• Utilization Management Nurse…

    Humana (Atlanta, GA)
    …community and help us put health first** Full-Time, Remote Telephonic opportunity The Utilization Management Nurse 2 utilizes clinical nursing skills to ... communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work...appropriate courses of action. As a Utilization Management RN working on the OneHome/ Home Solutions… more
    Humana (09/12/25)
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  • RN, Manager, Utilization Management…

    Humana (Atlanta, GA)
    …a part of our caring community and help us put health first** The Manager, Utilization Management Nursing (LTSS Utilization Management Leader) utilizes ... communication of medical services and/or benefit administration determinations. The Manager, Utilization Management Nursing works within specific guidelines and… more
    Humana (09/28/25)
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  • SNF Utilization Management RN…

    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 ... documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are… more
    Humana (09/12/25)
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  • Disease Management Nurse - Remote

    Sharecare (Atlanta, GA)
    …appropriate resource utilization and desired clinical outcomes. The Disease Management Nurse is also responsible during their interactions with participants ... learn more, visit www.sharecare.com . **Job Summary:** The Disease Management Nurse has the responsibility for supporting...minimum. + This position will be based in a home office which must satisfy all HIPAA requirements. Sharecare… more
    Sharecare (09/13/25)
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  • Field Nurse Practitioner (Boise, ID)

    Molina Healthcare (Augusta, GA)
    …receptive including home , nursing facilities, and "pop up" clinic. The Nurse Practitioner will be required to work primarily in non-clinical settings and provide ... 3-5-year experience as a Registered Nurse and/or Nurse Practitioner, ideally in a home health,...home health as a licensed clinician, especially in management of chronic conditions + Experience with underserved populations… more
    Molina Healthcare (09/17/25)
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  • Licensed Practical Nurse (LPN/LVN) -…

    STG International (Milledgeville, GA)
    STGi is seeking a LPN/LVN to provide services at our Georgia War Veterans Home . If you have compassion and a passion to care for Veterans, this could be the job for ... facility meets the minimum staffing levels for nurses and nurse aides; complete required posting of nursing staff data...and education for self-help as appropriate. + Provide pain management for residents in accordance with established pain … more
    STG International (07/24/25)
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  • Field Nurse Practitioner (Pocatello, ID)

    Molina Healthcare (Augusta, GA)
    …(EMR) experience. Preferred Qualifications * Experience as a registered nurse or nurse practitioner in a home health, community health or public health ... in home health as a licensed clinician, especially in management of chronic conditions. * Experience with underserved populations facing socioeconomic barriers… more
    Molina Healthcare (09/25/25)
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  • Case Manager, Registered Nurse - Oncology…

    CVS Health (GA)
    …Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers flexible medical management ... day. **Position Summary** **This is a remote work from home role anywhere in the US with virtual training.**...or Specialty Pharmacy. **Preferred Qualifications** + 1+ years' Case Management experience or discharge planning, nurse navigator… more
    CVS Health (10/02/25)
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  • Nurse Practitioner

    ChenMed (Morrow, GA)
    … management programs, clinical meetings and other meetings. The Nurse Practitioner will adhere to strict departmental goals/objectives, standards of performance, ... we need great people to join our team. The Nurse Practitioner (NP) acts as part of the clinical...medical centers, nursing homes, skilled nursing facilities (SNF) and home settings depending on the nature of the assignment… more
    ChenMed (09/25/25)
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  • Nurse Practitioner, Cardiology

    ChenMed (Decatur, GA)
    … management programs, clinical meetings and other meetings. The Nurse Practitioner, Specialty incumbent adheres to strict departmental goals/objectives, standards ... we need great people to join our team. The Nurse Practitioner (NP), Specialty acts as part of the...care in nursing homes, skilled nursing facilities (SNF) and home settings, or supporting a Cardiologist practice. The responsibilities… more
    ChenMed (09/26/25)
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