- Evolent (Atlanta, GA)
- …Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** As a Clinical Reviewer , Nurse , you will be a key member of the utilization ... while providing better health outcomes. **Collaboration Opportunities:** As a Clinical Reviewer , Nurse , you will...**What You Will Be Doing:** + Functions in a clinical review capacity to evaluate all cases,… more
- Prime Healthcare (Riverdale, GA)
- …Advanced Imaging; Laboratory; Neuroscience Services; Rehabilitation; Sleep Diagnostic Center; Surgery /Robotic Surgery ; Wound Care; and Women's Health Services, ... designed to facilitate and insure the achievement of quality, clinical and cost effective outcomes and to perform a...to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity,… more
- CenterWell (Atlanta, GA)
- …regarding Home Health, Hospice, and Palliative Care Services. + Assist with clinical eligibility review for alternate services + Participates in special ... **When working weekends, it will allow for off-days during the week.** The ** Clinical Care Coordinator** helps to ensure optimal continuity of care for patients… more
- CenterWell (Duluth, GA)
- …policies and standards. + Assesses staff education needs based on own the review of clinical documentation in addition to feedback and recommendations by ... referred to as our Gwinnett, GA branch.** The **RN Clinical Manager** coordinates and oversees all direct care patient...Utilization Review staff. Upon completion of the assessment, creates and… more
- Sedgwick (Atlanta, GA)
- …Candidates must live within the United States. **PRIMARY PURPOSE** : Performs standard clinical evaluations on claims that require additional review based on ... Fortune Best Workplaces in Financial Services & Insurance Remote Accommodations Clinical Specialist- Bilingual Hindi, Japanese, Mandarin or more **We are looking… more
- CenterWell (Marietta, GA)
- …from the field staff and assisting with weekly case conferences. Refers clinical questions to Branch Director as necessary. + Maintains the client hospitalization ... task appears on the action screen. Ensures staff are scheduled for skilled nurse /injection visits unless an aide supervisory visit is scheduled in conjunction with… more