- 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 ... communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work...skills to make an impact** **Required Qualifications** + **Licensed Registered Nurse ( RN )** in the… more
- Emory Healthcare/Emory University (Duluth, GA)
- …review of medical necessity for all inpatients, concurrent stay documentation per utilization management plan, verification and correction of patient status, ... educational opportunities to enhance health care teams knowledge of case management services; + Participates in and facilitates patient/family education and… more
- Actalent (Atlanta, GA)
- …+ Active RN license in GA or compact + 3+ years of case management experience + SNF /LTAC/AIR utilization review experience + Knowledge of CMS skilled ... or home. Collaborates with physicians, telephonic care coordinators, inpatient case management /social workers, telephonic to create a safe discharge plan for… more
- ChenMed (Morrow, GA)
- … management programs, clinical meetings and other meetings. The Nurse Practitioner will adhere to strict departmental goals/objectives, standards of performance, ... role. + Facilitates patient/family conferences to review treatment goals, optimize resource utilization , provide family education and identify post- SNF needs. +… more