- HCA Healthcare (Augusta, GA)
- …or work to deliver clinical excellence behind the scenes in data science, case management or transfer centers. Unlock your potential at Doctors Hospital ... passionate about delivering patient-centered care?** Submit your application for ** RN ED Flow Coordinator** position and spend more time...higher is required + Must be licensed as a Registered Nurse in the state which you… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …+ And more **Description** The **Utilization Review (UR) Specialist** is a Registered Nurse responsible for conducting thorough medical necessity reviews to ... UR Specialist will work closely with the UR Department's Case Management Authorization Specialist IP to ensure...+ Licensure - Must have a valid, active unencumbered Registered Nurse license approved by the Georgia… more
- HCA Healthcare (Savannah, GA)
- …outcomes, or work to deliver clinical excellence behind the scenes in data science, case management or transfer centers. Unlock your potential at Memorial Health ... passionate about delivering patient-centered care?** Submit your application for ** RN Endo Clinical Coordinator** position and spend more time...higher is required . Must be licensed as a Registered Nurse in the state which you… more
- HCA Healthcare (Augusta, GA)
- …or work to deliver clinical excellence behind the scenes in data science, case management or transfer centers. Unlock your potential at Doctors Hospital ... passionate about delivering patient-centered care?** Submit your application for ** RN Clinical Nurse Coordinator (Ortho Trauma)** position...higher is required . Must be licensed as a Registered Nurse in the state which you… more
- Trinity Health (Athens, GA)
- …setting and a minimum of 1 year in case management , utilization management , or discharge planning preferred for RN . Certification in case ... an individual's health care needs from admission to the acute care setting through return to the community for...of utilization review as well as identifying patients requiring case management follow-up. This includes a biopsychosocial… more
- Molina Healthcare (Savannah, GA)
- …outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse ( RN ) performs clinical/medical reviews of previously denied ... these guidelines. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing. **Preferred… more
- Molina Healthcare (GA)
- …ICT collaboration. + RNs provide consultation, recommendations, and education as appropriate to non- RN case managers. + RNs are assigned cases with members who ... or home health. **Required License, Certification, Association** + Active, unrestricted State Registered Nursing ( RN ) license in good standing. + Must have… more
- Elevance Health (Atlanta, GA)
- …within 48 hours of receipt and meet the criteria._** The **Telephonic Nurse Case Manager II** is responsible for care management within the scope of ... **Telephonic Nurse Case Manager II** **Location:** This... care setting preferred. + Minimum 2 years' "telephonic" Case Management experience with a Managed Care… more
- Elevance Health (Atlanta, GA)
- …within 48 hours of receipt and meet the criteria._** The **Telephonic Nurse Case Manager II** is responsible for care management within the scope of ... **Telephonic Nurse Case Manager II** **Location: This...in multiple states. **Preferred Capabilities, Skills and Experiences:** + Case Management experience. + Certification as a… more
- Elevance Health (GA)
- …48 hours of receipt and meet the criteria._** The **Telephonic Nurse Case Manager II** is responsible for care management within the scope of licensure ... **Telephonic Nurse Case Manager II** **Location: This...in multiple states. **Preferred Capabilities, Skills and Experiences:** + Case Management experience. + Certification as a… more