Average salary: $85,000 /yearly
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- ...Registered Nurse to optimize quality and efficiency of care for hospitalized members. Responsibilities include conducting daily utilization reviews, developing discharge plans, and ensuring compliance with regulations. Candidates must have a Bachelor's Degree in Nursing...Suggested
- A leading healthcare organization in Atlanta, GA is seeking an experienced RN to optimize care quality for hospitalized members. The role involves daily utilization reviews, discharge planning, and collaborating with multidisciplinary teams. Candidates should have at least...Suggested
- A leading healthcare organization in Atlanta, Georgia, is seeking a qualified Registered Nurse to perform medical necessity reviews and benefit eligibility for home care and durable medical equipment services. The ideal candidate will have a B.S. in Nursing and at least...Suggested
$18 - $20 per hour
A leading insurance services provider in Atlanta, Georgia is seeking a Utilization Review Coordinator to manage utilization review requests and provide support to clinical staff. The ideal candidate will have a High School diploma or GED, two years of administrative experience...Suggested- ...Day (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...SuggestedFull timePart timeRelocation packageShift workNight shift3 days per week
$40 - $45 per hour
...A-Line Staffing is now hiring a Remote clinical review RN. The Care Manager would be working for a major company and has career growth... ...Responsibilities · Review clinical documentation and perform utilization management reviews for prior authorizations Remote clinical review...SuggestedHourly payFull timeContract workImmediate startRemote workMonday to FridayA-Line Staffing Solutions
Atlanta, GA5 days ago$47.4 per hour
...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...SuggestedHourly payFull timeLocal areaShift workEmory Healthcare/Emory University
Decatur, GA5 days ago- A healthcare provider in Atlanta is seeking a skilled Registered Nurse to facilitate clinical reviews for medical claims and appeals. The role requires at least 2 years of clinical nursing experience, along with knowledge of medical necessity review and coding. The successful...SuggestedHourly pay
- ...out precertification and medical necessity reviews on all designated referrals as well as... ...telephonic review for medical necessity of the RN designated targeted outpatient procedures... ...admissions, as well as referrals, utilizing established criteria and guidelines, retrospective...SuggestedPermanent employmentContract work
Kaiser Permanente
Atlanta, GA5 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... ...stated. Reg Nurse (Single State) or RN - Multi-state Compact Basic Life...SuggestedShift work
$29.05 - $67.97 per hour
...support for medical claim and internal appeals review activities - ensuring alignment with... ...Resolves escalated complaints regarding utilization management and long-term services and supports... ...and experience. Registered Nurse (RN). License must be active and unrestricted...SuggestedHourly payWork experience placementWork at office- Job Summary Responsible for carrying out medical necessity reviews on all designated referrals for Home Care, DME Specialty Care services... ...for the day to day review activities as outlined above. Utilizes established criteria to perform medical necessity review for all...SuggestedContract workWork at officeLocal areaImmediate startWeekend work
- A leading healthcare organization in Atlanta is seeking a dedicated Utilization Manager to optimize care quality for hospitalized members. The role involves conducting daily utilization reviews, managing discharge planning, and collaborating with multidisciplinary teams...Suggested
- ...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...SuggestedFull time
Emory Healthcare
Decatur, GA4 days ago - ...industry, and in people's lives. The RN Clinical Charge Nurse is responsible for... ...possesses (advanced) clinical expertise and utilizes this expertise to support and promote the... ...communication (i.e., unit rounds, case reviews, peer review, etc.); just in time and planned...SuggestedShift workNight shift
- ...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...Full time
Emory Healthcare
Decatur, GA5 days ago $75k - $100k
Our Utilization Management RN (Registered Nurse) evaluates efficiency, appropriateness, and medical necessity for medical services, and procedures... .... This role uses clinical knowledge to provide judgment to review medical services with evidence‑based criteria, authorize...For contractorsWork at officeImmediate startRemote work- ...members in Atlanta, Georgia. Responsibilities include daily utilization reviews, discharge planning, and collaboration with multidisciplinary... ...regulations. The ideal candidate will have at least two years of RN experience in related fields and be licensed in Georgia. This...
- ...United States of America) 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...Shift work
- ...Day (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
$90.87 - $154.33 per hour
...driven career? Come build the future of pharmacy with us. Job Posting Title Physician Clinical Reviewer - Gastroenterology - REMOTE Job Description Key member of the utilization management team, providing timely medical review of service requests that do not initially...Work at officeLocal areaRemote workVisa sponsorshipWork visaPrime Therapeutics
Atlanta, GA5 days ago$95,000 per week
At U.S. Renal Care, we are committed to enhancing the lives of our patients by providing exceptional dialysis care in a comfortable home setting. We are seeking a dedicated and skilled Dialysis Registered Nurse specializing in Home Hemodialysis (Hemo) and Peritoneal Dialysis...Renal Dialysis Care
Decatur, GAa month ago- ...PURPOSE AND SCOPE : The Apheresis RN spends 80% or more of their time providing... ...ensuring that the apheresis LMS modules are reviewed and completed. Patient Care:... ...patient care to a variety of patients. Utilizes the principles of growth and development...Local areaShift workNight shift
Fresenius Medical Care
Atlanta, GA2 days ago - ...extender in a timely manner. • May complete and document monthly review of patient medication profiles as directed. Administer... ...essential duty satisfactorily. Requirements include: Current RN license in multiple states. All licenses must be maintained as current...Temporary workLocal areaFlexible hoursNight shiftWeekend work
US Renal Care
Decatur, GA2 days ago - ...alarm tests on the dialyzer and equipment are performed. Reviews physician orders for dialysis patients, collect pre-treatment dialysis... ...grafts for aseptic connection with dialysis equipment). Utilizes sterile techniques to assess the dialysis catheter exit site...
KurzSolutions
Decatur, GA4 days ago $33 - $59 per hour
...Immediate need for a talented Registered Nurse (RN) - Cath/EP Lab. This is a Full-Time -... ...in Austell, Georgia (Onsite) . Please review the job description below and contact me ASAP... ...before, during, and after procedures Utilize independent clinical judgment in...Full timeContract workLocal areaImmediate startDay shiftPyramid Consulting
Austell, GA3 days ago- A large health care organization in Atlanta is seeking a clinical nurse to perform medical necessity reviews for Home Care and DME services. The ideal candidate will have a B.S. in Nursing and at least three years of clinical nursing experience. Responsibilities include...
- ...Atlanta seeks a Patient Care Coordinator RN to enhance care quality for hospitalized... ...with healthcare teams, conducting quality reviews, and ensuring compliance with regulations... ...with a minimum of two years' experience in utilization management or similar fields. A...
- ...hiring experienced OR Registered Nurses (RN) and have several full-time and part-time... ...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 timePart timeCurrently hiringRelocation packageShift workNight shiftDay shift
Children's Healthcare of Atlanta
Brookhaven, GA3 days ago - ...exciting opportunity for a Registered Nurse (RN)! This position is Full-Time/Night... ...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 shift
