- Humana (Atlanta, GA)
- **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work...skills to make an impact** **Required Qualifications** + **Licensed Registered Nurse ( RN )** in the… more
- Actalent (Atlanta, GA)
- …Service, Claims, Contracts and Benefits - Appeals, and Risk Management . Essential Skills + Registered Nurse ( RN ) with a valid license in GA or Compact. + ... Job Title: Utilization Review - FULLY REMOTE Job Description This...1+ years of experience in Utilization Management (UM). + 1+ years of...1+ years of experience in Utilization Management (UM). + 1+ years of experience in managed… more
- CenterWell (Atlanta, GA)
- … RN experience; + Prior clinical experience, managed care experience, **OR** utilization management experience + Demonstrates Emotional Maturity + Ability to ... put health first** Conviva Care Solutions is seeking a RN who will collaborate with other health care givers...DME, Cardiac or Orthopedic procedures + Previous experience in utilization management within Insurance industry + Previous… more