- 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
- Guidehealth (Atlanta, GA)
- …Based clinical initiatives. This includes but is not limited to case management , transitions of care, care coordination and continuity, provider/staff education on ... maintain a network of community support. This individual must exhibit strong leadership, management , and interpersonal skills, as well as the ability to utilize both… more
- Children's Healthcare of Atlanta (Atlanta, GA)
- …experience strongly preferred One year of leadership and/or people management experience strongly preferred Preferred Qualifications Master's degree in Nursing, ... Education Bachelor of Science in Nursing Certification Summary Licensure as a Registered Nurse in the single State of Georgia or Multi-State through the Enhanced … 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
- Sonder Health Plans, Inc. (Atlanta, GA)
- …GA Primary Responsibilities Assess current health status, socioeconomic status, resource utilization , gaps in care, past and present treatment plans and/or ... and other pertinent clinical documentation and information into various medical management systems. Other duties as assigned by Manager. Required Qualifications… more
- Wellstar Health System (Smyrna, GA)
- …risk management and peer review programs, grievance procedures and utilization control mechanisms implemented by the Medical Group and its Affiliates. Job ... and in people's lives. Wellstar Medical Group s seeking a Certified Nurse Practitioner or Physician Assistant to join Wellstar Internal Medicine Associates of… more
- Wellstar Health System (Marietta, GA)
- …making a difference in the healthcare industry, and in people's lives. Registered Nurse Oncology Float-Marietta Shift: FT Day **Sign on & Relocation Bonus Eligible** ... knowledgeable and uphold the practice of nursing as outlined by the Georgia Professional Nurse Practice Act and implement the Scope of Practice and Code of Ethics… more
- Wellstar Health System (Canton, 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 ... patient care. They practice in a clinical environment that is administered by Nurse Supervisors/ Office Managers and other leaders and is supported through the… more
- Tanner Health System (Villa Rica, GA)
- $1,000 Sign On Bonus To assist with day to day management of the patient(s) on an inpatient psychiatric unit under the direction of a Registered Nurse , and ... WORK CONDUCT: Communicates treatment issues and medication concerns to the Staff Nurse and/or physician and therapist daily. Participates in Treatment Team with or… more
- Wellstar Health System (Roswell, GA)
- …may be eligible for sign on bonus and/or relocation assistance The RN Clinical Nurse Critical Care is a proactive member of an interdisciplinary team of licensed and ... 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
- 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
- Elevance Health (Atlanta, GA)
- ** Utilization Management Representative II** **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 II** is responsible for managing… more
- Elevance Health (Atlanta, 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
- Veterans Affairs, Veterans Health Administration (Atlanta, GA)
- …(inpatient and outpatient) 10+ years of managed care experience 10+ years of utilization management experience (utilizing Interqual & Milliman) 3.5 years of ... Summary This Registered Nurse position is available in Community Care. Responsibilities...for the coordination of education focused on staff education, self- management , and customer satisfaction throughout the healthcare continuum. Follows… more
- Veterans Affairs, Veterans Health Administration (Atlanta, GA)
- …and Management experience preferred. 3 - 5 years of Utilization Management experience preferred. Physical Requirements: his position requires visual ... for the coordination of care focused on patient education, self- management , and customer satisfaction throughout the continuum of care....and initiatives as well as customer service programs. The Nurse Nurse Manager (NM) is the designated… more
- CVS Health (Atlanta, GA)
- …Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers flexible medical management ... Oncology or Specialty Pharmacy.** **Preferred Qualifications** + 1+ years' Case Management experience or discharge planning, nurse navigator or … more
- Elevance Health (Atlanta, GA)
- **Medical Management Nurse ** **Work schedule: M-F 11am-8pm PST.** **Location** : This role enables associates to work virtually full-time, with the exception of ... accommodation is granted as required by law._** The **Medical Management Nurse ** is responsible for review of...in multiple states. **Preferred Skills, Capabilities & Experiences:** + Utilization management experience. + Strong of computer… more
- Elevance Health (Atlanta, GA)
- …in an ambulatory or hospital setting or minimum of 1 year of prior utilization management , medical management and/or quality management , and/or ... and experiences:** + Behavioral health background preferred + Familiarity with Utilization Management Guidelines, ICD-9 and CPT-4 coding, and managed… more
