Average salary: $89,042 /yearly
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$71.1k - $97.8k
...Become a part of our caring communityThe Utilization Management Registered Nurse uses clinical nursing skills to interpret and support the coordination, documentation and communication of medical services and benefit administration determinations. You will report to the...SuggestedBi-weekly payFull timeTemporary workApprenticeshipWork at officeRemote workHome officeHumana
Atlanta, GA20 hours ago$26.01 - $74.78 per hour
...Registered Nurse (RN) Utilization ManagementWe're building a world of health around every individual — shaping a more connected, convenient... ...seeking experienced Registered Nurses to join our Utilization Management team, where you'll use your clinical expertise to ensure...SuggestedHourly payFull timeTemporary workWork at officeWork from homeAfternoon shiftCVS Corporation
Atlanta, GA1 day ago$26.01 - $68.55 per hour
...CVS Health Nurse PositionWe're building a world of health around every individual — shaping a more... ...schedules will be determined in collaboration with management to ensure adequate weekend coverage.Position Summary: Utilize your clinical experience and skills in a...SuggestedHourly payFull timeTemporary workWork at officeWork from homeShift workWeekend workOak St. Health
Atlanta, GA5 days ago$26.01 - $68.55 per hour
...simplify health care one person, one family and one community at a time. Position Summary Medicare Predetermination Utilization Management Nurse Consultant position: Utilization Management is a 24/7 operation and work schedules will include holidays and evening...SuggestedHourly payFull timeTemporary workWork at officeMonday to FridayShift workWeekend workAfternoon shift$96,000 per week
The on-site Utilization Management Registered Nurse reviews patient records and care plans to assess medical necessity, patient classification, and appropriate level of care. The nurse collaborates with physicians and interdisciplinary teams, applies screening criteria,...SuggestedWellstar Health Systems, Inc.
Marietta, GA11 days ago- ...Utilization Management Registered Nurse On-site role responsible for reviewing patient records and care plans to determine medical necessity, patient classification, and the appropriate level of care. Collaborate with physicians and interdisciplinary teams to support care...Suggested
Health Wealth Safe
Marietta, GA1 day ago $75k - $100k
...Our Utilization Management RN (Registered Nurse) evaluates efficiency, appropriateness, and medical necessity for medical services, and procedures for our Health Plan. This role uses clinical knowledge to provide judgment to review medical services with evidence-based...SuggestedFor contractorsWork at officeLocal areaImmediate startRemote workWPS Health Solutions
Atlanta, GA2 days ago- ...Utilization Management Nurse Coordinator At Wellstar, our mission is simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what's possible when the brightest professionals dedicate themselves...SuggestedReliefShift work
- ...Utilization Management Nurse How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is simple, yet powerful: to enhance the...SuggestedRelocation packageShift work
$29.1 - $62.32 per hour
...and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Utilization Management Nurse Consultant - Clinical Precertification RN (Medicare) Remote | Full-Time | Monday-Friday Are you a Registered Nurse...SuggestedHourly payFull timeTemporary workWork at officeLocal areaRemote workWork from homeMonday to FridayAfternoon shift$1,652 - $1,747 per week
...Registered Nurse (RN) | Utilization Review Location: Atlanta, GA Agency: GQR Healthcare Pay: $1,652 to $1,747 per week Shift... ...Date: ASAP About the Position Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location:...SuggestedHourly payWeekly payFull timeContract workTemporary workImmediate startShift workGQR Healthcare
Atlanta, GA1 day ago$1,527 - $1,622 per week
...Registered Nurse (RN) | Utilization Review Location: Atlanta, GA Agency: GQR Healthcare Pay: $1,527 to $1,622 per week Shift... ...RN in Atlanta, Georgia, 30309! Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location:...SuggestedHourly payWeekly payFull timeContract workTemporary workImmediate startShift workTravelNurseSource
Atlanta, GA1 day ago- ...accommodation or an alternative application process. Review Nurse-PA/UM 10 - PA/UM Regular Full-Time Professionals Atlanta,... ...a Hybrid Review Nurse for its Prior Authorization and Utilization Management (PA/UM) team. The Review Nurse conducts prior approval and...SuggestedFull timeContract work
Alliant Health Solutions
Atlanta, GA5 days ago - ...Job TitleMedical Management NurseJob DescriptionThe Medical Management Nurse is responsible for review of the most complex or challenging cases that require nursing... ...and assess a member's clinical picture. Utilizes nursing judgment to determine whether treatment is...SuggestedFull timeTemporary workLocal areaMonday to FridayAfternoon shift1 day per week
The Elevance Health Companies, Inc.
Atlanta, GA2 days ago $59.64k - $100k
...Incredible Health are actively hiring and accepting applications in the Atlanta, GA area for the following position: Registered Nurse - Utilization Review. Nurses with experience in any of the following areas are strongly encouraged to apply: Clinical pathway, Navigator,...SuggestedDaily paidFull timePart timeShift workDay shiftIncredible Health
Atlanta, GA20 hours ago- ...across the county. Our staff of physicians, nurses, clinicians and support personnel are... ...stabilization or substance withdrawal management (usually 5-7 days) are admitted to the Crisis... ...de-escalate psychiatric emergencies. Utilize trauma-informed crisis intervention...Full timeTemporary workShift workDay shift
DeKalb Community Service
Decatur, GA4 days ago $32 - $36 per hour
...Restore Hyper Wellness Nurse Benefits: Bonus based on performance, paid time off,... ...Hyperbaric Oxygen Therapy sessions. Utilize blood test offerings to help clients optimize... ...hiring decisions will be made by the management of this franchisee. All inquiries about...Hourly payFull timeCasual workWork at officeFlexible hoursRestore Hyper Wellness
Atlanta, GA4 days ago- ...Registered Nurse Part-Time PositionSummit Spine and Joint Centers (SSJC) is a rapidly... ...IPS in North Carolina and Savannah Pain Management in Georgia, all operating as part of the... ...patient population.Delivers patient care utilizing standardized evidenced based guidelines...Part time
Summit Spine & Joint Centers
Decatur, GA4 days ago - ...IPS in North Carolina and Savannah Pain Management in Georgia, all operating as part of the... ...We are seeking self-motivated Registered Nurses who are passionate about transforming... ...patient population. Delivers patient care utilizing standardized evidence-based guidelines...Full time
Georgia Interventional Pain
Decatur, GA5 days ago $120,000 per week
Leads on-site utilization management nursing staff and coordinates reviews across the continuum of care. Collaborates with physicians and interdisciplinary teams on medical necessity, patient status, throughput, and documentation; uses clinical criteria to conduct concurrent...Wellstar Health Systems, Inc.
Marietta, GA12 days ago- ...industry, and in people's lives. Work Shift Day (United States of America) Job Summary: As an on-site Hospital Utilization Management (UM) Nurse, you are the primary link between the clinical floor and administrative compliance. Unlike remote roles, this position...Full timeImmediate startRemote workShift work
Wellstar Health Systems, Inc.
Marietta, GAmore than 2 months ago - ...Behavioral Health Nurse Children's is one of the nation's leading children's hospitals... ...aspects include assessment, clinical management, communication, crisis prevention, regulatory... ...a culturally sensitive process. Utilize clinical decision support tools and resources...Full timeDay shift
- Wellstar Health Systems, Inc. is seeking a Utilization Management Nurse for weekend shifts at Cobb Hospital. You will conduct medical necessity reviews, coordinate care, and communicate with providers and payers to ensure appropriate admission and discharge planning. Minimum...Shift workWeekend work
- Wellstar Health System, Inc. seeks an experienced Utilization Management Nurse to perform medical necessity reviews up to 12 hours daily, seven days a week, using MCG Indicia criteria and EPIC documentation. You will collaborate with physicians and the care team to coordinate...
- Wellstar Health System, Inc. is seeking a Utilization Management (UM) Nurse to perform medical-necessity reviews using MCG criteria across units and payers, coordinating safe transitions of care with the team. You will document in EPIC, obtain timely authorizations, monitor...
- Health Wealth Safe, Inc. seeks an on-site Utilization Management Registered Nurse in Marietta, GA. Review patient records and care plans to determine medical necessity, patient classification, and the appropriate level of care. You will collaborate with physicians and interdisciplinary...
- Wellstar Health System, Inc. in Georgia is seeking an Utilization Management Nurse to conduct medical necessity reviews and determine the appropriate level of care across units. You will use established criteria (MCG) and EPIC for timely authorization and accurate documentation...
$1,849 per week
...Registered Nurse (RN) | Telemetry Location: Atlanta, GA Agency: FlexCare Pay: $1,849 per week Shift Information:... ...nationwide leader in travel nursing, allied health, and therapy talent management solutions for top healthcare facilities throughout the U.S....Full timeContract workImmediate startShift workNight shiftTravelNurseSource
Atlanta, GA1 day ago$1,782 per week
...Registered Nurse (RN) | Telemetry Location: Atlanta, GA Agency: FlexCare Pay: $1,782 per week Shift Information:... ...nationwide leader in travel nursing, allied health, and therapy talent management solutions for top healthcare facilities throughout the U.S....Full timeContract workImmediate startShift workNight shiftTravelNurseSource
Atlanta, GA8 hours ago$1,789 per week
...Registered Nurse (RN) | Telemetry Location: Atlanta, GA Agency: FlexCare Pay: $1,789 per week Shift Information:... ...nationwide leader in travel nursing, allied health, and therapy talent management solutions for top healthcare facilities throughout the U.S....Full timeContract workImmediate startShift workNight shiftTravelNurseSource
Atlanta, GA1 day ago
