• Utilization Review Specialist…

    Emory Healthcare/Emory University (Atlanta, GA)
    …programs + And more **Description** The ** Utilization Review (UR) Specialist ** is a Registered Nurse responsible for conducting thorough medical ... experience or a minimum of two years of previous utilization review experience. + Licensure - Must...+ Licensure - Must have a valid, active unencumbered Registered Nurse license approved by the Georgia… more
    Emory Healthcare/Emory University (08/23/25)
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  • Utilization Review Specialist…

    Emory Healthcare/Emory University (Atlanta, GA)
    …the Emory Northlake campus. Monday-Friday** The ** Utilization Review (UR) Specialist ** is a Registered Nurse responsible for conducting thorough ... experience or a minimum of two years of previous utilization review experience. + Must have a... experience. + Must have a valid, active unencumbered Registered Nurse license approved by the Georgia… more
    Emory Healthcare/Emory University (08/19/25)
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  • Clinical Documentation Specialist RN

    Houston Methodist (GA)
    … utilization review experience preferred **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure -- Compact ... At Houston Methodist, the Clinical Documentation Specialist is responsible for improving the overall quality and completeness of clinical documentation. This… more
    Houston Methodist (08/13/25)
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  • Clinical Appeals Nurse ( RN )

    Molina Healthcare (Savannah, GA)
    …Managed Care Experience in the specific programs supported by the plan such as Utilization Review , Medical Claims Review , Long Term Service and Support, ... outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse ( RN ) performs clinical/medical reviews of previously denied… more
    Molina Healthcare (08/15/25)
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  • Licensed Practical Nurse /Licensed…

    STG International (Milledgeville, GA)
    …regulations and guidelines that govern the facility. + Coordinate with the scheduler to ensure a Registered Nurse ( RN ) is on duty at least 8 hours a day/7 ... reports, evaluations, studies, charting, etc., as necessary. + Periodically review the department's policies and procedures manuals, job descriptions,...Corps - 60J, 60L, 61F, 61H, 61N, 61R,62B Medical Specialist Corps - 65B, 65C, 65D Nurse … more
    STG International (07/30/25)
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