Clinical Review Nurse

Elevance Health

Elevance Health is seeking a Senior Clinical Review Nurse to coordinate the clinical reviewers and support staff across complex medical issues. This role supports hybrid/virtual work with in-person training sessions and is anchored in the Wellpoint Federal division. You will lead cross-functional projects, serve as a liaison to other areas, and ensure adherence to Medicare/Home Health regulations while balancing policy criteria and member care considerations. #J-18808-Ljbffr

Apply

Vacancy posted 3 days ago

Similar jobs that could be interesting for youBased on the Clinical Review Nurse in Atlanta, GA vacancy

Clinical Nurse Reviewer
$59k - $75.05k
...Nurse Reviewer The Nurse Reviewer is primarily responsible for conducting post-service, pre or post payment in-depth claim reviews based on accepted medical guidelines and clinical criteria, billing and coding rules, plan policy exclusions, and payment errors/overpayments...
Suggested
Full time
Work at office
Local area
Visa sponsorship
Flexible hours
Zelis
Atlanta, GA
4 days ago
Dialysis Clinical Manager Registered Nurse - RN
...About this role: As a Clinical Manager with Fresenius Medical Care, you will ensure that quality... ...completion of the Annual Standing Order Review and Internal Classification of Disease (... .... Graduate of an accredited School of Nursing (RN). Current appropriate state licensure...
Suggested
Fresenius Medical Care
Atlanta, GA
4 days ago
Dialysis Clinical Manager Registered Nurse - RN
## Dialysis Clinical Manager Registered Nurse - RNApplyremote type: Onsitelocations: Atlanta, GAtime type: Full timeposted on: Posted Todaytime left... ...Addressing patient concerns, issues, and questions including the review of patient satisfaction surveys. • Developing and...
Suggested
Temporary work
Work at office
CH01 CHE Fresenius Medical Care (Schweiz) AG
Atlanta, GA
2 days ago
Travel Nurse RN - Case Manager, Utilization Review - $2,250 per week
$2,250 per week
...AMN Healthcare Revenue Cycle is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Atlanta, Georgia. Job Description... ..., and other supportive care settings. Perform clinical assessments and triage of new and established patients...
Suggested
Temporary work
Immediate start
Shift work
AMN Healthcare Revenue Cycle
Atlanta, GA
2 days ago
Locum Physician Assistant (PA) - Surgery - Orthopedic - $130 per hour in Atlanta, GA
$130 per hour
...Partners in Georgia is seeking an experienced Nurse Practitioner or Physician Assistant for... ...multiple outpatient orthopedic clinics throughout the Atlanta metro area. This... ...Fracture follow-up evaluations Ordering and reviewing imaging studies Treatment planning...
Suggested
Hourly pay
Full time
Contract work
Locum
Local area
Immediate start
Monday to Friday
Day shift
Weekday work
HPA Healthcare
Atlanta, GA
1 day ago
Travel Nurse RN - Neonatal Intensive Care Unit - $1,943 to $2,096 per week in Atlanta, GA
$1,943 - $2,096 per week
...Registered Nurse (RN) | Neonatal Intensive Care Unit Location: Atlanta, GA Agency... ...Satisfaction by MIT Sloan Management Review. No matter if you want to explore the... ...matching after 6 months · 24/7 support · Clinical support throughout your assignment 3044...
Full time
Contract work
Local area
Immediate start
Shift work
Night shift
TravelNurseSource
Atlanta, GA
1 day ago
Travel Nurse RN - Cardiovascular Operating Room - $2,644 per week in Atlanta, GA
$2,644 per week
...Registered Nurse (RN) | Cardiovascular Operating Room Location: Atlanta, GA Agency: Cynet Health Pay: $2,644 per week... .../scope of practice as needed. The candidate will undergo a clinical review to determine fit. The candidate must be compliant with all requirements...
Full time
Contract work
Shift work
Weekend work
Weekday work
Cynet Health
Atlanta, GA
1 day ago
Travel Nurse RN - Cardiovascular Operating Room - $2,626 per week in Atlanta, GA
$2,626 per week
...Registered Nurse (RN) | Cardiovascular Operating Room Location: Atlanta, GA Agency: Magnet Medical Pay: $2,626 per week... ...Patient Preparation: Assess patients prior to surgery by reviewing medical histories, allergies, and current medications. Prepare...
Full time
Contract work
Immediate start
Flexible hours
Shift work
TravelNurseSource
Atlanta, GA
1 day ago
Endoscopy RN - Travel Nursing
$2,195 per week
...Registered Nurse (RN) | Endoscopy Location: Atlanta, GA Agency: Cynet Health Pay: $2,195 per week Shift... ...is within facility/scope of practice as needed. The clinical candidate will be reviewed to determine clinical fit. If the clinical screening is...
Full time
Contract work
Local area
Shift work
Weekend work
TravelNurseSource
Atlanta, GA
1 day ago
Travel Nurse RN - Endoscopy - $2,195 per week in Atlanta, GA
$2,195 per week
...Registered Nurse (RN) | Endoscopy Location: Atlanta, GA Agency: Cynet Health Pay: $2,195 per week Shift... ...is within facility/scope of practice as needed. The clinical candidate will be reviewed to determine clinical fit. If the clinical screening is...
Full time
Contract work
Local area
Shift work
Weekend work
Cynet Health
Atlanta, GA
1 day ago
Travel Nurse RN - Neonatal Intensive Care Unit - $2,176 per week in Atlanta, GA
$2,176 per week
...Registered Nurse (RN) | Neonatal Intensive Care Unit Location: Atlanta, GA Agency: Atlas MedStaff Pay: $2,176 per week... ...Great Recruiters. Both of those recognitions are fueled by real reviews by real travel nurses and allied healthcare professionals that work...
Hourly pay
Full time
Contract work
Work at office
Remote work
Shift work
Night shift
Weekend work
TravelNurseSource
Atlanta, GA
1 day ago
Travel Nurse RN - Oncology - $2,105 per week in Atlanta, GA
$2,105 per week
...Registered Nurse (RN) | Oncology Location: Atlanta, GA Agency: Atlas MedStaff Pay: $2,105 per week Shift Information... ...Great Recruiters. Both of those recognitions are fueled by real reviews by real travel nurses and allied healthcare professionals that work...
Hourly pay
Full time
Contract work
Work at office
Remote work
Shift work
Weekend work
TravelNurseSource
Atlanta, GA
1 day ago
Dialysis Nurse | Outpatient Clinic | Full Time
SUMMARY The Home Therapy Registered Nurse -- Traveler, as qualified by federal and state... ...to not disrupt care. · Assist with clinic and patient supply inventory, ensuring usage... .... · May complete and document monthly review of patient medication profiles as...
Full time
Temporary work
Part time
Local area
Flexible hours
Night shift
Weekend work
U.S. Renal Care
Decatur, GA
1 day ago
Physician Assistant, Specialty (Ortho)
$111.14k - $158.77k
...professionals. He/She consults with the clinical leadership team to ensure compliance with... ...Functions independently as a certified nurse practitioner in collaboration and consultation... ...by attending educational workshops; reviewing professional publications; establishing...
Hourly pay
Full time
Temporary work
Work at office
Local area
ChenMed
Decatur, GA
8 days ago
Clinical Research Nurse
...Clinical Research Nurse Alcanza is a growing multi-site, multi-phase clinical research company with a network of locations in AL, AZ, FL,... ...Ensuring study related reports and patient results are reviewed by investigator in a timely manner; Filing SAE/Deviation...
Full time
Temporary work
Alcanza Clinical Research
Decatur, GA
3 days ago
Travel Nurse RN - Operating Room - $2,034 per week in Atlanta, GA
$2,034 per week
...Registered Nurse (RN) | Operating Room Location: Atlanta, GA Agency: Magnet Medical Pay: $2,034 per week Shift Information... ...preoperative care plans. Verify surgical consent, review medications, and prepare patients physically and emotionally for...
Full time
Contract work
Shift work
Magnet Medical
Atlanta, GA
1 day ago
Travel Nurse RN - Operating Room - $2,109 per week in Atlanta, GA
$2,109 per week
...Registered Nurse (RN) | Operating Room Location: Atlanta, GA Agency: Cynet Health... ...UNIT: Please ensure the candidate has reviewed all details in the job description.... ...Pharmacy. Candidates will be reviewed clinically to ensure a good fit for the unit. All...
Full time
Contract work
Shift work
Weekend work
TravelNurseSource
Atlanta, GA
1 day ago
Travel Nurse RN - Operating Room - $2,341 per week in Atlanta, GA
$2,341 per week
...Registered Nurse (RN) | Operating Room Location: Atlanta, GA Agency: Cynet Health... ...is in a sensitive unit. Candidates must review all details in the job description. No... ...travelers are not accepted in this unit. A clinical review will determine clinical fit, and...
Full time
Contract work
Local area
Shift work
Weekend work
Cynet Health
Atlanta, GA
1 day ago
Travel Nurse RN - Operating Room - $1,540 per week in Atlanta, GA
$1,540 per week
...Registered Nurse (RN) | Operating Room Location: Atlanta, GA Agency: Magnet Medical Pay: $1,540 per week Shift Information... ...preoperative care plans. Verify surgical consent, review medications, and prepare patients physically and emotionally for...
Full time
Contract work
Flexible hours
Shift work
TravelNurseSource
Atlanta, GA
1 day ago
Travel Nurse RN - Operating Room - $2,109 per week in Atlanta, GA
$2,109 per week
...Registered Nurse (RN) | Operating Room Location: Atlanta, GA Agency: Cynet Health... ...is a sensitive unit. Candidates must review all details in the unit/job description.... ...experience is required. Candidates must pass a clinical screen for final decision approval....
Full time
Contract work
Local area
Shift work
Weekend work
Cynet Health
Atlanta, GA
1 day ago
Travel Nurse RN - Operating Room - $2,109 per week in Atlanta, GA
$2,109 per week
...Registered Nurse (RN) | Operating Room Location: Atlanta, GA Agency: Cynet Health... ...UNIT: Please ensure candidate has reviewed all details in Unit/Job description. HARD... ...first-time travelers are not accepted. Clinical screen: Candidate will be reviewed by clinical...
Full time
Contract work
Local area
Shift work
Weekend work
TravelNurseSource
Atlanta, GA
1 day ago
Travel Nurse RN - Operating Room - $1,540 per week in Atlanta, GA
$1,540 per week
...Registered Nurse (RN) | Operating Room Location: Atlanta, GA Agency: Magnet Medical Pay: $1,540 per week Shift Information... ...preoperative care plans. Verify surgical consent, review medications, and prepare patients physically and emotionally for...
Full time
Contract work
Shift work
Magnet Medical
Atlanta, GA
1 day ago
Physician Assistant, Specialty (Ortho)
$111.14k - $158.77k
...professionals. He/She consults with the clinical leadership team to ensure compliance with... ...Functions independently as a certified nurse practitioner in collaboration and consultation... ...by attending educational workshops; reviewing professional publications; establishing...
Hourly pay
Full time
Temporary work
Work at office
Local area
ChenMed
Decatur, GA
16 hours ago
Licensed Psychiatric Mental Health Nurse Practitioner
" Licensed Psychiatric Nurse Practitioner Wage: Up to $197/hour Did you know that you can build a flexible private practice on your terms as a psychiatric nurse practitioner?Whether you want to see patients alongside a full-time job or grow a full-time practice...
Bi-weekly pay
Full time
For contractors
Private practice
Flexible hours
Headway
Atlanta, GA
16 hours ago
Dialysis Registered Nurse (seeking Part Time & Full Time)
...How you'll change lives As a Registered Nurse (RN) at US Renal Care, you'll be an integral part of a cross-functional team, working... ...treatment. You'll ensure quality renal care by completing monthly reviews of patient medication profiles and administering medications...
Full time
Part time
U.S. Renal Care
Atlanta, GA
1 day ago
Clinical Trials Nurse- Full Time
...Alcanza is a growing multi-site, multi-phase clinical research company with a network of... ...and general medicine. Clinical Research Nurse The Clinical Research Nurse works to ensure... ...study related reports and patient results reviewed by investigator timely. Filing SAE/Deviation...
Full time
Temporary work
Alcanza Clinical Research
Decatur, GA
2 days ago
Nurse Practitioner/Physician Assistant
...patient-oriented Physician Assistants and Nurse Practitioners who are relentlessly... ...Provides patient care within the respective clinical area which complies with the Professional... ...employment laws. For further information, please review the Know Your Rights notice from the...
Flexible hours
Shift work
3 days per week
Piedmont Urgent Care Defunct
Atlanta, GA
1 day ago
Nurse Practitioner/Physician Assistant
$2,500 per month
...and skilled Advanced Practice Providers (Nurse Practitioners or Physician Assistants) to... ...integrated multidisciplinary care team (Clinical, Behavioral Health, Pharmacy, Administrative... ..., including audits and documentation reviews, to ensure compliance with state board requirements...
Flexible hours
Weekend work
2 days per week
3 days per week
1 day per week
Monogram Health, Inc
Atlanta, GA
4 days ago
Nurse Practitioner / Physician Assistant
$2,500 per month
...and skilled Advanced Practice Providers (Nurse Practitioners or Physician Assistants) to... ...integrated multidisciplinary care team (Clinical, Behavioral Health, Pharmacy, Administrative... ..., including audits and documentation reviews, to ensure compliance with state board requirements...
Flexible hours
Weekend work
2 days per week
3 days per week
1 day per week
Monogram Health, Inc.
Atlanta, GA
5 days ago
Nurse Practitioner / Physician Assistant
...Job Title: Nurse Practitioner/Physician assistant - Home Health Risk Assessments... ...other services as needed Participate in clinical meetings and compliance trainings (primarily... ..., with occasional on-site training) Review patient records for past and present health...
Full time
Immediate start
The Judge Group
Decatur, GA
4 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Clinical Review Nurse. Be the first to apply!