- Molina Healthcare (Atlanta, GA)
- …managed care , or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted in ... JOB DESCRIPTION Job SummaryProvides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary… more
- Molina Healthcare (Atlanta, GA)
- …for internal meetings. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse ( RN ). **Required Experience** 1-3 years of ... clinic experience. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing. **Preferred… more
- Emory Healthcare/Emory University (Decatur, GA)
- …**Unit Charge, Critical Care Stepdown LTAC** responsible for being a capable clinician who has acquired broad experience in caring for patients and has developed ... a sound understanding about the care of a particular patient population and routinely uses...experience to respond to changes in clinical situations. This RN professional is able to apply the Synergy Model… more
- Centene Corporation (Atlanta, GA)
- …Family Therapist (LMFT) required or + Licensed Mental Health Professional (LMHP) required or + RN - Registered Nurse - State Licensure and/or Compact State ... process preferred. Experience working with providers and healthcare teams to review care services related to mental health and substance abuse preferred.… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …complete an ADN-to-BSN program within two years of entering the RN Clinician role. Licensure: + A valid, unencumbered Registered Nursing License approved by ... cancer screening - ( this location sends out the Prep Instructions and review any questions the patients may have). **Key Responsibilities:** Clinical Practice &… more
- Elevance Health (Atlanta, GA)
- …in different states; therefore, Multi-State Licensure will be required.** The **Medical Management Nurse ** is responsible for review of the most complex or ... **Medical Management Nurse ** **Location: Virtual: This role enables associates to...and requires a minimum of 2 years clinical, utilization review , or managed care experience; or any… more
- Elevance Health (Atlanta, GA)
- …employment, unless an accommodation is granted as required by law. The **Medical Management Nurse ** is responsible for review of the most complex or challenging ... **Medical Management Nurse ** **Hours: Candidates will work 8a-5pm PST with...not be receiving appropriate type, level, or quality of care , eg, if services are not in line with… more
- Elevance Health (Atlanta, GA)
- …years experience in quality improvement and/or behavioral health, risk management and/or utilization review in a managed care setting as well as process ... **Preferred Skills, Capabilities, and Experiences:** + Independently licensed behavioral health clinician preferred (LCSW, LPCC, LMFT, Ph.D., Psy.D., RN ). +… more