- Actalent (Atlanta, GA)
- …+ 1+ years of utilization management / utilization review / case management expereince is must + RN License in GA or Compact License is Mandatory + ... Urgent Hiring for "UM RN " in Atlanta ,GA Must be Located closer to Atlanta, GA Job Description: + Review and approve precertification and medical necessity for… more
- Humana (Atlanta, GA)
- **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work...skills to make an impact** **Required Qualifications** + **Licensed Registered Nurse ( RN )** in the… more
- Actalent (Atlanta, GA)
- …weekends) About the Role We are seeking a detail-oriented and compassionate Utilization Review Registered Nurse ( RN ) to join our team. In this role, you ... Job Title: Utilization Review RN Location: Buckhead, GA...providers, members, and internal teams (claims, benefits, appeals, risk management ). Required Qualifications + Active RN license… more
- HealthTrust Workforce Solutions (Savannah, GA)
- ** RN ( Registered Nurse ) or LCSW (Licensed Clinical Social Worker) Manager Case Management ** **Memorial Health University Medical Center** **Full-Time - ... compassionate way. **Job Summary and Qualifications** The **Manager Case Management ** reports to the Case Management Director...* InterQual experience preferred * Currently licensed as a Registered Nurse in the state(s) of practice… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …incentives + Ongoing mentorship, _development,_ and leadership programs **Description** **Rapid Response Registered Nurse / RN ** 7a-7:30a/ Full Time / ... a team that's redefining quality nursing care. JOB DESCRIPTION: The (RUN) Resource Utilization Nurse , WEO is primarily responsible for supporting the critical… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …and leadership programs + And more **Description** The **Procedural Service Line Coordinator ( Registered Nurse / RN )** for the **Cardiovascular Operating ... This individual: + Coordinates daily operations, staffing, and case flow and management of inventory, instruments, supplies and equipment for selected service line… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …more **Description** We're seeking a **Cardiovascular Operating Room** **Procedural Service Line Coordinator ( Registered Nurse / RN )** who is responsible for ... This individual: + Coordinates daily operations, staffing, and case flow and management of inventory, instruments, supplies and equipment for selected service line… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …+ And more **Description** **11am-11:30pm** We're seeking an **Transfer Center Registered Nurse is** responsible for accepting incoming referral information ... via multimedia and working directly with bed management and direct care nursing to coordinate inpatient bed assignments (particularly critically ill) for patients at… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …ready to join a team that's redefining quality nursing care. The (RUN) Resource Utilization Nurse is primarily responsible for supporting the critical care units ... _development,_ and leadership programs **Description** **Rapid Response Unit Charge Nurse / RN ** 7p-7:30a / Full Time...Code Blue. + Assist the emergency department in the management of critical care patients awaiting inpatient bed admission… more
- Fresenius Medical Center (Carrollton, GA)
- …and acts as the liaison for patient care as per the disease management agreement, including initial and ongoing validation of member eligibility. Facilitate timely ... workup of patients for access management , dialysis services, patient education, hospitalizations, and kidney transplantation as appropriate, and ensures coordination… more
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