• Clinical Product Consultant - Utilization…

    Waystar (Atlanta, GA)
    …end user adoption of best practice workflows. We are specifically seeking an experienced Utilization Review Nurse who will serve as an integral contributor in ... **ABOUT THIS POSITION** The Clinical Product Consultant for Utilization Management is a member of the Customer...teams to execute our strategic plan for AwareUM. + Audit for product accuracy and effectiveness, communicating with product… more
    Waystar (11/21/25)
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  • Licensed Practical Nurse /Licensed…

    STG International (Milledgeville, GA)
    …FUNCTIONS: + Ensure the facility meets the minimum staffing levels for nurses and nurse aides; complete required posting of nursing staff data as required. + Ensure ... (inspections) made by authorized government agencies as requested. + Audit nursing documentation in the clinical record for appropriate...+ Coordinate with the scheduler to ensure a Registered Nurse (RN) is on duty at least 8 hours… more
    STG International (01/02/26)
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  • Medical Review Nurse (RN)- Remote

    Molina Healthcare (Macon, GA)
    …ensure appropriate reimbursement to providers. + Resolves escalated complaints regarding utilization management and long-term services and supports (LTSS) issues. + ... of payment decisions. + Serves as a clinical resource for utilization management, CMOs, physicians and member/provider inquiries/appeals. + Provides training and… more
    Molina Healthcare (01/09/26)
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  • Complnc Specialist 3 - Registered Nurse

    State of Georgia (GA)
    …Specialist 3 - Registered Nurse Georgia (https://ga.referrals.selectminds.com/jobs/75386/other-jobs-matching/location-only) New Hot Regulatory Corrections, Georgia ... treatment facilities, regulated entity operations and program management + Conducts utilization reviews, peer reviews, evaluation activities and all other reviews on… more
    State of Georgia (01/07/26)
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  • Primary Care Physician Lead

    CenterWell (Morrow, GA)
    …intent Overseeing other clinicians which includes Physicians, Advanced Registered Nurse Practitioners (ARNP), and Physicians Assistants (PA) in: + Maintaining ... and complaints from patients + Ongoing chart review / audit of clinical staff to ensure quality care and...+ Identifying trends and areas of opportunity in pharmacy utilization (pharmacy management) to impact Part D per Member… more
    CenterWell (01/06/26)
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  • Part-Time Behavioral Health Clinician II

    Superior Court of Fulton County (Atlanta, GA)
    …court operations. Techniques used to conduct legal research. Requires skill in Data Utilization : Requires the ability to evaluate, audit , deduce, and/or assess ... clinical social worker, marriage and family therapist, psychologist, psychiatric nurse , rehabilitation counselor; (as required by position assignment). **_This job… more
    Superior Court of Fulton County (11/05/25)
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  • Behavioral Health Clinician I

    Superior Court of Fulton County (Atlanta, GA)
    …court operations. Techniques used to conduct legal research. Requires skill in Data Utilization : Requires the ability to evaluate, audit , deduce, and/or assess ... clinical social worker, marriage and family therapist, psychologist, psychiatric nurse , rehabilitation counselor. **Physical Requirements:** Physical Ability: Tasks require… more
    Superior Court of Fulton County (10/30/25)
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