- Evolent (Atlanta, GA)
- …Evolent for the mission. Stay for the culture. **What You'll Be Doing:** The Clinical Review Nurse is responsible for performing precertification and prior ... policies, and clinical decision-making criteria sets. The Clinical Review Nurse serves as... medical necessity and appropriateness of services using clinical review criteria. + Accurately documents all… more
- HCA Healthcare (Savannah, GA)
- …Submit your application for the opportunity below:Pediatric ER Clinical Nurse Coordinator RNMemorial Health University Medical Center **Benefits** Memorial ... Registered Nurse + Associate Degree, or Registered Nurse Diploma Memorial Health University Medical Center...to apply for our Pediatric ER Clinical Nurse Coordinator RN opening. We promptly review … more
- Molina Healthcare (Macon, GA)
- **Job Description** **Job Summary** The Medical Review Nurse provides support for medical claim and internal appeals review activities - ensuring ... Michigan RN license is required. **Job Duties** + Facilitates clinical / medical reviews of retrospective medical ...nursing experience, including at least 1 year of utilization review , medical claims review , long-term… more
- Fresenius Medical Center (Carrollton, GA)
- …or federal surveys. + Participates in the completion of the FMS Administrative Clinical Review . **PHYSICAL DEMANDS AND WORKING CONDITIONS:** + The physical ... requirements. Ensure provision of quality patient care while maintaining cost-effective clinical operations in accordance with all legal, compliance, and regulatory… more
- Fresenius Medical Center (Atlanta, GA)
- **About this role:** As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical ... kidney disease. **Training and advancement:** You will enter our Clinical Leadership Program that creates and supports a culture...a tremendous asset that sets us apart. At Fresenius Medical Care, you will truly make a difference in… more
- HCA Healthcare (Savannah, GA)
- …We care like family! Jump-start your career as a Clinical Research Nurse today with Memorial Health University Medical Center. **Benefits** Memorial Health ... necessary **You should have:** Knowledge of federal regulations, good clinical practices (GCP) Knowledge of medical and...you to apply for our Clinical Research Nurse opening. We promptly review all applications.… more
- HCA Healthcare (Waycross, GA)
- …and personal growth, we encourage you to apply for our Clinical Nurse Coordinator Med Surg opening. We promptly review all applications. Highly qualified ... We care like family! Jump-start your career as a(an) Clinical Nurse Coordinator Med Surg today with...colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no… more
- HCA Healthcare (Vidalia, GA)
- …next step in your career path, we encourage you to apply for our Registered Nurse Clinical Float opening. We review all applications. Qualified candidates ... Do you have the career opportunities as a **Registered Nurse Clinical Float** **(Float Pool)** you want...colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no… more
- HCA Healthcare (Augusta, GA)
- …your career path, we encourage you to apply for our Burn Clinical Nurse Coordinator RN opening. We review all applications. Qualified candidates will be ... Do you have the career opportunities as a **Burn Clinical Nurse Coordinator** you want in your...colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no… more
- HCA Healthcare (Augusta, GA)
- …with our Nurses at Doctors Hospital of Augusta! **Job Summary and Qualifications** **As Clinical Nurse Coordinator, you will provide clinical expertise to ... the organization to support an unparalleled patient experience and clinical outcomes.** **What you will do in this role:**...we encourage you to apply for our Med Surg Nurse Leader opening. We review all applications.… more