Get new jobs by email
  •  ...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

    Kaiser Permanente

    Atlanta, GA
    2 days ago
  •  ...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... 
    Suggested
    Full time
    Part time
    Relocation package
    Shift work
    Night shift
    3 days per week

    Wellstar Health Systems, Inc.

    Marietta, GA
    3 days ago
  • $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... 
    Suggested
    Hourly pay
    Full time
    Contract work
    Immediate start
    Remote work
    Monday to Friday

    A-Line Staffing Solutions

    Atlanta, GA
    4 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... 
    Suggested
    Shift work

    Wellstar Health System

    Austell, GA
    23 hours ago
  •  ...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... 
    Suggested
    Permanent employment
    Contract work

    Kaiser Permanente

    Atlanta, GA
    4 days ago
  •  ...lives. Work Shift Job Summary: The RN Clinical Charge Nurse is responsible for...  ...possesses (advanced) clinical expertise and utilizes this expertise to support and promote the...  .... * Daily Discharge/Length of Stay Review. * Round with Physicians/Surgeons. * Assign... 
    Suggested
    Shift work

    Wellstar Health System

    Augusta, GA
    3 days ago
  • 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

    Kaiser Permanente

    Atlanta, GA
    2 days ago
  • 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... 
    Suggested
    Contract work
    Work at office
    Local area
    Immediate start
    Weekend work

    Kaiser Permanente

    Atlanta, GA
    2 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... 
    Suggested
    Shift work

    Wellstar Health System

    Marietta, GA
    3 days ago
  •  ...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... 
    Suggested
    Shift work

    Wellstar Health System

    Austell, GA
    2 days ago
  • $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... 
    Suggested
    Work at office
    Local area
    Remote work
    Visa sponsorship
    Work visa

    Prime Therapeutics

    Atlanta, GA
    4 days ago
  • $29.05 - $67.97 per hour

     ...Medical Review Nurse Highlights of the skills and qualifications needed for the Medical...  ...of experience in the following areas: utilization review, medical claims review, claims auditing...  ...and experience. Registered Nurse (RN). License must be active and unrestricted... 
    Suggested
    Remote job
    Hourly pay
    Work experience placement
    Work at office
    Monday to Friday

    Molina Healthcare

    Atlanta, GA
    1 day ago
  •  ...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... 
    Suggested
    Full time
    Relocation package
    Shift work
    Night shift
    3 days per week

    Wellstar Health System

    Marietta, GA
    2 days ago
  •  ...Patient Care Technician on the Hemodialysis Treatment Sheet. Reviews, transcribes, and enters physician lab orders accurately into...  ...Spectra or alternate lab. Ensures correct labs tubes are utilized for prescribed lab specimens and that lab draw and processing procedures... 
    Suggested
    Relief
    Immediate start
    Shift work

    Fresenius Medical Care

    Bainbridge, GA
    23 hours 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... 
    Suggested
    Local area
    Shift work
    Night shift

    Fresenius Medical Care

    Marietta, GA
    1 day ago
  •  ...Magnet Designated/ Baldrige Campus The RN Clinical Nurse Emergency Department is a...  ...methods (interdisciplinary rounds, case review, etc); completion of timely documentation...  ...all stakeholders, research and research utilization to promote safe, quality patient care including... 
    Part time
    Relocation package
    Shift work
    Night shift

    Wellstar Health System

    Hiram, GA
    23 hours 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... 

    Kaiser Permanente

    Atlanta, GA
    23 hours 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 time
    Contract work
    Local area
    Immediate start
    Day shift

    Pyramid Consulting

    Austell, GA
    2 days ago
  •  ...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... 

    Kaiser Permanente

    Atlanta, GA
    23 hours ago
  •  ...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 time
    Part time
    Currently hiring
    Relocation package
    Shift work
    Night shift
    Day shift

    Children's Healthcare of Atlanta

    Brookhaven, GA
    2 days ago
  •  ...healthcare delivery through a culturally sensitive process. Utilizes clinical decision support tools and resources to recognize issues...  ...Takes action to achieve goals identified during performance review, resulting in change in practice and role performance. Engagement... 
    Relief
    Monday to Friday
    Shift work
    Weekend work

    Children's Healthcare of Atlanta

    Brookhaven, GA
    2 days ago
  •  ...non-licensed staff. Job Summary: The RN Clinical Nurse is a proactive member of...  ...methods (interdisciplinary rounds, case review, etc); completion of timely documentation...  ...all stakeholders, research and research utilization to promote safe, quality patient care including... 
    Monday to Friday
    Shift work
    Weekend work

    Wellstar Health System

    Marietta, GA
    1 day ago
  •  ...methods (interdisciplinary rounds, case review, etc); completion of timely documentation...  ...all stakeholders, research and research utilization to promote safe, quality patient care including...  ...(s) Reg Nurse (Single State) RN - Multi-state Compact Basic Life... 
    Full time
    Shift work
    Night shift

    Wellstar Health System

    Marietta, GA
    3 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... 
    Hourly pay
    Full time
    Local area
    Shift work

    Emory Healthcare/Emory University

    Atlanta, GA
    3 days ago
  •  ...To act as a resource person to manage and utilize personnel in an effective and appropriate...  ...and assistance during the process. Reviews daily schedule and prepares patient care...  ...of Accredited School of Nursing; current RN License. CPR required. ACLS required... 
    Part time
    Local area
    Day shift
    2 days per week

    Surgery Partners

    Newnan, GA
    1 day ago
  •  ...the plan of care in Electronic Health Record. Set priorities and utilize personnel appropriately. Effectively communicate with...  ...organization policies. Ingenuity and judgment are required to review facts, plan work, estimate costs, and deal with factors not easily... 
    Immediate start
    Shift work
    Afternoon shift

    Tanner Health System

    Carrollton, GA
    1 day ago
  •  ...eligible candidates. Job Summary: The RN Clinical Nurse is a proactive member of...  ...methods (interdisciplinary rounds, case review, etc); completion of timely documentation...  ...all stakeholders, research and research utilization to promote safe, quality patient care... 
    Relief
    Relocation package
    Shift work

    Wellstar Health System

    Austell, GA
    23 hours ago
  •  ...Sign on Bonus eligible for experienced RN's committed to our community The RN...  ...methods (interdisciplinary rounds, case review, etc); completion of timely documentation...  ...all stakeholders, research and research utilization to promote safe, quality patient care including... 
    Full time
    Relocation package
    Shift work
    Night shift

    WellStar Health System

    Hiram, GA
    4 days ago
  •  ...to changes in clinical situations. This RN professional can apply the Synergy Model...  ...and assist them in effective delegation utilizing the Synergy model for care. Considered...  ...daily operations. Completes performance reviews with Nurse Manager input as appropriate.... 
    Full time
    Shift work

    Emory Healthcare

    Atlanta, GA
    4 days ago
  • $32 - $58 per hour

     ...Immediate need for a talented RN Charge Nurse - Operating Room (OR) . This is a Permanent...  ...in Grovetown, Georgia(Onsite) . Please review the job description below and contact me...  ...Resource Management: Ensure appropriate utilization of nursing and clinical resources, manage... 
    Permanent employment
    Full time
    Local area
    Immediate start
    Relocation package
    Shift work
    Day shift

    Pyramid Consulting

    Grovetown, GA
    1 day ago