- Evolent (Atlanta, GA)
- …for the mission. Stay for the culture. **What You'll Be Doing:** Job Description As a Clinical Reviewer , Nurse , you will be a key member of the utilization ... while providing better health outcomes. **Collaboration Opportunities:** As a Clinical Reviewer , Nurse , you will...**What You Will Be Doing:** + Functions in a clinical review capacity to evaluate all cases,… more
- Sharecare (Atlanta, GA)
- …affordable for everyone. To learn more, visit www.sharecare.com . **Job Summary:** The Clinical Registered Nurse has the responsibility for supporting the goals ... and cost-effective manner while ensuring high quality care. The Clinical Registered Nurse coordinates with the Primary...orientation and to take the pre and posttests to review competency during orientation. Yearly competency test is required… more
- Molina Healthcare (Atlanta, GA)
- …decisions for appeals outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse (RN) performs clinical /medical ... **JOB DESCRIPTION** **Job Summary** Clinical Appeals is responsible for making appropriate and...specific programs supported by the plan such as Utilization Review , Medical Claims Review , Long Term Service… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …development, and leadership programs + And more **Description** We're seeking a ** Clinical Quality Coordinator (Registered Nurse / RN).** responsible for ... risks and events + Executing measure requirements + Facilitating practitioner performance review activities + Applying procedures for the governance of data assets… more
- Emory Healthcare/Emory University (Decatur, GA)
- …be required based on department and specialty PL N: + Must meet all Clinical Nurse Employee Commitments. + Achieves electives/points and contact hours as defined ... 36 hours** Emory Healthcare is seeking a **Unit Charge Nurse , Medical Oncology** responsible for being a capable clinician...theory, research and experience to respond to changes in clinical situations. This RN professional is able to apply… more
- Fresenius Medical Center (Lithonia, GA)
- …or federal surveys. + Participates in the completion of the FMS Administrative Clinical Review . **PHYSICAL DEMANDS AND WORKING CONDITIONS:** + The physical ... requirements. Ensure provision of quality patient care while maintaining cost-effective clinical operations in accordance with all legal, compliance, and regulatory… more
- Vatica Health (Atlanta, GA)
- …is seeking clinically experienced and detailed-oriented nurses to join our team. As a Nurse Consultant, you will collect, review and analyze patient data to ... Requirements + Minimum of 3 years of recent adult health clinical experience as a Registered Nurse (RN)- preferably in critical care (ie, ICU/CCU/MICU) and/or ED… more
- Select Medical (Atlanta, GA)
- …highly effective level of care. **Qualifications** **What we're looking for in a Clinical Liaison** **Required Skills:** + Registered Nurse (RN) or Respiratory ... other designations like LPN, PT, OT etc., upon further review . + Ability to complete clinical assessments...upon further review . + Ability to complete clinical assessments of medically complex patients. **Preferred skills that… more
- CVS Health (Atlanta, GA)
- …enhance a member's overall wellness through integration. + Through the use of clinical tools and information/data review , conducts an evaluation of member's ... (RN) licensure in the state of residence + 5 years clinical practice experience as an Registered Nurse (RN) + 2+ years' experience in critical care + 6+ months… more
- State of Georgia (Dekalb County, GA)
- …program. 3. May act as delegated physician of record for specific clinical nurse specialist(s). Documentation Documentation supports billed services. Billable ... treatment including therapy and medication. 3. Provides consultative services to clinical staff, including review and evaluating treatment plans, provides… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …mentorship and leadership programs + And more! **Description** The **Registry Utilization Review Nurse ** (PRN) is responsible for conducting medical necessity ... and thoroughly by ensuring criteria guidelines applied are addressed in the clinical review . + The UR RN (PRN) is responsible for timely communication to… more
- PruittHealth (Atlanta, GA)
- **JOB PURPOSE:** Senior Nurse Consultant serves as a member of the clinical and region team, to assist centers in achieving clinical excellence. She/he is ... a pro-active education and support plan, consistent with/based on the comprehensive quarterly clinical systems review and clinical outcomes to ensure center… more
- State of Georgia (Fulton County, GA)
- Full-Time Instructor - Nurse Aide Georgia - Fulton - Atlanta (https://careers.georgia.gov/jobs/66235/other-jobs-matching/location-only) Hot ... is seeking highly qualified applicants for its Full-Time Instructor ( Nurse Aide) position in the Health & Public Safety...daily instruction of students in-person, on campus and in clinical settings. This is a full-time position, and it… more
- PruittHealth (Atlanta, GA)
- **Registered Nurse - Educator** **Join the PruittHealth family, where the health and safety of our workforce is our top priority!** We're not only committed to your ... provided to patients is determined by assessing competency of clinical staff on an ongoing basis, evaluating care provided...conditions and acuity. 7. Meets regularly with DHS to review learning needs, coordinate training and to implement plans… more
- Gentiva (Conyers, GA)
- …F2F encounter within the regulatory time frames established by CMS + Provides clinical findings, including review of the medical treatment plans, diagnostic ... care for everyone, so we offer ongoing professional training, lower nurse -to-patient ratios, and comprehensive benefits for eligible employees. Here, you'll join… more
- CenterWell (Atlanta, GA)
- …regarding Home Health, Hospice, and Palliative Care Services. + Assist with clinical eligibility review for alternate services + Participates in special ... **Become a part of our caring community and help us put health first** Clinical call center. High volume. Fast paced. **Shift details: 40 hours a week working 10… more
- Emory Healthcare/Emory University (Decatur, GA)
- …and NIHSS certification to care for this population. We are a 24 bed unit. The nurse to patient ratio is 1:5-6. We have an active unit practice council. A Unit ... Nurse educator and an Education Coordinator are all available...routinely usesacquiredknowledge, theory,researchand experience to respond to changes in clinical situations.This RN professional can apply the Synergy Model… more
- Sunrise Senior Living (Decatur, GA)
- …NAME** Sunrise of Decatur **Job ID** 2025-229588 **JOB OVERVIEW** The Wellness Nurse is responsible for monitoring the health and well-being of our residents ... administration, communication with resident support services and families, and maintaining clinical quality assurance while leading and demonstrating the Mission for… more
- CenterWell (Decatur, GA)
- …on teamwork and providing a positive and welcoming environment for all. The Nurse Practitioner (NP) or Physician Assistant (PA) works in our team-based care ... team consists of doctors, advanced practice professionals, Pharm D, Care Coach Nurse , MA, Behavioral health specialist, Quality based Coder, Referral Coordinator and… more
- CVS Health (Atlanta, GA)
- …clients - Application and/or interpretation of applicable criteria and clinical guidelines, standardized care management plans, polices, procedures and regulatory ... needs to ensure appropriate administration of benefits - Applies clinical judgment to the incorporation of strategies designed to...**Required Qualifications** - 5+ years' experience as a Registered Nurse with at least 1 year of experience in… more