• Episode Assessment Coordinator

    PruittHealth (Norcross, GA)
    …Oasis C-2 Certification within 9 months from hire date** + Current and unrestricted Registered Nurse ( RN ) licensure in state of practice. **ADDITIONAL ... physician's plan of Care (POC) as it relates to the patient's medical conditions, including any co-morbidities and current guideline requirements and conventions. +… more
    PruittHealth (05/01/25)
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  • Licensed Practical Nurse - MDS Coordinator

    PruittHealth (Blue Ridge, GA)
    …University resources * Comprehensive health plans Email ###@PruittHealth.com Active, current, unrestricted Registered Nurse ( RN ) licensure in the state of ... **LPN MDS COORDINATOR** **JOB PURPOSE:** RN Register Nurse Responsible for coordinating...improvement (QAPI) committees. 26. Work closely with Admissions director/Senior Nurse Navigator, Hospital medical records, and physicians… more
    PruittHealth (05/06/25)
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  • Remote Accommodations Clinical Specialist-…

    Sedgwick (Atlanta, GA)
    …accredited college or university preferred. Current Certified Rehabilitation Counselor (CRC) or Registered Nurse ( RN ) license required. Current license, ... clinical evaluations on claims that require additional review based on medical condition, client requirement, and/or complexity. Consults with providers and… more
    Sedgwick (05/23/25)
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  • Strategy Advancement Advisor

    Humana (Atlanta, GA)
    …DSNP program **Use your skills to make an impact** **REQUIRED QUALIFICATIONS:** + Registered nurse ( RN ) with unrestricted licensed **OR** independent ... + Knowledge of Medicaid regulatory requirements + Experience with contracting, audit , risk management, or compliance **Additional Information** This position is open… more
    Humana (06/06/25)
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  • Hospital Coding Compliance Auditor

    Emory Healthcare/Emory University (Atlanta, GA)
    …leadership programs + And more! **Description** Reporting to the Manager, Compliance Audit and Analysis, develops and executes audit , monitoring, and education ... hospital/clinical billing compliance activities to assess compliance with the Compliance Audit and Analysis Program and appropriate focus on risk areas. Serves… more
    Emory Healthcare/Emory University (04/22/25)
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  • Nurse Investigator

    State of Georgia (Fulton County, GA)
    Nurse Investigator Georgia - Fulton - Atlanta (https://careers.georgia.gov/jobs/64040/other-jobs-matching/location-only) Hot ... Job Alerts The Office of the Attorney General Georgia Department of Law Nurse Investigator- Medicaid Fraud Division *To move forward in the recruiting process ALL… more
    State of Georgia (03/20/25)
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  • Manager, Care Integraton Team

    CenterWell (Stone Mountain, GA)
    …Duties and Responsibilities** + Oversees day-to-day operations, quality chart audit reviews, recruiting/hiring, team management, and overall performance for Care ... an impact** **Required Qualifications** + A current unrestricted state RN license or Social Work degree / license +...extends outside of work. Among our benefits, Humana provides medical , dental and vision benefits, 401(k) retirement savings plan,… more
    CenterWell (05/23/25)
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