- Morley (Atlanta, GA)
- …won't work for this role)_ + See _Skills for Success_ below Tasks: + Review dealer submission of all job cards (repair orders) + Ensure applications meet all ... rates + Scan and upload documents needed for claims review + Review mailed-in documents + Offer...+ Teladoc: 24/7 online access to doctors + 24/7 nurse help desk + Patient advocacy: Free 24/7 help… more
- JE Dunn Construction Company (Atlanta, GA)
- …Participates with the project team in preparation and presentation for all project review meetings, including the monthly review process. - Understands and ... awareness, experience and knowledge to identify problems and recommends solutions for review and implementation by the team. + Participates with project team in… more
- JE Dunn Construction Company (Atlanta, GA)
- …project changes. + Coaches participants on preparing for and presenting in project review meetings, including monthly reviews. + Educates learners on how to read and ... awareness, experience and knowledge to identify problems and recommends solutions for review and implementation by the team. + Participates with project team in… more
- Elevance Health (Atlanta, GA)
- ** Nurse Reviewer I** A proud member of the Elevance Health family of companies, Carelon Medical Benefits Management, formerly AIM Specialty Health, is a ... Hours:** **Monday through Friday, 9:30AM - 6PM (CST).** The ** Nurse Reviewer I** is responsible for conducting...that are routine having limited or no previous medical review experience requiring guidance by more senior colleagues and/or… more
- Evolent (Atlanta, GA)
- …for the mission. Stay for the culture. **What You'll Be Doing:** The Nurse Reviewer is responsible for performing precertification and prior approvals. Tasks ... cost effective care delivery. **What You'll Be Doing:** + Performs utilization review of outpatient procedures and ancillary services. + Fulfills on call… more
- Humana (Atlanta, GA)
- …and help us put health first** The Manager, Fraud and Waste Investigator: Nurse Audit/ Review performs clinical audit/validation processes to ensure that medical ... is complete, compliant and accurate to support optimal reimbursement. The Manager, Nurse Audit/ Review works within specific guidelines and procedures; applies… more
- Molina Healthcare (Atlanta, GA)
- …on set schedule) Looking for a RN with experience with appeals, claims review , and medical coding. **Job Summary** Provides support for medical claim and internal ... appeals review activities - ensuring alignment with applicable state and...equivalent combination of relevant education and experience. + Registered Nurse (RN). License must be active and unrestricted in… more
- State of Georgia (Fulton County, GA)
- Compliance Nurse 2 Georgia - Fulton - Atlanta (https://ga.referrals.selectminds.com/jobs/64225/other-jobs-matching/location-only) Hot ... Up for Job Alerts Please visit the DCH jobsite link to review the job posting and apply: If interested, please apply to:… more
- Veterans Affairs, Veterans Health Administration (Fort Mcpherson, GA)
- …determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply. ... Responsibilities Functions or Scope of Assigned Duties of Assistant Nurse Manager: The Nurse III Assistant Nurse Manager (ANM) supports the Nurse Manager… more
- Gentiva (Alpharetta, GA)
- …Partnerships. Transform Hospice Care.** We are seeking a dedicated Hospice Nurse Practitioner to perform Face-to-Face (F2F) encounters essential for hospice ... per hospice policy and regulatory requirements. + Communicate clinical findings, review treatment plans, lab results, diagnostics, and medications with certifying… more
