- Sharecare (Atlanta, GA)
- …to enable individuals with disabilities to perform the essential functions. + Current Registered Nurse multi-state compact license in the state in which they ... utilization and desired clinical outcomes. The Disease Management Nurse is also responsible during their interactions with participants for identification… 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
- CVS Health (Atlanta, GA)
- …in state of residence + 5+ years of acute experience as a Registered Nurse + 3+ years of Utilization Management experience + Must have experience using MS ... And we do it all with heart, each and every day. **Position Summary** Fully remote , Monday-Friday 8am - 5pm EST position (shifts may vary based on business needs)… more
- Humana (Atlanta, GA)
- …for either shift._ **Use your skills to make an impact** **Required Qualifications** + Licensed Registered Nurse ( RN ) in either Florida or a compact state ... for review depending on case findings. Educates providers on utilization and medical management processes. + Enters and maintains pertinent clinical information… more