- Fresenius Medical Care (Newnan, GA)
- …care to dialysis patients, in either a chronic or acute setting. Medical /surgical nursing preferred. Supervisory or management experience preferred. Certified in ... with all legal, compliance, and regulatory requirements and programs. As the Charge Nurse , manages the daily decisions to ensure continuity of care to maintain… more
- Morley (Atlanta, GA)
- …**_Required Skills_** + Excellent analytical skills, attention to detail, time management and organization + Computer skills (online resource navigation, Microsoft ... / repairs + Dealership service background (strongly preferred) - eg, service management , warranty administration, parts management + Associate degree **_Remote… more
- Elevance Health (Atlanta, 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
- 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** 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
- CVS Health (Atlanta, GA)
- …all with heart, each and every day. **Position Summary:** The **Utilization Management Clinical Nurse Consultant - Prior Authorization** utilizes clinical skills ... to coordinate, document, and communicate all aspects of the utilization/benefit management program. **Job Duties include (but are not limited to):** + Applies… more
- CVS Health (Atlanta, GA)
- …Holding, Inc. (AHH), a division of Aetna/CVS Health, is a URAC-accredited medical management organization founded in 1993. We provide flexible, cost-effective ... healthcare for members. We are seeking a dedicated Utilization Management (UM) Nurse Consultant to join our...Use established guidelines to authorize services or escalate to Medical Directors as needed. + Navigate multiple computer systems… 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
- Emory Healthcare/Emory University (Atlanta, GA)
- …+ Ongoing mentorship,development _,_ and leadership programs and more **Description** The Nurse Manager plays a key leadership role within the nursing and clinical ... goals, staffing needs, and budget considerations. **Clinical & Operational Management :** 1. Oversee clinical and operational workflows, ensuring seamless patient… more
- Fresenius Medical Center (Newnan, 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
- Ageless Mens Health (Peachtree City, GA)
- …Primary Care, Wellness Clinic, Ambulatory Care, Full-Time RN, Healthcare Jobs, Nurse Jobs, Nursing Careers, Weight Management , Aesthetic Medicine, Concierge ... Registered Nurse (RN) - Men's Health Clinic | Ageless...focus on medically managed testosterone replacement therapy (TRT), weight management , skin care, and concierge medicine - helping men… more
