Average salary: $85,000 /yearly
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- ...Job Description Job Description Job title: Utilization Review Shift: 09:30 AM to 08:00 PM 13 weeks contract Description: Utilization Review RN - Target Review Health Plan Insurance (no acute care) BLS (AHA) RN state license \nCompany Description...SuggestedContract workShift work
Lancesoft INC
Atlanta, GAa month ago - ...incentives Ongoing mentorship, development, and leadership programs And more Description JOB DESCRIPTION: The Clinical Utilization Review Nurse Preceptor (UR RN Preceptor) will be responsible for training, mentoring, and coaching for the Utilization Review Department. The UR...SuggestedTemporary workCasual workShift work
$3,058 per week
...RN Case Manager Job Location: Atlanta, GA 30305 Job Duration: 13 Weeks (Possibility of Extension) Shift Options: Monday... ...8/weekly Local Pay: $70/hr on W2 Job Summary Performs utilization review to ensure appropriate level of care, medical necessity, and compliance...SuggestedWeekly payLocal areaMonday to FridayShift work- ...Utilization Review Position Utilization Review (UR) Position Duties Non-Core Continuum Utilization Management experience needed Minimum Required Qualifications RN Preferred Qualifications Kaiser Experience Preferred Length Of Assignment 13 Weeks Shift / Hours Per Week...SuggestedShift work
- ...The Utilization Review Specialist coordinates insurance authorizations for individual therapy and IOP services, ensuring clients receive appropriate... ...): LICENSE/LICENSURE: • LSCW, LMHC or LMFT LMHC, or RN highly desired TRAVEL: • Local travel between PIHC...SuggestedCasual workLocal areaAfternoon shift
Positive Impact Health Centers
Decatur, GA4 hours agonew - ...Responsible for carrying out medical necessity reviews on all designated referrals for Home Care... ...day review activities as outlined above. Utilizes established criteria to perform medical... ...in Nursing. COMPANY: KAISER TITLE: RN, Specialty Care Review On Call PRN...SuggestedContract workReliefWork at officeLocal areaImmediate startWeekend work
Kaiser Permanente
Atlanta, GA4 days ago $25 per hour
...Now hiring for a Medical Review Specialist Location: Atlanta, GA Pay Rate: $25.00 per hour Schedule: 8:30 AM - 5 PM... ...billing, coding, fee schedules, CPT, ICD-10, CMS guidelines, utilization review, and billing compliance standards. Experience reviewing...SuggestedHourly payWeekly payFor contractorsWork at officeLocal areaImmediate startStaffmark Group
Atlanta, GA1 day ago- ...as needed to, the Clinical Manager/Charge RN acting as nurse manager, the Medical... ...concerns, issues, and questions including the review of patient satisfaction surveys. •... ...policies and procedures to facility staff. • Utilizes knowledge of FMCNA and FMS services and...SuggestedTemporary workWork at office
Fresenius Medical Care
Atlanta, GA2 days ago - ...completion of the Annual Standing Order Review and Internal Classification of Disease (ICD... ...clinic financials including efficient utilization of supplies or equipment and regular profits... ...of an accredited School of Nursing (RN). Current appropriate state licensure....Suggested
Fresenius Medical Care
Atlanta, GA13 hours ago - ...Utilization Review Nurse We are seeking a detail-oriented and experienced Utilization Review Nurse to evaluate the medical necessity, appropriateness... ...care. The ideal candidate is a licensed Registered Nurse (RN) with experience in utilization management, case management,...SuggestedWork at officeRemote work
- 1 week ago Be among the first 25 applicants Job Title:Clinical Review Nurse (RN) - Utilization Management Location:Oregon or bordering states Duration:3+ Months Job Summary: This role uses clinical expertise to review medical records for medical appropriateness based on...SuggestedContract workRemote work
- ...United States of America) Registered Nurse (RN) Cardiac Telemetry Medsurg FT days/nights... ...methods (interdisciplinary rounds, case review, etc); completion of timely documentation... ...all stakeholders, research and research utilization to promote safe, quality patient care...SuggestedFull timeRelocation packageShift workNight shift
Wellstar Health Systems, Inc.
Austell, GA14 days ago - ...methods (interdisciplinary rounds, case review, etc.); completion of timely documentation... ...all stakeholders, research and research utilization to promote safe, quality patient care including... ...upon hire unless otherwise stated. RN - Reg Nurse (Single State) or RN-COMPACT...SuggestedReliefShift work
Wellstar Health Systems, Inc.
Marietta, GA15 hours ago - ...required for this role Job Summary: The RN Clinical Periop Nurse is a proactive... ...methods (interdisciplinary rounds, case review, etc); completion of timely documentation... ...all stakeholders, research and research utilization to promote safe, quality patient care including...SuggestedFull timeRelocation packageShift work
Wellstar Health Systems, Inc.
Austell, GAa month ago - ...States of America) FT NIGHTS CHARGE RN Medsurg Oncology Unit - Cobb Hospital.... ...possesses (advanced) clinical expertise and utilizes this expertise to support and promote the... ...patient. * Daily Discharge/Length of Stay Review. * Round with Physicians/Surgeons. *...SuggestedFull timeRelocation packageShift workNight shift
Wellstar Health Systems, Inc.
Austell, GA18 hours ago - ...Emory Healthcare RN Charge Nurse Clinician Be inspired. Be rewarded. Belong. At Emory... ...and assist them in effective delegation utilizing the Synergy model for care. Considered an... ...operations. 4. Completes performance reviews with Nurse Manager input as appropriate....Full timeShift work
- ...RN - Utilization Pulse Healthcare is currently seeking Travel Nurses for multiple positions in locations throughout the United States. Start Date: 08/03/2026 Duration: 150 days City: Atlanta State: Georgia Degree: RN Specialty: Utilization Desired Shift: 5X8 Days...Weekly payDaily paidTemporary workShift work
$71.1k - $97.8k
...Become a part of our caring community The Utilization Management Registered Nurse uses clinical... ...processing time frames. (i.e. 10 reviews per day?) You will communicate with providers... ...: Must hold Compact Registered Nurse (RN) license in your state of residence...Bi-weekly payFull timeTemporary workApprenticeshipWork at officeRemote workHome officeHumana
Atlanta, GA4 days ago- ...Night (United States of America) Title: RN Acute Care We are seeking a full-time... ...methods (interdisciplinary rounds, case review, etc); completion of timely documentation... ...all stakeholders, research and research utilization to promote safe, quality patient care including...Full timeRelocation packageShift workNight shift3 days per week
Wellstar Health Systems, Inc.
Marietta, GAmore than 2 months ago - ...donor eligibility through medical history reviews, physical assessments, and informed... ...This is What it Takes Physician, LPN, or RN: Graduate of a recognized healthcare-related... ...mobility or communication. Ability to utilize personal protective equipment (PPE)....Work at officeImmediate startFlexible hoursShift workWeekend workAfternoon shift
- ...interdisciplinary healthcare team. Experience 12 months RN experience required Preferred... ...through a culturally sensitive process. Utilizes clinical decision support tools and... ...achieve goals identified during performance review, resulting in change in practice and role...Full timeShift workNight shift
$60.2k - $107.4k
...will be responsible for ensuring proper utilization of our health services. This means you will... ...are located in Georgia and have GA state RN license, you will have the flexibility to... ...: Perform initial and concurrent review of inpatient cases applying evidenced-based...Minimum wageFull timeWork experience placementLocal areaRemote workWork from homeUnitedHealth Group
Atlanta, GA19 hours ago- ...provides nursing care to patients from birth through the lifecycle utilizing nursing processes to assess, plan, implement, and evaluate the... ...for PRN positions Required Licenses and Certifications RN - Registered Nurse - Georgia State Licensure and/or NLC/eNCL Multistate...Work experience placementRelief
Piedmont Healthcare
Atlanta, GA13 hours ago - Kaiser Permanente in Georgia seeks a skilled nurse reviewer to conduct medical necessity reviews for Home Care, DME, and Specialty Care referrals... ...care teams to ensure appropriate resource use. Required are RN licensure in Georgia and 3+ years of clinical nursing or Kaiser...
- ...delegation skills to colleagues and assist them in effective delegation utilizing the Synergy model for care. Considered an expert and is viewed... ...skills and daily operations. Completes performance reviews with Nurse Manager input as appropriate. Incorporates Synergy...Shift work
$37 - $47 per hour
...Among others Responsibilities What You Can Expect: Obtain and review all new patient information and consent forms before initial... ...Ability to problem solve Education/Training: Current GA RN license One year of dialysis nursing experience required Supervisory...Hourly payFull timeFor contractorsShift workDialysis Clinic, Inc.
Atlanta, GA1 day ago- ...Responsibilities: RESPONSIBLE FOR: The staff nurse provides nursing care to patients from birth through the lifecycle utilizing nursing processes to assess, plan, implement, and evaluate the care for patients. He/she functions within the framework of the policies...
Piedmont Healthcare
Atlanta, GA13 hours ago - ...provides nursing care to patients from birth through the lifecycle utilizing nursing processes to assess, plan, implement, and evaluate the... ...for PRN positions Preferred Licenses and Certifications RN - Registered Nurse - Georgia State Licensure and/or NLC/eNCL...Work experience placementReliefNight shift
Piedmont Healthcare
Atlanta, GA13 hours ago - ...offered Responsibilities: RESPONSIBLE FOR: The staff nurse provides nursing care to patients from birth through the lifecycle utilizing nursing processes to assess, plan, implement, and evaluate the care for patients. He/she functions within the framework of the...Relocation packageNight shift
Piedmont Healthcare
Atlanta, GA13 hours ago - ...to changes in clinical situations. This RN professional is able to apply the Synergy... ...care to a patient population independently utilizing the nursing process. Demonstrate... ...for a patient population based on receipt/review of evidence-based research. Includes revising...
