- Elevance Health (Atlanta, GA)
- ** Medical Management Nurse ** **Location: Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training ... members in different states; therefore, Multi-State Licensure will be required.** The ** Medical Management Nurse ** is responsible for review of the most… more
- Elevance Health (Atlanta, GA)
- ** Medical Management Nurse ** **Hours: Candidates will work 8a-5pm PST with 1 weekend per year-open for weekend work holidays voluntary** **Location** : This ... for employment, unless an accommodation is granted as required by law. The ** Medical Management Nurse ** is responsible for review of the most complex or… more
- Prime Healthcare (Riverdale, GA)
- …current. 5. Previous Acute Care hospital experience preferred. 6. Ventilator Management experience preferred. 7. Medical -Surgical Nurse -Board Certified ... Connect With Us! (https://careers-primehealthcare.icims.com/jobs/228353/telemetry-registered- nurse /job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilitySouthern Regional… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …+ Wellness incentives + Ongoing mentorship, _development,_ and leadership programs **Description** ** Medical ICU Unit Charge Nurse / RN** 7p-7:30a / Full ... their area of specialty. + Completes employee conference, risk management and unit management reports within specified...marking and evidence based practice. + Functions as charge nurse . + Role models delegation skills to colleagues and… more
- Humana (Atlanta, GA)
- …of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are varied and frequently require ... and help us put health first** The Weekend Utilization Management Nurse 2 utilizes clinical nursing skills...extends outside of work. Among our benefits, Humana provides medical , dental and vision benefits, 401(k) retirement savings plan,… more
- Humana (Atlanta, GA)
- …of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are varied and frequently require ... and help us put health first** Full-Time, Remote Telephonic opportunity The Utilization Management Nurse 2 utilizes clinical nursing skills to support the… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …**7p-7:30a / Full-Time / 36 hours** We're seeking a **Clinician Charge** **, Medical Surgical Department** responsible for being a capable clinician charge who has ... their area of specialty. + Completes employee conference, risk management and unit management reports within specified...marking and evidence based practice. + Functions as charge nurse . + Role models delegation skills to colleagues and… more
- Emory Healthcare/Emory University (Decatur, GA)
- …and a leader within their area of specialty. Completes employee conference, risk management and unit management reports within specified time frames. Identifies ... within the unit to provide optimal patient outcomes. Role models time management skills through example. Ensures compliance and adherence with stated policies and… more
- Cognizant (Atlanta, GA)
- …to Friday - Eastern Time **Location:** Remote **About the role** As a Registered Nurse you will make an impact by performing advanced level work related to clinical ... denial management and managing clinical denials from Providers to the...Plan/Payer. The comprehensive process includes analyzing, reviewing, and processing medical necessity denials for resolution. You will be a… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …_,_ and leadership programs and more! **Description** We are seeking a Registered Nurse with experience in **cardiac nursing** to join our dynamic 23-bed unit, ... specializing in the care of patients with complex medical and cardiac conditions. This includes advanced heart failure, pre and post interventional cardiology,… more
- CVS Health (Atlanta, GA)
- …with heart, each and every day. **Position Summary** Medicare Predetermination Utilization Management Nurse Consultant position: _Utilization Management is a ... external constituents in the coordination and administration of the utilization/benefit management function. **Required Qualifications** + 3+ years of experience as… more
- Molina Healthcare (Atlanta, GA)
- JOB DESCRIPTION **Job Summary** The Medical Claim Review Nurse provides support for medical claim review activities. Responsible for ensuring timely claims ... of payment decisions. * Serves as a clinical resource for utilization management , chief medical officers, physicians and member/provider inquiries/appeals. *… more
- Prime Healthcare (Riverdale, GA)
- …of other nursing personnel while maintaining standards of care within the Medical /Surgical Unit. The Registered Nurse is directly responsible and accountable ... Connect With Us! (https://careers-primehealthcare.icims.com/jobs/228649/ medical -unit-registered- nurse /job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306)… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …failure, infections, paralysis, diabetes, heart failure, hypertension, and stroke + Targeted Nurse -to-Patient Ratio: 1:4 On 6G we pride ourselves in fostering a ... a leader within their area of specialty. + Completes employee conference, risk management and unit management reports within specified time frames. + Identifies… more
- Fresenius Medical Center (Carrollton, GA)
- …care to dialysis patients, in either a chronic or acute setting. + Medical /surgical nursing preferred. + Supervisory or management experience preferred. + ... compliance, and regulatory requirements and programs. As the Charge Nurse , manages the daily decisions to ensure continuity of...direct patient care staff + Promote efficient use of medical supplies. + Attend and participate in monthly Quality… more
- Veterans Affairs, Veterans Health Administration (Atlanta, GA)
- Summary The Atlanta VA Medical Center is seeking a Nurse , Outpatient Surgical Clinic Staff RN to fill the role in Nursing and Patient Care. The position is ... position responsibilities that demonstrate leadership, experience, and creative approaches to management of complex specialty care. This nurse provides patient… more
- Veterans Affairs, Veterans Health Administration (Fort Mcpherson, GA)
- …of 5 years of nursing experience with progressive leadership, including 3 years of nurse management experience. Master's degree in Nursing or related field. BSN ... The Fort McPherson VA Clinic is seeking a Registered Nurse , RN Care Manager to fill the role in...for the coordination of care focused on patient education, self- management , and customer satisfaction throughout the continuum of care.… more
- Veterans Affairs, Veterans Health Administration (Atlanta, GA)
- …expert leadership, experience, and creative approaches in providing complex patient management . Holds the responsibility of implementing an efficient approach to ... written responses as needed to achieve resolution. Engages in vendor management , the HHCC effectively addresses concerns and participates in monitoring the… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …failure, infections, paralysis, diabetes, heart failure, hypertension, and stroke + Targeted Nurse -to-Patient Ratio: 1:4 On 6G we pride ourselves in fostering a ... their area of specialty. 6. Completes employee conference, risk management and unit management reports within specified...Enhancing your Communication HLC#6488. PLAN: 6. Meets all Clinical Nurse I Employee Commitments. 7. Completion of VIP or… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …failure, infections, paralysis, diabetes, heart failure, hypertension, and stroke + Targeted Nurse -to-Patient Ratio: 1:4 On 6G we pride ourselves in fostering a ... their area of specialty. 7. Completes employee conference, risk management and unit management reports within specified...and specialty PL N: 4. Must meet all Clinical Nurse Employee Commitments. 5. Achieves electives/points and contact hours… more