• Registered Nurse - Clinical…

    Cognizant (Atlanta, GA)
    …you need to have to be considered** . Educational background - Registered Nurse (RN) . 2-3 years combined clinical and utilization management experience with ... Eastern Time **Location:** Remote **About the role** As a Registered Nurse you will make an impact...clinic operations . Experience in utilization management to include Clinical Appeals and Grievances, precertification, initial and… more
    Cognizant (10/09/25)
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  • Nurse Appeals

    Elevance Health (Atlanta, GA)
    ** Nurse Appeals ** **Location:** This role enables associates...or BS in Nursing preferred. + 3 years of clinical experience as a Registered Nurse ... 8-hour shift between those hours, including holidays on a rotational basis. The ** Nurse Appeals ** is responsible for investigating and processing and medical… more
    Elevance Health (10/24/25)
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  • RN Medical Claim Review Nurse Remote

    Molina Healthcare (GA)
    …and/or coding experience, or equivalent combination of relevant education and experience. * Registered Nurse (RN). License must be active and unrestricted in ... resource for utilization management, chief medical officers, physicians and member/provider inquiries/ appeals . * Provides training and support to clinical peers.… more
    Molina Healthcare (10/19/25)
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  • Medical Claim Review Nurse (RN)

    Molina Healthcare (Columbus, GA)
    …resource for Utilization Management, Chief Medical Officers, Physicians, and Member/Provider Inquiries/ Appeals . + Provides training and support to clinical ... (Team will work on set schedule) Looking for a RN with experience with appeals , claims review, and medical coding. **Job Summary** Utilizing clinical knowledge… more
    Molina Healthcare (09/06/25)
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