- Piedmont Eastside Medical Center (Snellville, GA)
- …BY LAW:Current License in the State of Georgia as a Registered Nurse or NLC/eNLC Multistate License.BLS certification required.ADDITIONAL QUALIFICATIONS:For ... and administer thrombolytics. Two helicopter pads on campus for utilization We have 5 PODs in our department, depending...LAW:Current License in the State of Georgia as a Registered Nurse or NLC/eNLC Multistate License. BLS… more
- Piedmont Eastside Medical Center (Snellville, GA)
- …REQUIRED BY LAW:Current License in the State of Georgia as a Registered Nurse or NLC/eNLC Multistate License. BLS certification required.ADDITIONAL ... and administer thrombolytics. Two helicopter pads on campus for utilization We have 5 PODs in our department, depending...BLS to work in this unitRESPONSIBLE FOR: The staff nurse provides nursing care to patients from birth through… more
- Cognizant (Atlanta, GA)
- …you need to have to be considered** . Educational background - Registered Nurse (RN) . 2-3 years combined clinical and/or utilization management ... Eastern Time **Location:** Remote **About the role** As a Registered Nurse you will make an impact...care revenue cycle or clinic operations . Experience in utilization management to include Clinical Appeals and… more
- Emory Healthcare/Emory University (Decatur, GA)
- …_,_ and leadership programs + And more **Description** We're seeking a ** Clinical Utilization Review Nurse Preceptor ( Registered Nurse / RN)** . ... clinical expert, leader, and role model within the Utilization Review Department as it relates to the understanding...Will demonstrate foresight regarding the impact of both the clinical and administrative roles within the utilization … more
- 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 assignments are...+ Minimum of Associate Degree in nursing + Licensed Registered Nurse (RN) in a compact state… more
- Fresenius Medical Center (Lithonia, GA)
- **About this role:** As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical ... or chronic kidney disease. **Training and advancement:** You will enter our Clinical Leadership Program that creates and supports a culture of continuous learning… more
- Emory Healthcare/Emory University (Decatur, GA)
- …mentorship, _development,_ and leadership programs + And more **Description** We're seeking a ** Utilization Review (UR) Specialist ( Registered Nurse / RN)** ... previous utilization review experience. + Must have a valid, active unencumbered Registered Nurse license approved by the Georgia Licensing Board. + Must… 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 ... independent determination of the appropriate courses of action. The Utilization Management Nurse 2 uses clinical...skills to make an impact** **Required Qualifications** + **Licensed Registered Nurse (RN)** in the (appropriate state)… more
- ChenMed (Decatur, GA)
- …rapidly expanding and we need great people to join our team. The Registered Nurse , Remote Triage, is responsible for providing telephonic triage directional ... on-call coverage, the incumbent in this role provides remote clinical advice and assessments within license and as possible...license and as possible given technology and medium. The registered nurse collaborates with primary caregivers and… more
- ChenMed (Decatur, GA)
- …rapidly expanding and we need great people to join our team. The Registered Nurse , Telehealth is responsible for providing telephonic triage directional patient ... patients and their families. The incumbent in this role provides remote clinical emergency triage services and assessments within license and as possible given… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …programs + And more **Description** We're seeking an **Bed Planning Coordinator Registered Nurse ** provides 24/7 coverage for the Capacity Command Center. ... for all EHC operating units, coordinating room assignments to optimize bed utilization across the health system, critically thinking to manage appropriate patient… more
- Centene Corporation (Atlanta, GA)
- …required or + Licensed Mental Health Professional (LMHP) required or + RN - Registered Nurse - State Licensure and/or Compact State Licensure required Pay Range: ... the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified,… more
- Emory Healthcare/Emory University (Duluth, GA)
- …across a continuum; ensuring and facilitating the achievement of quality clinical and cost outcomes; negotiating, procuring and coordinating appropriate services and ... + Serves as an internal resource regarding reimbursement and clinical practice issues; + Serves as a coach, mentor...barriers to the progression of care. + Applies approved utilization acuity criteria (Interqual or MCG Guidelines) to monitor… more
- Centene Corporation (Atlanta, GA)
- …required or + Licensed Mental Health Professional (LMHP) required or + RN - Registered Nurse - State Licensure and/or Compact State Licensure required or + ... the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified,… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …who will function as a liaison between the blood bank and clinical staff, utilizing tools such as audits, quality improvement activities, educational presentations, ... will be responsible for the following job duties: + Clinical Collaboration & Support + 1. Collaborate with all...revision of policies related to blood administration, consent, and utilization guidelines. + Education & Training + 1. Provide… more
- CenterWell (Atlanta, GA)
- **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 uses clinical knowledge, communication skills, and ... skills to make an impact** **Required Qualifications** + Licensed Registered Compact Nurse license (RN) with no...Lung or Critical Care Nursing experience required + Prior clinical experience preferably in an acute care, skilled or… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …EHC operating unit. + Manages real-time quality assurance reviews, escalates critical clinical issues related to hospital transfers and patient placement in real ... + Coordinates, prioritizes, and optimizes patient flow using knowledge of clinical and operational activities throughout the hospital network. + 1. Patient… more
- Sharecare (Atlanta, GA)
- …to drive cost effective and appropriate resource utilization and desired clinical outcomes. The Disease Management Nurse is also responsible during their ... to enable individuals with disabilities to perform the essential functions. + Current Registered Nurse multi-state compact license in the state in which they… more
- Molina Healthcare (Atlanta, GA)
- …driver's license **PREFERRED EDUCATION:** **PREFERRED EXPERIENCE:** + 3-5-year experience as a Registered Nurse and/or Nurse Practitioner, ideally in a ... **JOB DESCRIPTION** **Job Summary** The Care Connections Nurse Practitioners focus on screening and preventive primary... Practitioner will be required to work primarily in non- clinical settings and provide medical care to all levels… more
- Molina Healthcare (Atlanta, GA)
- …and electronic medical record (EMR) experience. Preferred Qualifications * Experience as a registered nurse or nurse practitioner in a home health, ... primary care and medical care services to members - primarily in non- clinical settings where members feel most comfortable, including in-home, community and nursing… more
