- Elevance Health (Columbus, GA)
- …as required by law. Must have License to practice in the state of Georgia** The ** Medical Management Nurse ** is responsible for review of the most complex or ... whether treatment is medically necessary and provides consultation to Medical Director on cases that are unclear or do...Director on particularly peculiar or complex cases as the nurse deems appropriate. + May make recommendations on alternate… more
- Molina Healthcare (Columbus, GA)
- …set schedule) Looking for a RN with experience with appeals, claims review, and medical coding. **Job Summary** Provides support for medical claim and internal ... quality and cost-effective member care. **ESSENTIAL JOB DUTIES:** + Facilitates clinical/ medical reviews of retrospective medical claim reviews, medical… more
- Battelle Memorial Institute (Fort Benning, GA)
- …as a case manager by a recognized certifying organization, ie, Commission for Case Management Certification or American Nurse Credentialing Center + At least two ... (HRA) business line is seeking a highly motivated, full-time ** Nurse Case Manager** to join our team in support...self-care + Possess knowledge of patient education principles and management of complex medical , psychosocial, and financial… more
- BioLife Plasma Services (Columbus, GA)
- …You will report to the Plasma Center Manager and will perform as a Medical Support Specialist (Plasma Center Nurse ) to support plasma center operations. BioLife ... results, and donor notification of unsuitable test results. The Medical Support Specialist (Plasma Center Nurse ) works...Manager as applicable) for operational guidance and under the management of the Center Physician for medical … more
- State of Georgia (Muscogee County, GA)
- Registered Nurse - New Hope Unit (7:00 PM - 7:00 AM) - Columbus Georgia - Muscogee - Columbus ... Columbus, Ga.is seeking candidates for the position of Registered Nurse 3 on the New Hope Forensic Unit. This...+ Develops and implements nursing care plans and maintains medical records. + Administers nursing care to ill, injured,… more
- Gentiva (Auburn, AL)
- …* Respond promptly and compassionately to urgent calls, patient visits, and symptom management needs * Evaluate patient and family needs to guide clinical decisions ... home health, oncology, or palliative care experience * Familiarity with symptom management , triage, and after-hours home-based care * Prior experience in on-call or… more
- State of Georgia (Muscogee County, GA)
- Psychiatric Mental Health Nurse Practitioner - Columbus, GA Georgia - Muscogee - Columbus ... Job Sign Up for Job Alerts Psychiatric Mental Health Nurse Practitioner (PMHNP) - Columbus, GA Description - External...from normal + Make tentative diagnoses and decisions about management and treatment of clients + Obtains compiles and… more
- Auburn University (Auburn, AL)
- …Health Serv **Division Name** College of Pharmacy **Position Title** Part-time Nurse Practitioner **Estimated Hours Per Week** 20 **Anticipated Length of ... 12 months **Job Summary** We are seeking candidates for a Part-time Nurse Practitioner position for clinical services performed under contract with the State… more
- State of Georgia (Muscogee County, GA)
- Charge Nurse Supervisor - Columbus Georgia - Muscogee - Columbus (https://ga.referrals.selectminds.com/jobs/73545/other-jobs-matching/location-only) Healthcare ... + Develops and implements nursing care plans and maintains medical records. + Supervises the provision and quality of...on health maintenance and disease prevention or provide case management . + Supervises and plans work of assigned staff.… more
- OptiMindHealth (Phenix City, AL)
- Psychiatric Nurse Practitioner (PMHNP-BC) $125k - $145k/year Position Requirement: Full-Time FLSA Status: Exempt Location: Phenix City, Alabama Salary: 125K - 145K+ ... clinician's needs. Packages can include some combination of: . Competitive Salary . Medical benefits . Paid malpractice policy . CEU reimbursement . Paid time off… more
- Molina Healthcare (Columbus, GA)
- …may be required. * Serves as a clinical resource for utilization management , chief medical officer, physicians, and member/provider inquiries/appeals. * Provides ... **JOB DESCRIPTION** **Job Summary** The Clinical Appeals Nurse (RN) provides support for internal appeals clinical...Central time Remote position **Essential Job Duties** * Performs clinical/ medical reviews of previously denied cases in which a… more
- Naven Health (Columbus, GA)
- …customers, our teammates, and the patients we serve. **Job Description Summary:** An Infusion Nurse I is a licensed registered nurse who provides basic direct ... + Effectively and timely communicates with Naven Health's Clinical team, medical providers, patients, and families/caregivers to facilitate continuity of care.… more
- Molina Healthcare (Columbus, GA)
- **JOB DESCRIPTION** **Job Summary** The Delegation Oversight Nurse provides support for delegation oversight quality improvement activities. Responsible for ... proficient, self-directed, autonomous and experience working from home. Care Management & Waiver Service Auditing experience is highly preferred. Work… more
- Gentiva (Columbus, GA)
- …administration * Hospice philosophy and services * Symptom and pain management * End-of-life processes and expectations **About You** **Qualifications - What ... Recognition Programs + Teammate Assistance Fund **Additional Full-Time Benefits:** + Medical , Dental, Vision Insurance + Mileage Reimbursement or Fleet Vehicle… more
- State of Georgia (Muscogee County, GA)
- Registered Nurse - Columbus Georgia - Muscogee - Columbus (https://ga.referrals.selectminds.com/jobs/73488/other-jobs-matching/location-only) Healthcare ... problems and needs. + Develops and implements nursing care plans and maintains medical records. + Administers nursing care to ill, injured, convalescent, or disabled… more
- Dialysis Clinic, Inc. (Columbus, GA)
- …with a lower caregiver-to-patient ratio than other providers. The **Licensed Practical Nurse ** provides nursing care at a DCI in-center hemodialysis clinic as part ... training with preceptor, including job shadowing opportunities + Comprehensive medical , dental and vision benefits + Life and long-term...on patient care + Communicate effectively to keep charge nurse aware of patient condition changes + Know and… more
- InGenesis (Columbus, GA)
- InGenesis is currently seeking a Registered Nurse (RQR) to work with our client located in Columbus, Georgia. In this role, you will perform comprehensive ... healthcare needs, conduct physical and psychosocial evaluations, and provide essential medical care and support to patients transitioning from state hospital… more
- Molina Healthcare (Columbus, GA)
- JOB DESCRIPTION Job Summary Provides support for health management activities within the care management /care coordination functions. Collaborates with ... health care concerns, uses clinical judgment to provide care management or refer members to a higher level of...goals, and educates members on best practices to manage medical needs. * Provides condition-specific education designed to assist… more
- Molina Healthcare (Columbus, GA)
- JOB DESCRIPTION Job Summary Provides medical oversight and expertise in appropriateness and medical necessity of services provided to members, targeting ... and cost-effective member care. Essential Job Duties * Determines appropriateness and medical necessity of health care services provided to plan members. * Supports… more
- Molina Healthcare (Columbus, GA)
- …qualified medical personnel, not influenced by fiscal or administrative management considerations, and that the care provided meets the standards for acceptable ... Group/IPA practice, capitation, HMO regulations, managed healthcare systems, quality improvement, medical utilization management , risk management , risk… more