Atlanta, Georgia, United States · Hybrid
Anticipated End Date: 2026-07-10 Position Title: Genetic Counselor Review Associate Job Description: Genetic Counselor Review Associate Genetic Testing Utilization Review Carelon Medical Benefits Management Virtual: This…
Skills: Medical Necessity Review, Clinical Documentation, Genetic Counseling, Utilization Management, Clinical Interpretation
Atlanta, Georgia, United States · Hybrid
Anticipated End Date: 2026-08-08 Position Title: Crisis & Referral Specialist Job Description: Crisis & Referral Specialist Location : Seeking candidates that reside in the state of Georgia. Virtual: This role enables as…
Skills: Crisis Intervention, De-escalation, Safety Screening, Behavioral Health Assessment, Telephonic Support
Atlanta, Georgia, United States · Remote OK
$86k–$141k/yr
We are the people who give possibilities purpose BD is one of the largest global medical technology companies in the world. Advancing the world of health™ is our Purpose, and it’s no small feat. It takes the imagination …
Skills: Clinical Education, Vascular Access Management, Ultrasound-guided Procedures, Patient Assessment, Device Selection
Atlanta, Georgia, United States · On-site
$38/hr–$64/hr
Delivering an exceptional infusion experience, everywhere. Delivering on our unyielding commitment, always. Naven Health is a nationwide home infusion nursing network and clinical platform focused on delivering specializ…
Skills: Infusion Nursing, Patient Care, Medication Administration, Patient Education, Clinical Documentation
Atlanta, Georgia, United States · On-site
Employment Type:Full timeShift:Day Shift Description: At Mercy Care, healthcare is more than a profession - it is a calling. For more than 40 years, Mercy Care has cared for Atlantans who are not well served by the tradi…
Skills: Patient Care, Clinical Leadership, Supervision, Medical Chart Review, Quality Assurance
Atlanta, Georgia, United States · On-site
Employment Type:Full timeShift:Day Shift Description: At Mercy Care, healthcare is more than a profession - it is a calling. For more than 40 years, Mercy Care has cared for Atlantans who are not well served by the tradi…
Skills: Primary Care, Patient Diagnosis, Treatment Planning, Medication Prescription, Care Coordination
Atlanta, Georgia, United States · On-site
LICENSED PRACTICAL NURSE Join the PruittHealth family, where the health and safety of our workforce is our top priority! We're not only committed to your career, we're committed to the health and safety of all our nurses…
Skills: Patient Care, Compassion, Collaboration, Professionalism, Long-term Care
Atlanta, Georgia, United States · On-site
$53k–$73k/yr
Become a part of our caring community As a CenterWell Home Health nurse, reporting to the Clinical Manager, you will provide personalized, one-on-one care that helps patients regain independence in the comfort of their h…
Skills: Skilled Nursing Care, Care Plan Implementation, Patient Education, Disease Management, Clinical Documentation
Atlanta, Georgia, United States · On-site
Employment Type:Full timeShift:Day Shift Description: At Mercy Care, healthcare is more than a profession - it is a calling. For more than 40 years, Mercy Care has cared for Atlantans who are not well served by the tradi…
Skills: Patient Assessment, Diagnosis, Treatment Planning, Prescription Management, Electronic Health Records
Atlanta, Georgia, United States · Remote OK
$121k–$140k/yr
***THIS IS A REMOTE POSITION AND CAN BE LOCATED ANYWHERE IN US. Position Overview Our Facultative Life Underwriting team plays a critical role in helping our clients navigate complex medical, non medical, and financial r…
Skills: Life Underwriting, Facultative Reinsurance, Medical Risk Assessment, Financial Risk Assessment, Medical Terminology
Atlanta, Georgia, United States · On-site
Welcome to Piedmont Cancer Institute — where patient care is more than a mission; it's a partnership and our values lead the way. For more than 38 years, Piedmont Cancer Institute (PCI) has proudly served the Metro Atlan…
Skills: Insurance Verification, Prior Authorization, Medical Billing, OncoEMR, CPT Codes
Atlanta, Georgia, United States · On-site
At SCP Health, what you do matters As part of the SCP Health team, you have an opportunity to make a difference. At our core, we work to bring hospitals and healers together in the pursuit of clinical effectiveness. With…
Skills: Benefits Administration, Compliance Management, Customer Support, Leave of Absence Management, Vendor Management
Atlanta, Georgia, United States · Remote Solely
$17/hr–$17/hr
Job DetailsJob Location: Atlanta, GA 30305Position Type: Full TimeSalary Range: $17.00 - $17.00 HourlyTravel Percentage: NoneJoin MES as a Remote Client Coordinator! Are you highly organized, detail-oriented, and thrive …
Skills: Clerical, Data entry, Proofreading, Communication, Microsoft Word
Atlanta, Georgia, United States · Remote Solely
$17/hr–$17/hr
Job DetailsJob Location: Atlanta, GA 30305Position Type: Full TimeSalary Range: $17.00 - $17.00 HourlyTravel Percentage: NoneJoin MES as a Remote Client Coordinator! Are you highly organized, detail-oriented, and thrive …
Skills: Clerical, Data entry, Proofreading, Communication, Microsoft Word
Atlanta, Georgia, United States · On-site
$35/hr–$40/hr
Overview Registered Dietitian Monday - Friday with Flexible schedules Join Healthcare Services Group (HCSG) as a Registered Dietitian, where you will play a critical role in managing clinical nutritional services at a lo…
Skills: Clinical Nutrition Assessment, Care Plan Development, Nutrition Education, Patient Counseling, Interdisciplinary Collaboration
Atlanta, Georgia, United States · On-site
Description Job Description: Assists in the evaluation and treatment of patients. Documents the delivery of care in the individual's medical records Conducts patient interviews and documents patient histories, psychosoci…
Skills: Patient Evaluation, Medical Documentation, Physical Examinations, Diagnostic Procedures, Care Planning
Atlanta, Georgia, United States · On-site
Description About Meadows & Ohly Founded in 1972, Meadows & Ohly is a leading healthcare real estate services firm serving health systems and providers nationwide. With more than 250 employees across nine offices, we del…
Skills: Building Maintenance, HVAC Operation, Plumbing, Electrical Systems, Life-Safety Systems
Atlanta, Georgia, United States · On-site
$29/hr–$34/hr
Overview Shift: 8:30a-4:00p Description This position requires customer service skills, excellent interpersonal and communication skills, and a degree of independent decision-making. This position reports to a Supervisor…
Skills: Patient History Documentation, Visual Acuity Testing, Refraction, Lensometry, Pupillary Assessment
Atlanta, Georgia, United States · On-site
REGISTERED NURSE Join the PruittHealth family, where the health and safety of our workforce is our top priority! We're not only committed to your career, we're committed to the health and safety of all our nurses. Now is…
Skills: Patient Care, Compassion, Collaboration, Professionalism, Nursing Care
Atlanta, Georgia, United States · On-site
LICENSED PRACTICAL NURSE Join the PruittHealth family, where the health and safety of our workforce is our top priority! We're not only committed to your career, we're committed to the health and safety of all our nurses…
Skills: Patient Care, Compassion, Collaboration, Professionalism, Nursing Supervision
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Responsible for reviewing genetic testing authorization requests to determine medical necessity based on clinical guidelines and policies. Collaborates with healthcare providers and medical directors to ensure the efficient and appropriate use of member benefits.
Requires a Master's degree from an ACGC accredited program and ABGC board certification. Preferred candidates have 2 years of experience in a lab or genetic counseling and familiarity with genomic reimbursement coding.
Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations may be considered if candidates reside within a commuting distance from an office.
Carelon, a proud member of the Elevance Health family of companies, is a healthcare services organization that takes a whole-health approach to making care more integrated, personalized, and affordable. We put people at the center—connecting physical, behavioral, social, and pharmacy services, along with clinical expertise, research, operations, and advanced technology to help care work better, together.
Among us are specialty-care physicians, nurse practitioners, pharmacists, engineers, data scientists, and other dedicated and caring health professionals. While our roles may differ, our purpose is shared: to make a positive impact on whole health.
The Genetic Counselor Review Associate is responsible for authorization requests and determining their appropriateness per designated clinical guidelines, clinical policies, and client rules. The GCRA will collaborate with healthcare providers to promote the highest quality and efficient use of member benefits.
Conducting medical necessity review in adherence to guidelines and determining whether clinical information presented meets medical necessity criteria or requires physician review or override.
Clearly and concisely documenting clinical review and other case interactions in online database in adherence to our standardized documentation style.
Assists physician reviewers with clinical interpretation questions regarding medical necessity of test requests.
Addresses questions from ordering provider offices via phone and makes outreach attempts, when applicable, to obtain additional information needed for clinical determinations.
Provides specific constructive feedback on Carelon guidelines, as needed.
Contributes to team projects aimed to ensure case review accuracy and efficiency, such as updating case review processes, reporting issues, and creating internal case review resources.
Receives pre-authorization requests from front-line intake.
Determines if initial clinical information presented meets medical necessity criteria or requires additional medical necessity review for simple/routine cases.
Works closely with medical directors to review and make recommendations regarding medical necessity of genetic test requests.
Works closely with senior reviewers/leaders on complex cases for utilization management, out of network and appropriateness of treatment.
Maintains confidentiality of patient and provider specific information.
Requires MA/MS from an ACGC (Accreditation Counsel for Genetic Counseling) accredited program.
ABGC (American Board of Genetic Counseling) board certification required.
Experience working in a cross functional team environment preferred.
Experience and/or familiarity with reimbursement coding for genomic testing (e.g. CPT, ICD-10_CM) as relevant to testing preferred.
2 years expereince in lab or genetic counselor.
Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process should submit the following form: Accessibility Accommodation Request Form and a member of the team will be in contact. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration.
NOTE: Workday keeps job postings active through 11:59:59 PM on the day before the listed end date. Example: If the end date is 3/13, the posting will automatically come down on 3/12 at 11:59:59 PM. In other words — the job is posted until 3/13, not through 3/13.
Fueled by our bold purpose to improve the health of humanity, we are transforming from a traditional health benefits organization into a lifetime trusted health partner. Our nearly 100,000 associates serve more than 118 million people, at every stage of health. We address a full range of needs with an integrated whole health approach, powered by industry-leading capabilities and a digital platform for health. We believe that improving health for everyone is possible. It begins by redefining health, reimagining the health system, and strengthening our communities.
Offices: 220 Virginia Ave, Indianapolis, Indiana 46204, US
There are currently 3,274 open healthcare positions in Atlanta, GA listed on Clera. New openings are added daily as companies post roles.
Companies currently hiring include Emory Healthcare, Northside Hospital, Emory University Department of Economics, Piedmont HealthCare, Children's Healthcare of Atlanta, among others. Browse the listings above to see every active employer.
Yes — 692 of the 3274 open healthcare positions offer remote or hybrid work (270 remote, 422 hybrid).
Each listing links directly to the employer's application page. Apply early — fresh listings get the most recruiter attention in the first two weeks.
