- Fresenius Medical Center (Loganville, GA)
- **About this role:** As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical operations. ... leading your business, and advanced leadership. As a Clinical Manager , you may advance your career into an Area...+ Accountable for completion of the Annual Standing Order Review and Internal Classification of Disease (ICD) coding. +… more
- Fresenius Medical Center (Lithonia, GA)
- …all FMS manuals. + Accountable for completion of the Annual Standing Order Review and ICD coding. + Checks correspondence whether electronic, paper or voice mail, ... supporting billing and collection activities. + Responsible for efficient utilization of medication, laboratory, inventory, supplies and equipment to achieve… more
- CVS Health (Atlanta, GA)
- …care. + Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse ( RN ) with at least 1 year of experience ... in a hospital setting. + A Registered Nurse that holds an active, unrestricted...lower levels of care. + 1+ years' experience in Utilization Review . + CCM and/or other URAC… more
- CVS Health (Atlanta, GA)
- …care - Perform medical necessity reviews **Required Qualifications** - 5+ years' experience as a Registered Nurse ( RN ) with at least 1 year of experience in ... a hospital setting - A Registered Nurse that holds an active, unrestricted...lower levels of care - 1+ years' experience in Utilization Review - CCM and/or other URAC… more
- CenterWell (Duluth, GA)
- …of Science in Nursing (BSN) strongly preferred. **License/Certifications:** + Active and unrestricted Registered Nurse ( RN ) license or Compact State RN ... clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the...School of Nursing. + Current state license as a Registered Nurse . + Proof of current CPR.… more
- HCA Healthcare (Savannah, GA)
- …Do you want to join an organization that invests in you as a Registered Nurse ( RN ) Case Manager ? At Memorial Health University Medical Center, in the ... We are looking for a dedicated Registered Nurse ( RN ) Case Manager like...care is preferred. + Certification in case management or utilization review is preferred. + InterQual experience… more
- AdventHealth (Rome, GA)
- …need to succeed:** + Associate's of Nursing Required + 2 Work Experience Required + Registered Nurse ( RN ) Required This facility is an equal opportunity ... AL, and Chattanooga, TN. **The role you'll contribute:** The RN Care Manager in collaboration with the...physicians and the interdisciplinary team on issues related to utilization of resources, medical necessity, CMS CoP for Discharge… more
- HCA Healthcare (Savannah, GA)
- …Manager opportunity. **Job Summary and Qualifications** We are seeking a Registered Nurse ( RN ) Case Manager for our hospital who will provide clinical ... is highly preferred. + Must be licensed as a Registered Nurse in the state which you...Care is preferred. + Certification in Case Management or Utilization Review is preferred. + InterQual experience… more
- HCA Healthcare (Augusta, GA)
- …at Doctors Hospital of Augusta! **Job Summary and Qualifications** **The Registered Nurse ( RN ) Case Manager is responsible for promoting patient-centered ... **Qualifications for this position:** + **Currently licensed as a Registered Nurse in the state of practice...career path, we encourage you to apply for our RN Case Manager opening. We review… more
- CenterWell (Atlanta, GA)
- …and the healthcare industry as a whole. Conviva Care Solutions is seeking a RN who will collaborate with other health care givers in reviewing actual and proposed ... medical care and services against established CMS Coverage Guidelines/NCQA review criteria and who is interested in being part...skills to make an impact** **Role Essentials** + Active RN license + Possession of or ability to obtain… more