Hybrid Pediatric Review Nurse: Shape Care Decisions
Alliant Health Group
Alliant Health Solutions is seeking a Hybrid Review Nurse for its Pediatric Review to perform comprehensive medical reviews for Medicaid programs. You will ensure complete documentation, render evidence-based determinations, and prepare letters while interacting with providers and participating in hearings when required. The role emphasizes strong clinical knowledge, organizational skills, and independent problem solving within a multi-disciplinary team in a hybrid work setting. #J-18808-Ljbffr Alliant Health Group
- ...patient and family‑centered care. Is recognized as a... ...the impact of nursing care on patient outcomes... ...Completes performance reviews with Nurse Manager input... ...Supports administrative decisions and facilitates daily operational... ...: Challenges and shapes systems on the unit and...SuggestedShift work
- Alliant Health Group in Atlanta, Georgia, is seeking a Hybrid Review Nurse for its Prior Authorization and Utilization Management team. This role conducts prior approval and precertification reviews for Georgia Medicaid members. The ideal candidate will have a current Georgia...Suggested
$50 - $55 per hour
...Atlanta metro area Setting: Hybrid, including work-from-... ...to move beyond bedside care and take on a... ...documentation and oversee chart reviews Assist with... ...Graduate of an accredited nursing program; BSN preferred... ...franchisee, and all hiring decisions will be made by the management...SuggestedHourly payDaily paidWork at officeLocal areaMonday to FridayFlexible hoursDay shiftAfternoon shift$30 - $33 per hour
At Primecare Home Care, we’re more than a home care provider—we’re a team dedicated... ...Integrity and transparency guide our decisions and interactions. Punctuality - We... ...our clients—we care for our employees. Pediatric Skilled Nurse Job Description Hours: 8 Hours Fulltime...SuggestedHourly payFull timeFlexible hoursWeekend workWeekday work- ...Emory Healthcare RN Charge Nurse Clinician Be... ...patient and family-centered care. Is recognized as a... ...Completes performance reviews with Nurse Manager input... ...Supports administrative decisions and facilitates daily operational... ...: 1. Challenges and shapes systems on the unit and...SuggestedFull timeShift work
- ...seeking an experienced registered nurse to provide direct patient care on a day shift within a dynamic interdisciplinary... ...-centered care and leveraging decision support tools to guide clinical... ...year of experience is required and pediatric experience is preferred. #J-18808-...Day shift
- ...patient and family-centered care. Is recognized as a... ...the impact of nursing care on patient outcomes... ...Completes performance reviews with Nurse Manager input... ...Supports administrative decisions and facilitates daily operational... ...: Challenges and shapes systems on the unit and...Shift work
- ...for carrying out medical necessity reviews on all designated referrals for Home Care, DME Specialty Care services. The... ...and with adherence to the decision notification process. Refers all... ...Minimum three (3) years of clinical nursing OR completed Kaiser Permanente Nurse...Contract workReliefWork at officeLocal areaImmediate startWeekend work
- ...Are you a bedside nurse seeking a change from the hospital setting? If you answered "... ...place for you! Alliant is recruiting a Hybrid Review Nurse for its Prior Authorization and... ...Document clearly the rationale for all review decisions using appropriate criteria or nursing...Contract work
- ...Nurse Practitioner | Neonatal Location: Atlanta, GA Employer... ...? Join a leading neonatal care team at Northside Hospital in... ...team including neonatologists, pediatric intensivists, and neonatal research... .... Participate in clinical decision-making and contribute to...Hourly payWeekly payPermanent employmentFull timeLocal areaImmediate startFlexible hoursShift work
- ...Mentors other Registered Nurses to the role and... ...Completes performance reviews with Nurse Manager input... ...Incorporates Synergy model for care in nurse/patient... ...Supports administrative decisions and facilitates daily operational... ...Challenges and shapes systems on the unit and...Shift work
$55 - $65 per hour
Experienced Pediatric Nurse Practitioner - Riverdale Omega Pediatrics is seeking... ...who enjoys pediatric primary care, values collaboration, and... ...in collaborative clinical reviews and have access to provider support... ...: Your feedback can help shape workflows, patient access,...Hourly payFull timeWork at officeWeekday work$2,341 per week
...Registered Nurse (RN) | Operating Room Location: Atlanta, GA... ...sensitive unit. Candidates must review all details in the job... ...the hiring manager for a final decision. Requests for time off are limited... ...surgical procedures and patient care experiences. Candidates with...Full timeContract workLocal areaShift workWeekend work$2,269 per week
...Registered Nurse (RN) | Neonatal Intensive Care Unit Location: Atlanta, GA Agency: talent4health Pay: $2,269 per week Shift Information... ..., and not for, an agency, is one of the most important decisions you will ever make. Talent4Health doesn't take your...Full timeContract workTemporary workShift workNight shift$3,034 per week
...Registered Nurse (RN) | Cardiovascular Operating Room Location... ...travelersCLINICAL SCREEN: Candidate will be reviewed by clinical to determine... ...sent to the manager for final decision. Clinical screens will be sent... ...Hours : - Facility & Patient Care Details Patient Age Groups :...Daily paidPermanent employmentFull timeContract workLocal areaShift workNight shiftRotating shiftWeekend work1 day per week- ...Registered Nurse (RN) | Neonatal Intensive Care Unit Location: Atlanta, GA Agency: TNAA | TotalMed Pay: Competitive weekly pay (inquire... ...much information as possible to assist in making the best decision for you in a no pressure atmosphere. We care like no...Weekly payDaily paidLong term contractFull timeContract workTemporary workShift work
$2,983 per week
...Registered Nurse (RN) | Cardiovascular Operating Room Location... ...CLINICAL SCREEN: Candidate will be reviewed by clinical to determine... ...sent to the manager for final decision. Clinical screens will be sent... ...difference in the lives of those you care for. Wherever you go, JEDY...Full timeContract workLocal areaImmediate startShift workWeekend work1 day per week$3,133 per week
...Registered Nurse (RN) | Cardiovascular Operating Room Location... ...Candidates will undergo a clinical review to determine fit before being... ...to the manager for a final decision. Travelers are expected to work... ...needs as necessary. Patient care involves adult and geriatric...Full timeContract workShift workWeekend workWeekday work$2,043 per week
...Registered Nurse (RN) | Neonatal Intensive Care Unit Location: Atlanta, GA Agency: Atlas MedStaff Pay: $2,043 per week Shift Information... .... Both of those recognitions are fueled by real reviews by real travel nurses and allied healthcare professionals...Hourly payFull timeContract workWork at officeRemote workShift workWeekend work- Laurel Heights Hospital is seeking a Nurse Manager to lead bedside nursing and front-line nursing leadership. You will shape the future of patient care in this specialized behavioral health setting, collaborating with the Nursing Director to lead unit-based nursing delivery...
- ...Hospital, part of Universal Health Services, Inc., is seeking a Nurse Manager to lead the bedside nursing team in our child and... ...in Georgia. You will work closely with the Nursing Director to shape care delivery, quality and safety outcomes on the unit. The role requires...
- ...of appropriate clinical review of all applicable... ...a healthcare setting; pediatrics preferred Preferred... ...Bachelor of Science in Nursing ~ Previous experience... ...reimbursement Effective decision-making/problem-solving... ...patients, including critical care, for appropriateness of...ReliefRemote workWeekend work3 days per week
- Are you a bedside nurse seeking a change from the hospital setting? If you answered... ...for you! Alliant is recruiting a Hybrid Review Nurse for its Pediatric Review. The Pediatric Review Nurse,... ...data entry of clinical review and decision information into the Prior...Contract workTemporary workWork at officeRemote work
$1,120 per unit
...education and as the largest nursing school in the country, Chamberlain... ...this commitment Chamberlain Care®—our dedication to providing... ...degree programs. We operate on a hybrid schedule with four in-office... ...to talk with you today. Pediatric Nursing You will be...Part timeWork at officeWorldwideFlexible hoursWeekend work1 day per week$75.68k - $130.55k
...2026-08-31 Position Title: Clinical Review Nurse II (US) Job Description: Clinical Review... .... Please note that per our policy on hybrid/virtual work, candidates not within a... ...across claims administration, data, and care delivery to help address complex challenges...Full timeTemporary workWork experience placementWork at officeLocal areaRelocation packageMonday to FridayDay shift1 day per week- ...you'll change lives As a Registered Nurse (RN) at US Renal Care, you'll be an integral part of a cross... ...renal care by completing monthly reviews of patient medication profiles and administering... ...of people with kidney disease and shape the future of kidney care. We still...Full timePart time
- ...supervised patient services. Assesses and evaluates nursing care provided by team members. Develops high-quality nursing... ...judgment. Periodically participates in peer review or medical records audits. Pediatric Nurse Practitioner Keeps records of activities and...Local area
$35 - $45.94 per hour
...we're Oscar. We're hiring a Utilization Review Nurse to join our Utilization Review team.... ...reviews, check medical records and speak with care providers regarding treatment as needed.... ...-based guidelines Meet required decision-making SLAs Refer members for further...Hourly payFull timeRemote workWork from homeHome officeWeekend work- ...Job Description Job Description We are seeking a Pediatric Nurse Practitioner to become a part of our team! You will focus on providing high quality patient care as part of a healthcare team. Two to Four day work week, no nights or weekends. Responsibilities:...Permanent employmentWeekend work2 days per week
- ...Advancement Opportunities Job Summary We are seeking an experienced and compassionate Pediatric Nurse Practitioner to join our established Pediatric & Adolescent Primary Care practice. The ideal candidate is professional, dependable, patient-focused, and able to...Monday to Friday
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