- Molina Healthcare (Atlanta, GA)
- …leadership skills. **Required License, Certification, Association** + Active, unrestricted State Registered Nursing ( RN ) in good standing. + Must have ... experience in a managed healthcare environment. + Previous experience in Hospital Acute Care , ER or ICU, Prior Auth, Utilization Review / Utilization Management… more
- Fresenius Medical Center (Marietta, GA)
- …Cobb - 3950 Austell Rd, Austell, GA 30106** **PURPOSE AND SCOPE:** The Inpatient RN provides direct patient care in accordance to company policies and procedures ... continuous renal replacement therapies, apheresis, and ultrafiltration. The Inpatient RN will partner with the hospital to provide quality...Event Report requirements. May be assigned to in-center patient care on an as needed basis + Review… more
- CVS Health (Atlanta, GA)
- …. + Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year of experience in a hospital ... setting. + A Registered Nurse that holds an active, unrestricted...as experience with transferring patients to lower levels of care . + 1+ years' experience in Utilization Review… more
- CVS Health (Atlanta, GA)
- …Work on behalf of the client and the member's provider. **Required Qualifications** + Registered Nurse that must reside in the Continental United States and hold ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- Aveanna Healthcare (Norcross, GA)
- RN Case Manager Supervisor - Hybrid Schedule ApplyRefer a FriendBack Job Details Requisition #: 205590 Location: Norcross, GA 30092 Category: Nursing Salary: ... $75,000.00 - $80,000.00 per year Position Details Position: Clinical Supervisor ( RN ) Clinical Case Manager Join a Company That Puts People First! Aveanna… more
- PruittHealth (Norcross, GA)
- …improvement and data analytics. **MINIMUM EDUCATION REQUIRED:** . Must be a Registered Nurse , Physical Therapist, Occupational Therapist, or Speech Therapist in ... agency performance standards. **KEY RESPONSIBILITIES:** 1. Knowledge of Home Health Care operations and federal and state regulations. 2. Must demonstrate effective… more
- Dialysis Clinic, Inc. (Atlanta, GA)
- …patient status to physician; implement and document orders + Participate in patient care conferences, medical rounds and chart review ; document progress notes + ... of new staff members as directed and supervised by the education coordinator, the clinical supervisor and/or the nurse manager + Provide feedback and assist the … more
- Centene Corporation (Atlanta, GA)
- …NICU Clinical Experience Knowledge of utilization management principles preferred. **License/Certification:** + RN - Registered Nurse - State Licensure ... Review , and/or Retrospective Review Clinical Review team to ensure appropriate care to... Clinical Review team to ensure appropriate care to members. Supervises day-to-day activities of utilization management… more
- Sedgwick (Atlanta, GA)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance RN Medicare Compliance-Proactive Reduction Outreach **PRIMARY PURPOSE** **:** To perform initial ... and ongoing clinical assessment through provider outreach, specialized document review , and analysis and interpretation of interventions for the preparation of… more
- Fresenius Medical Center (Marietta, GA)
- …+ Report any significant information and/or change in patient condition directly to the registered nurse or supervisor . + Observe patient and conduct machine ... policy. Report any change or unusual findings to the registered nurse or supervisor . +...and equipment to prevent wastage. + Monitors patients performing self- care under the supervision of RN . **Staff… more
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