlanta

Department TEC Cardio EP Clifton HBC

Job Type Regular Full-Time

Job Number 145134

Job Category Nursing

Schedule 8a-5p

Standard Hours 40 Hours

Hourly Minimum USD $56.28/Hr.

Hourly Midpoint USD $65.25/Hr.

Emory Healthcare is an Equal Employment Opportunity employer committed to providing equal opportunity in all of its employment practices and decisions. Emory Healthcare prohibits discrimination, harassment, and retaliation in employment based on race, color, religion, national origin, sex, sexual orientation, gender identity or expression, pregnancy, age (40 and over), disability, citizenship, genetic information, service in the uniformed services, veteran status or any other classification protected by applicable federal, state, or local law.

Overview

Be inspired . Be rewarded. Belong. At Emory Healthcare.

At Emory Healthcare we fuel your professional journey with better benefits, valuable resources,ongoingmentorshipand leadership programs for all types of jobs, and asupportive environment that enables you to reach new heights in your careerand be what you want to be.We provide:

• Comprehensive health benefits that start day 1

• Student Loan Repayment Assistance & Reimbursement Programs

• Family-focused benefits

• Wellness incentives

• Ongoing mentorship,development,leadership programs.and more!

Description

8a - 4:30p / Full-Time / 40 hrs

We're seeking a dedicated Nurse Manager to continue the growth of our Complex Medical unit 62 at Emory University Hospital Midtown. As the nurse manager, you'll lead a team of passionate RN's and support staff, ensuring that our patients receive the highest quality care while maintaining operational excellence.

• The Nurse Manager plays a key leadership role within the nursing and clinical teams, overseeing daily clinical and operational functions to ensure seamless patient care across the care continuum.

• This role demands a dynamic leader capable of managing both clinical excellence and operational performance, all while ensuring that patient care remains the top priority.

• You will lead staff, drive clinical practice development, and manage patient care delivery, while being accountable for team performance, quality, safety, compliance, financials, throughput, and operational efficiency.

• Reporting to the Director of Patient Care Service, you will develop, implement, and evaluate systems that promote high-quality, cost-effective, and safe care.

• Key Responsibilities: Leadership & Team Development:

• Develop and maintain high engagement, visibility, and accountability within the healthcare team to achieve organizational vision, mission, and goals.

• Foster a culture of collaboration, excellence, accountability, and mutual respect within inter-professional care teams.

• Provide education, coaching, and guidance to staff, ensuring adherence to clinical standards and best practices.

• Facilitate staff onboarding, competency assessment, and continuous professional development.

• Manage and support a diverse workforce based on organizational goals, staffing needs, and budget considerations.

Minimum Required Qualifications:

• Bachelor's degree in nursing (BSN) required.

• A minimum of five (5) total years of professional nursing practice experience in acute and/or ambulatory care settings; with two (2) years of lead, supervisory, management, and/or leadership experience in nursing and/or health system position/role.

• A valid, unencumbered Registered Nursing License approved by the Georgia Board of Nursing. If overseeing virtual care activities, an active compact/multistate license (eNLC) is required within 60 days of hire.

• BLS required.

• ACLS certification may be necessary depending on specialty area, post hire. Additional certifications may be required based on department and specialty.

• Demonstrated leadership in promoting collaboration, diversity, equity, inclusion, and social justice within the populations served and the health system.

• Experience overseeing intricate, complex service line operations within a healthcare system.

• Ongoing demonstrated clinical and leadership competence.

• Preferred Qualifications: Master's degree in nursing or Doctoral degree (DNP, PhD, DrPH) strongly preferred. A minimum of five (5) total years of professional nursing practice experience in acute and/or ambulatory care settings; three (3) years of lead, supervisory, management, and/or leadership experience within a complex academic health system preferred. Nurse Executive Certification (NE-BC, NEA-BC) or comparable certifications (CNML or CENP).

JOIN OUR TEAM TODAY! Emory Healthcare (EHC), part of Emory University (EUV), is the most comprehensive academic health system in Georgia and the first and only in Georgia with a Magnet® designated ambulatory practice. We are made up of 11 hospitals-4 Magnet® designated, the Emory Clinic, and more than 425 provider locations. The Emory Healthcare Network, established in 2011, is the largest clinically integrated network in Georgia, with more than 3,450 physicians concentrating in 70 different subspecialties.

Additional Details

Emory is an equal opportunity employer, and qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or other characteristics protected by state or federal law.

Emory Healthcare is committed to providing reasonable accommodations to qualified individuals with disabilities upon request. Please contact Emory Healthcare's Human Resources at . Please note that one week's advance notice is preferred.

Connect With Us!

Connect with us for general consideration!

Division Emory Univ Hosp-Midtown

Campus Location Atlanta, GA, 30308

Campus Location US-GA-Atlanta

Department EHM Nephrology-62

Job Type Regular Full-Time

Job Number 148016

Job Category Nursing

Schedule 8a-4:30p

Standard Hours 40 Hours

Hourly Minimum USD $56.28/Hr.

Hourly Midpoint USD $65.25/Hr.

Emory Healthcare is an Equal Employment Opportunity employer committed to providing equal opportunity in all of its employment practices and decisions. Emory Healthcare prohibits discrimination, harassment, and retaliation in employment based on race, color, religion, national origin, sex, sexual orientation, gender identity or expression, pregnancy, age (40 and over), disability, citizenship, genetic information, service in the uniformed services, veteran status or any other classification protected by applicable federal, state, or local law.

Become a part of our caring community and help us put health first

The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. Candidate must have valid Florida Medical license and must be able to start with 30-60 days of hire.

The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All work occurs with a context of regulatory compliance, and work is assisted by diverse resources which may include national clinical guidelines, CMS policies and determinations, clinical reference materials, internal teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and Medicare Advantage requirements, and will understand how to operationalize this knowledge in their daily work.

The Medical Director's work includes computer based review of moderately complex to complex clinical scenarios, review of all submitted clinical records, prioritization of daily work, communication of decisions to internal associates, and possible participation in care management. The clinical scenarios predominantly arise from inpatient or post-acute care environments. Has discussions with external physicians by phone to gather additional clinical information or discuss determinations regularly, and in some instances these may require conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, grievance and appeals processes, and outpatient services and equipment, within their scope.

The Medical Director may speak with contracted external physicians, physician groups, facilities, or community groups to support regional market priorities, which may include an understanding of Humana processes, as well as a focus on collaborative business relationships, value based care, population health, or disease or care management. Medical Directors support Humana values, and Humana's Bold Goal mission, throughout all activites.

Use your skills to make an impact

Responsibilities

The Medical Director provides medical interpretation and determinations whether services provided by other healthcare professionals are in agreement with national guidelines, CMS requirements, Humana policies, clinical standards, and (in some cases) contracts. The ideal candidate supports and collaborates with other team members, other departments, Humana colleagues and the Regional VP Health Services. After completion of mentored training, daily work is performed with minimal direction. Enjoys working in a structured environment with expectations for consistency in thinking and authorship. Exercises independence in meeting departmental expectations, and meets compliance timelines. Candidates must be able to start with 30-60 days of hire.

Required Qualifications

• MD or DO degree

• Valid Florida Medical license

• 5+ years of direct clinical patient care experience post residency or fellowship, which preferably includes some experience in an inpatient environment and/or related to care of a Medicare type population (disabled or >65 years of age).

• Current and ongoing Board Certification an approved ABMS Medical Specialty

• A current and unrestricted license in at least one jurisdiction and willing to obtain additional license, if required.

• No current sanction from Federal or State Governmental organizations, and able to pass credentialing requirements.

• Excellent verbal and written communication skills .

• Evidence of analytic and interpretation skills, with prior experience participating in teams focusing on quality management, utilization management, case management, discharge planning and/or home health or post acute services such as inpatient rehabilitation.

Preferred Qualifications

• Internal Medicine, Family Practice, Geriatrics, Hospitalist, Emergency Medicine clinical specialists with recent inpatient experience preferred

• Knowledge of the managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other Medical management organizations, hospitals/ Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management.

• Utilization management experience in a medical management review organization, such as Medicare Advantage, managed Medicaid, or Commercial health insurance.

• Experience with national guidelines such as MCG® or InterQual

• Advanced degree such as an MBA, MHA, MPH

• Exposure to Public Health, Population Health, analytics, and use of business metrics.

• Experience working with Case managers or Care managers on complex case management, including familiarity with social determinants of health.

• The curiosity to learn, the flexibility to adapt and the courage to innovate

Additional Information

Typically reports to a Regional Vice President of Health Services, Lead, or Corporate Medical Director, depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in an assigned market, member population, or condition type. May also engage in grievance and appeals reviews. May participate on project teams or organizational committees.

#physiciancareers

Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

Scheduled Weekly Hours

40

Pay Range

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.

$223,800 - $313,100 per year

This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

Description of Benefits

Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

Application Deadline: 08-31-2025

About us

About CarePlus Health Plans: CarePlus Health Plans is a recognized leader in healthcare delivery that has been offering Medicare Advantage health plans in Florida over 23 years. CarePlus strives to help people with Medicare, or both Medicare and Medicaid, achieve their best possible health and wellness through plans with benefits and services they care about. As a wholly owned subsidiary of Humana, CarePlus currently serves Medicare beneficiaries throughout 21 Florida counties.

About Humana: Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers, and our company. Through our Humana insurance services, and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.

Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our