- STG International (Milledgeville, GA)
- …Registered Nurse (RN) is on duty at least 8 hours a day/7 day a week and a Licensed Practical Nurse ( LPN ) or Licensed Vocational Nurse (LVN) ... reports, evaluations, studies, charting, etc., as necessary. + Periodically review the department's policies and procedures manuals, job descriptions,...or university, or be a graduate of an approved Licensed Practical Nurse ( LPN… more
- CVS Health (Atlanta, GA)
- … Utilization and 30-day hospital readmissions. **Required Qualifications** - 2 years of Licensed Practical Nurse ( LPN ) nursing experience - 2 ... nursing, or rehabilitative stay. Under the direction of a Registered/ Licensed RN, the TOC Coach ensures the member experiences...who cannot advocate for themselves. The TOC team will review prior claims to address potential impact on current… more
- Actalent (Atlanta, GA)
- …Active Compact RN License, Compact LPN is okay too + Utilization Management/Concurrent Review experience. + ICU/ER experience. + Strong communication skills. ... Job Title: Clinical Review NurseJob Description: The Review Nurse will be responsible for reviewing...Skills + Experience in utilization management, concurrent review , prior authorization, utilization review ,… more
- Evolent (Atlanta, GA)
- …+ Performs other duties as assigned. **The Experience You'll Need (Required):** + Registered Nurse or Licensed Practical /Vocational Nurse with a current, ... quality and cost effective care delivery. **What You'll Be Doing:** + Performs utilization review of outpatient procedures and ancillary services. + Fulfills on… more
- US Tech Solutions (GA)
- …involve computer system data entry, data management, and reporting. + Review criteria-based prior authorizations following policy and procedure. + Provide on-call ... after hours nurse availability for...of related work experience. **Skills:** + Prior Authorization + Utilization Reeview **Education:** + High School Diploma or equivalent… more