- Sonder Health Plans, Inc. (Atlanta, GA)
- …we'd love for you to join us. Sonder Health Plans is looking for a full-time Utilization Management Nurse to make sure our health services are administered ... working in a managed care environment with Medicare Advantage/Commercial populations, utilization management experience and acute clinical nursing experience… more
- Wellstar Health System (Roswell, GA)
- …interdisciplinary rounds, and patient/family education Collaborates effectively with the utilization review nurse , patient's physicians and the interdisciplinary ... Fulton Hospital has an opportunity for a Senior Registered Nurse (RN) Care Coordinator - PRN Day Shift The...needs, manage the length of stay and promote efficient utilization of resources. Overall, the role integrates and coordinates… more
- Wellstar Health System (Roswell, GA)
- …Job Summary: Wellstar North Fulton Hospital has an opportunity for a Registered Nurse (RN) in MedSurg - Cardiac Telemetry. Full-Time Night Shift The RN Clinical ... Nurse is a proactive member of an interdisciplinary team...performance improvement inclusive of all stakeholders, research and research utilization to promote safe, quality patient care including initiating… more
- Tanner Health System (Carrollton, GA)
- …standard practices and procedures. Licenses and Certifications *GEORGIA REGISTERED NURSE LICENSE OR MULTISTATE NURSING LICENSE Supervision *Has limited supervision ... Provides leadership in absence of manager or director. Collaborates with Nurse Manager, Director, and Supervisor regarding staffing and nursing personnel issues.… more
- Compu-Vision Consulting, Inc. (Lawrenceville, GA)
- OCCUPATIONAL SUMMARY The Registered Professional Nurse at Northside Hospital independently plans and provides professional nursing care to patients in accordance ... and in accordance with the scope of practice as defined by the Georgia Nurse Practice Act. The American Nurses Association's (ANA) Nursing: Scope and Standards of… more
- Wellstar Health System (Alpharetta, GA)
- …in the healthcare industry, and in people's lives. Job Summary: The RN Clinical Nurse is a proactive member of an interdisciplinary team of licensed and unlicensed ... care. They practice in a clinical environment that is administered by Nurse Supervisors/Office Managers and other leaders and is supported through the WellStar… more
- Wellstar Health System (Austell, GA)
- …days with 1 weekend and any applicable holidays. Job Summary: The RN Clinical Nurse is a proactive member of an interdisciplinary team of licensed and unlicensed ... patient care. They practice in a clinical environment that is administered by Nurse Managers and other leaders and is supported through the Wellstar Shared… more
- Wellstar Health System (Marietta, GA)
- …in the healthcare industry, and in people's lives. Job Summary: The RN Clinical Nurse Critical Care is a proactive member of an interdisciplinary team of licensed ... patient care. They practice in a clinical environment that is administered by Nurse Managers and other leaders and is supported through the Wellstar Shared… more
- Athens Orthopedic Clinic (Athens, GA)
- …One (1) year experience preferred. LICENSES / CERTIFICATIONS REQUIRED Current Registered Nurse licensure in state of Georgia. SUPERVISES N/A KNOWLEDGE, SKILLS & ... QI/PI activities, sharing educational opportunities as well performing some employee health nurse tasks as needed. Ability to read and communicate effectively in… more
- Veterans Health Administration (Atlanta, GA)
- …Current federal employees whose agencies follow the US Office of Personnel Management 's hiring rules and pay scales. Federal employees - Excepted service Current ... Coordinates with the patient care team to review clinic appointment availability ( utilization ) to ensure that clinic schedules are closely monitored to effectively… more
- Wellstar Health System (Roswell, GA)
- …knowledgeable and uphold the practice of nursing as outlined by the GeorgiaProfessional Nurse Practice Act and implements the Scope of Practice and Code of Ethics ... supports performance improvement inclusive of all stakeholders, research and research utilization to promote safe, quality patient care including initiating and/or… more
- Pilgrim's (Athens, GA)
- …and within the scope of practice and regulation of the State Nurse Practice Act. Directs, administers, supervises, and evaluates site Occupational Health service ... of policy and quality of nursing care. Ensures adherence to health management protocols, medical directives, policies and procedures, and physician standing orders… more
- Wellstar Health System (Marietta, GA)
- …works with members, providers and caregivers to provide intensive, comprehensive case management and increase efficient utilization of services for patient with ... complex needs; identifies chronic, complex and or catastrophic cases through the case management process and or referrals and initiates intensive case management … more
- CVS Health (Atlanta, GA)
- …Must be willing and able to work Monday through Friday, 8:00am to 5:00pm. Utilization management is a 24/7 operation. Work schedules will include weekend/holiday ... zone + 3+ years of experience as a Registered Nurse + 3+ years of clinical experience required +...+ Managed Care experience + Discharge planning experience + Utilization Management experience **Education** Associates Degree or… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …mentorship, _development,_ and leadership programs + And more **Description** The Clinical Utilization Review Nurse Preceptor (UR RN Preceptor) will be ... responsible for training, mentoring, and coaching for the Utilization Review Department. The UR RN Preceptor must be an expert in the utilization review… more
- Emory Healthcare/Emory University (Decatur, GA)
- …more! **Description** **8a-5:30p / Full Time / 36 hours** The **(RUN) Resource Utilization Nurse , LTAC** is primarily responsible for supporting the critical ... direct patient care assignment as needed while the primary nurse is off unit with another patient, and assisting...indvidual: + May assist the emergency department in the management of critical care patients awaiting inpatient bed admission… more
- Elevance Health (Columbus, GA)
- ** Utilization Management Representative II** **Virtual:** This role enables associates to work virtually full-time, with the exception of required in-person ... accommodation is granted as required by law._ " The ** Utilization Management Representative II** is responsible for...given. + Refers cases requiring clinical review to a nurse reviewer; and handles referrals for specialty care. +… more
- Elevance Health (Columbus, GA)
- ** Utilization Management Representative II** **Virtual:** This role enables associates to work virtually full-time, with the exception of required in-person ... accommodation is granted as required by law._ " The ** Utilization Management Representative II** is responsible for...given. + Refers cases requiring clinical review to a nurse reviewer; and handles referrals for specialty care. +… more
- Elevance Health (Columbus, GA)
- ** Utilization Management Representative I** **Virtual:** This role enables associates to work virtually full-time, with the exception of required in-person ... integration, and ensures essential face-to-face onboarding and skill development. The ** Utilization Management Representative I** will be responsible for… more
- Sharecare (Atlanta, GA)
- …appropriate resource utilization and desired clinical outcomes. The Disease Management Nurse is also responsible during their interactions with participants ... for everyone. To learn more, visit www.sharecare.com . **Job Summary:** The Disease Management Nurse has the responsibility for supporting the goals and… more
