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$2,645 per week
Job Summary Cross Country Nurses is seeking a travel nurse RN Utilization Review for a travel nursing job in Atlanta, Georgia. The organization is seeking a licensed UR RN to perform medical necessity reviews for outpatient services utilizing guidelines such as MCG, KP,...SuggestedShift workDay shift- Cross Country Nurses is looking for a travel nurse RN Utilization Review for a 14-week assignment in Atlanta, Georgia. This role entails performing medical necessity reviews for outpatient services, following guidelines like MCG and LCD criteria. Candidates must have prior...SuggestedDay shift
- ...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
$24 - $31.5 per hour
...and competitive hourly pay of $24.00–$31.50. Strong documentation and compliance skills are essential. This role focuses on quality review, regulatory adherence, and independent prioritization within a professional team. Remote work supports a broad client base and...SuggestedHourly payRemote workFlexible hoursAtterro Human Capital Group
Atlanta, GA22 hours ago- Alliant Health Solutions is seeking a Pediatric Review Nurse to join its hybrid team in Atlanta, GA. The role involves medical review for... ...ideal candidate has 3+ years of pediatric nursing, an active Georgia RN license, and a Bachelor’s degree is preferred. #J-18808-Ljbffr...Suggested
- Emory Healthcare in Georgia seeks a Clinical Utilization Review Nurse Preceptor to train, mentor, and coach UR staff. The role requires deep UR expertise, the ability to cover multiple roles, manage a caseload, and lead by example within the Utilization Review Department...Suggested
- ...Description The Utilization Review Specialist coordinates insurance authorizations for individual therapy and IOP services, ensuring clients receive... ...(KSAOs): LICENSE/LICENSURE: LSCW, LMHC or LMFT LMHC, or RN highly desired TRAVEL: Local travel between PIHC sites and to...SuggestedCasual workLocal areaAfternoon shift
Positive Impact Health Centers
Decatur, GA4 days ago Office of Utilities-Transportation Specialist 4; Subsurface Utilities Review Specialist (TRP053[...]
Office of Utilities-Transportation Specialist 4; Subsurface Utilities Review Specialist (TRP053) -PG-N; Atlanta, GA. Transportation, Georgia Department of - GDOT 2 days ago JOB SUMMARY: Under limited supervision, provides expert level professional support in one or more...SuggestedContract workSecond jobWork at officeRelocation- ...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, GA22 hours ago - A leading healthcare staffing agency in Atlanta is seeking a qualified Registered Nurse to join their team. This role involves reviewing patient admissions, providing clinical resources, and entering data into the system. The position offers a competitive salary and benefits...SuggestedMonday to Friday
- 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
Metasys Technologies
Duluth, GA1 day ago $59k - $75.05k
...Nurse ReviewerThe Nurse Reviewer is primarily responsible for conducting post-service, pre... ...What You'll Bring to Zelis:Current/active RN License.Typically has a BA or 3-5 years of... ...long period of computer work while utilizing multiple computer screens at one time.Base...SuggestedFull timeWork at officeLocal areaFlexible hoursZelis
Atlanta, GA3 days ago- ...Utilization Review Nurse Location: [City, State / Remote] Employment Type: Full-Time Experience: 2-5+ Years Job Summary We... ...patient care.The ideal candidate is a licensed Registered Nurse (RN) with experience in utilization management, case management,...Full timeSecond jobWork at officeRemote work
Ova Technologies
Alpharetta, GA1 day ago $25 per hour
Medical Review Specialist Location: Atlanta, GA Pay Rate: $25.00 per hour Schedule: 8:30 AM - 5 PM Looking for Medical Review Specialist... ...billing, coding, fee schedules, CPT, ICD-10, CMS guidelines, utilization review, and billing compliance standards. Experience...Hourly payWeekly payFor contractorsWork at officeLocal area- ...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...Temporary workWork at office
Fresenius Medical Care
Atlanta, GA-66 - ...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....
Fresenius Medical Care
Atlanta, GA-66 - Kaiser Permanente in Atlanta, GA is seeking an RN to perform precertification and medical necessity reviews for referrals, procedures, and admissions. This role supports telephonic reviews, eligibility checks, and coordination with care teams to ensure appropriate, high...
- ...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...Full timeRelocation packageShift workNight shift
Wellstar Health Systems, Inc.
Austell, GA15 days 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...Full timeRelocation packageShift work
Wellstar Health Systems, Inc.
Austell, GAa month 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...ReliefShift work
Wellstar Health Systems, Inc.
Marietta, GA2 days 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. *...Full timeRelocation packageShift workNight shift
Wellstar Health Systems, Inc.
Austell, GA2 days 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... ...for mobility or communication. Ability to utilize personal protective equipment (PPE). Occupational...Work at officeImmediate startFlexible hoursShift workWeekend workAfternoon shift
Octapharma Plasma
Atlanta, GA4 days 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
- ...Job Details POSITION SUMMARY - RN Utilization Management POSITION DUTIES - Primary link between the clinical floor and... ...for performing admission and concurrent medical record reviews to ensure patients are in the correct Patient Class (e.g., Inpatient...Temporary workImmediate startShift workDay shift
Trinity Clinics AMN
Marietta, GA2 days ago Registered Nurse (RN) - Inpatient Hematology/Oncology & Bone Marrow Transplant Unit at Arthur M[...]
...healthcare team. Experience 12 months RN experience required Preferred Qualifications... ...through a culturally sensitive process. Utilizes clinical decision support tools and... ...achieve goals identified during performance review, resulting in change in practice and role...Shift work- ...into healthcare delivery through a culturally sensitive process. Utilizes clinical decision support tools and resources to recognize... .... Takes action to achieve goals identified during performance review, resulting in change in practice and role performance. Engagement...Immediate startMonday to FridayShift workNight shift
- ...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
