- Evolent (Atlanta, GA)
- …scheduled. + Determines medical necessity and appropriateness of services using clinical review criteria. + Accurately documents all review ... for the mission. Stay for the culture. **What You'll Be Doing:** The Nurse Reviewer is responsible for performing precertification and prior approvals. Tasks… more
- Elevance Health (Atlanta, GA)
- ** Nurse Reviewer I** A proud member...reviews that are routine having limited or no previous medical review experience requiring guidance by more ... Hours:** **Monday through Friday, 9:30AM - 6PM (CST).** The ** Nurse Reviewer I** is responsible for conducting...+ Through work experience and mentoring learns to conduct medical necessity clinical screenings of preauthorization request… 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
- HCA Healthcare (Savannah, GA)
- …personal growth, we encourage you to apply for our Clinical Research Nurse opening. We promptly review all applications. Highly qualified candidates will be ... experience. Do you have the career opportunities as a ** Clinical Research Nurse ** you want with your...exciting opportunity for you to join **Memorial Health University Medical Center** which is part of the nation's leading… more
- Molina Healthcare (Columbus, GA)
- …for a RN with experience with appeals, claims review , and medical coding. **Job Summary** Utilizing clinical knowledge and experience, responsible for ... Payment Integrity analytical team; requires decision making pertinent to clinical experience + Documents clinical review...clinical nursing experience. + Minimum one year Utilization Review and/or Medical Claims Review .… more
- Fresenius Medical Center (Albany, 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 (Vidalia, 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)
- … Center we support our colleagues in their positions. Join our Team as a(an) Clinical Nurse Coordinator Trauma ICU and access programs to assist with every stage ... and more affordable to gain certifications and job skills. Apply today for our Clinical Nurse Coordinator Trauma ICU opening and continue to learn! **Job Summary… more
- HCA Healthcare (Augusta, GA)
- …**Introduction** Do you have the career opportunities as a **Freestanding Emergency Room Clinical Nurse Coordinator Registered Nurse (RN)** you want in ... Doctors Hospital of Augusta! **Job Summary and Qualifications** The Freestanding Emergency Room Clinical Nurse Leader Registered Nurse (RN) ensures and… 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