• Senior Nurse Consultant - Atlanta…

    PruittHealth (Atlanta, GA)
    …and quality improvement practices for designated centers. The senior nurse consultant provides education, mentoring and validation of required systems ... **JOB PURPOSE:** Senior Nurse Consultant serves as a member...achieve and sustain compliance with all applicable regulations and quality outcomes. **KEY RESPONSIBILITIES:** * Annually in collaboration with… more
    PruittHealth (04/18/25)
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  • Utilization Management Nurse

    CVS Health (Atlanta, GA)
    …we do it all with heart, each and every day. **Position Summary** _Utilization Management is a 24/7 operation and work schedules will include weekends, holidays, and ... other products, services and/or programs. + Identifies opportunities to promote quality effectiveness of Healthcare Services and benefit utilization. + Consults and… more
    CVS Health (05/16/25)
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  • Utilization Management Nurse

    CVS Health (Atlanta, GA)
    …do it all with heart, each and every day. Requisition Job Description Utilization Management is a 24/7 operation and work schedule may include weekends and holidays. ... other products, services and/or programs + Identifies opportunities to promote quality effectiveness of Healthcare Services and benefit utilization + Consults and… more
    CVS Health (05/16/25)
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  • Healthcare Prgm Consultant 3

    State of Georgia (Fulton County, GA)
    …certifications. + Certified Rehabilitation Counselor (CRC) + Certified Disability Management Specialist (CDMS) + Certified Rehabilitation Registered Nurse ... Healthcare Prgm Consultant 3 Georgia - Fulton - Atlanta (https://careers.georgia.gov/jobs/64257/other-jobs-matching/location-only) Hot… more
    State of Georgia (03/08/25)
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  • SIU Clinical Consultant

    Prime Therapeutics (Atlanta, GA)
    …education and/or relevant work experience + 5 years of work experience in case management or professional practice + Current Registered Nurse (RN) license in ... passion and drives every decision we make. **Job Posting Title** SIU Clinical Consultant **Job Description** The SIU Clinical Consultant is responsible for… more
    Prime Therapeutics (05/16/25)
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  • Senior Clinical Strategy Consultant

    Highmark Health (Atlanta, GA)
    …of clinical, quality , care, utilization, high-cost claim, and population health management . Must be a recognized subject matter expert (SME). + Clinical Program ... in Business or Clinical field **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse (RN) or Pharmacist (Pharm D) or Physician Assistant (PA) **Preferred** +… more
    Highmark Health (05/10/25)
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  • Nurse Practitioner

    ChenMed (Riverdale, GA)
    …directors to ensure compliance with guidelines along with participating in risk and quality management programs, clinical meetings and other meetings as required ... for health: The PCP acts as a health coach, rather than just a consultant for sickness, by helping patients set short and long-term health goals, partners with… more
    ChenMed (03/04/25)
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  • Clinical Content Specialist - Nursing Education

    Wolters Kluwer (Kennesaw, GA)
    …curricular success. If you are an analytical thinker with a passion for developing nurse educators, we want to hear from you! You will collaborate closely with the ... Associate Director of Clinical Content to plan and deliver high- quality consultation services. Your role involves identifying and assessing client needs, and… more
    Wolters Kluwer (05/06/25)
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  • Manager, Clinical Operations

    Lincoln Financial (Atlanta, GA)
    …you will be responsible for leading and managing a team of nurse disability consultants and behavioral health consultants. This includes partnering closely with ... medical and vocational operations and serve as a consultant to the claim operations team for complex clinical...area(s) of responsibility, assesses the impact, and collaborates with management to incorporate new trends and developments in current… more
    Lincoln Financial (05/06/25)
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  • Reliance Delivery Manager

    GE Vernova (Atlanta, GA)
    …and deliver the electricity that is vital to health, safety, security and improved quality of life. Step into an innovative and dynamic role where you'll collaborate ... bring cutting-edge digital solutions to life. As the functional consultant , technical lead, and individual contributor, you'll spearhead software implementations,… more
    GE Vernova (04/30/25)
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