- Molina Healthcare (Atlanta, GA)
- JOB DESCRIPTION Job Summary The Care Review Clinician RN provides support for clinical member services review assessment processes. Responsible for ... experience. Candidates with MCO experience are highly preferred. The Care Review Clinician must be...or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must… more
- Molina Healthcare (Atlanta, GA)
- JOB DESCRIPTION **Job Summary** The RN Care Review Clinician provides support for clinical member services review assessment processes. Responsible ... least 2 years experience, including experience in hospital acute care , inpatient review , prior authorization, managed ...or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must… more
- Molina Healthcare (Atlanta, GA)
- For this position we are seeking a ( RN ) Registered Nurse who must hold a compact license. This is a Remote position, home office with internet connectivity ... least 2 years experience, including experience in hospital acute care , inpatient review , prior authorization, managed ...or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must… more
- Molina Healthcare (Atlanta, GA)
- …managed care , or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted in ... unit (ICU) or emergency room. Previous experience in managed care Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual / MCG… more
- 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 Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically… 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
- CVS Health (Atlanta, GA)
- …Service/Health Services (as applicable to hiring program) or Associates degree with a Registered Nurse with Behavioral Health experience/ background with 3 years ... with behavioral health background. **Preferred Qualifications** + 3 years Managed care /utilization review experience preferred. + Crisis intervention skills and… 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
- Intermountain Health (Atlanta, GA)
- …your growth** -with many career paths to explore, like Medical Assistant Senior, Registered Nurse , Practice Manager, and more! + **Intermountain offers employees ... be the same hours. **Unit/Location:** TOSH **Additional Details:** Please review Minimum Qualifications listed below before applying. This position...the best care by:** + **Providing Patient Care :** Under the direction of the Clinician ,… more
- BrightSpring Health Services (Mcdonough, GA)
- …Associate degree in Nursing with current license + Three years practice as a Registered Nurse + Previous Hospice experience preferred + Current Nursing License + ... of care + Participate in Interdisciplinary Group (IDG) meetings to coordinate and review patient care plans + Review and adjust visit schedules for… more
- Intermountain Health (Atlanta, GA)
- …team, ensuring our patients receive the best care by:** + **Providing Patient Care :** Under the direction of the Clinician , providing care to patients ... **Job Description:** A Medical assistant has accountability for providing care to patients in an ambulatory clinic setting. This will involve caring for patients… more
- Elevance Health (Atlanta, GA)
- …law. Must have License to practice in the state of Georgia** The **Medical Management Nurse ** is responsible for review of the most complex or challenging cases ... Director on particularly peculiar or complex cases as the nurse deems appropriate. + May make recommendations on alternate...and requires a minimum of 2 years clinical, utilization review , or managed care experience; or any… more