Search Results: 9,383 vacancies

 ...Role - P hysician Medical Reviewer Duration – Weekend job Remote Pre-service reviews only - at least 4 cases per hour is the goal. Training will be for 3-4 days, Mon- Thurs 8a m -5p m Seeking P hysician medical reviewer for REMOTE... 
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Careerbuilder-US

Atlanta, GA
1 day ago
 ...Job Title: Physician Reviewer Location: 100% Remote Duration: 2-year contract Remote in our five states in NM, TX, IL, OK, MT Schedule: Must be available M-F for full-time training to start. This position prefers a 2 week full... 
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Integrated Resources, Inc

Atlanta, GA
4 days ago
 ...Solutions, a "2023 Best Place to Work and Healthiest Employer", seeks a Review Nurse, PA/UM. The Review Nurse to conducts prior approval and...  ...procedures Evaluate initial clinical information and approve cases that meet criteria. Document clearly the rationale for all... 
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Alliant Health Solutions, Inc.

Atlanta, GA
2 days ago
 ...prospective patients. Ensures completion of appropriate clinical review of all applicable patients as stated in system utilization...  ...Bachelor of Science in Nursing ~ Previous experience in extensive case management preferred ~2 years of experience in hospital or insurance... 
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Children's Healthcare of Atlanta

Atlanta, GA
19 hours ago
 ...Job title: Case Manager Position Summary: Responsible for providing case management services to Choice Neighborhoods residents...  ...Meet with services providers, in coordination with manager, to review resident participation, progress, outcomes, and to address issues... 
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Talantage, LLC

Atlanta, GA
2 days ago
Overview: Northside Hospital is award-winning, state-of-the-art, and continually growing. Constantly expanding the quality and reach of our care to our patients and communities creates even more opportunity for the best healthcare professionals in Atlanta and beyond....
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Northside Hospital Inc.

Atlanta, GA
19 hours ago

$33.85 - $44.27 per hour

 ...hospitalized members by carrying out daily utilization and quality review, monitoring for inefficiencies and opportunities to improve care...  ...discharge planning, identification of patients for ambulatory case management, communication with case managers, home care... 
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Kaiser

Stone Mountain, GA
3 days ago
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Overview: Northside Hospital is award-winning, state-of-the-art, and continually growing. Constantly expanding the quality and reach of our care to our patients and communities creates even more opportunity for the best healthcare professionals in Atlanta and beyond....
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Northside Hospital Inc.

Atlanta, GA
2 days ago
 ...Responsibilities Psychiatric Social Worker/Case Manager Peachford Hospital is a 246-bed, acute care psychiatric hospital located...  ...and submit your resume, a member of our recruiting team will review your qualifications and experience. If we are interested in scheduling... 
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Universal Health Services

Atlanta, GA
19 hours ago
 ...**What You'll Be Doing:** As a Oncology, Physician Clinical Reviewer you will be a key member of the utilization management team. We...  ...Doing:** + Serve as the specialty match reviewer in Oncology cases, that do not initially meet the applicable medical necessity guidelines... 
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Evolent Health

Atlanta, GA
1 day ago
 ...reinvent it. Come, transform with us. Are you the one we are looking for? We are inviting applications for the role of Desk Reviewer This position manages an inventory of managed repair program claim assignments. Communicates with contractors regarding... 
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Genpact

Atlanta, GA
25 days ago
 ...patients in a time effective manner. Collaborates with Utilization Review in order to identify and address barriers to timely and...  ...Responds to suspected violence, assault, abuse and/or neglect cases in accordance with social work professional ethics. Completes... 
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Emory Healthcare

Decatur, GA
2 days ago
 ...Job Description Job Description Job Title : Case Manager Status : Full Time Department : Legal FLSA Status : Hourly...  ...and research support services including document preparation and review; interviewing clients and witnesses; research, investigations, and... 
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Holston & Huntley, LLC

Atlanta, GA
2 days ago
 ...contact with clients on a regular basis Fully investigate each case, gathering, and analyzing intake information and relevant...  ...documentation to clients. Continuously monitor case status, review medical records Organize and maintain case files, preparing files... 
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Farah & Farah, P.A.

Atlanta, GA
1 day ago
 ...world. We're one global team driven by our common purpose to deliver a better world. Join us. Job Description Schedule Review Lead AECOM is serving as the General Engineering Consultant on this first-ever Design-Build-Finance-Operate-Maintain contract... 
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AECOM

Atlanta, GA
18 days ago
 ..."2023 Best Place to Work and Healthiest Employer", seeks an UCR Review Nurse. The Medicaid Utilization and Compliance Review (UCR) Nurse...  ..., and scanning of document(s) to be reviewed. Initiates case activity log in developing the appropriate approach for the on-site... 
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Alliant Health Solutions, Inc.

Atlanta, GA
24 days ago
 ...Job Description Job Description Case Management Accomplishes clients care by assessing treatment needs; developing, monitoring...  ...; monitoring staff performance. Admits new clients by reviewing records and applications; conducting orientations. Determines... 

Aniz Inc

Atlanta, GA
10 days ago
 ...Experienced Document Review Attorney – Remote Great opportunity for l icensed attorneys with document review experience interested in quality focused e-Discovery. We have some projects anticipated to start soon and others in the pipeline.  Please apply to get on... 
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Dauntless Discovery

Atlanta, GA
2 days ago
 ...MedPro Healthcare Staffing is seeking a travel nurse RN Case Management for a travel nursing job in Marietta, Georgia. Job Description...  ..., Travel Nursing, Case Manager, Case Management, Utilization Review, Case Manager RN *Weekly payment estimates are intended for... 
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MedPro Healthcare Staffing

Marietta, GA
3 days ago
 ...Job Title: Case Manager III Location: 100% Remote Duration: 6 months (possibility of extension) Pay Rate: $49.2...  ...responsibilities : Outreach calls and Person-Centered Care Plan reviews. Coordinate care, manage caseload, create Patient Centered... 
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Integrated Resources, Inc

Atlanta, GA
3 days ago