- Optum (Atlanta, GA)
- …new Lifestyle Centers. Work in attractive/modern buildings and enjoy an electronic medical record environment. Full time management staff, digital radiology and ... the Las Vegas area. This is an employed practice position with Southwest Medical . We offer patient care that is compassionate, appropriate and effective for… more
- Optum (Atlanta, GA)
- …new Lifestyle Centers. Work in attractive/modern buildings and enjoy an electronic medical record environment. Full time management staff, digital radiology and ... Southwest Medical , part of the Optum family of businesses,...part of Optum, is a multi-specialty group of Physicians, Nurse Practitioners, and Physician Assistants at clinical locations including… more
- Elevance Health (Atlanta, GA)
- ** Medical Management Nurse ** **Location: Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training ... members in different states; therefore, Multi-State Licensure will be required.** The ** Medical Management Nurse ** is responsible for review of the most… more
- Elevance Health (Atlanta, GA)
- ** Medical Management Nurse ** **Hours: Candidates will work 8a-5pm PST with 1 weekend per year-open for weekend work holidays voluntary** **Location** : This ... for employment, unless an accommodation is granted as required by law. The ** Medical Management Nurse ** is responsible for review of the most complex or… 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** The Weekend Utilization Management Nurse 2 utilizes clinical nursing skills...extends outside of work. Among our benefits, Humana provides medical , dental and vision benefits, 401(k) retirement savings plan,… 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
- 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
- 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
- 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
- Fresenius Medical Center (Hiram, 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 (Fort Mcpherson, GA)
- …of 5 years of nursing experience with progressive leadership, including 3 years of nurse management experience. Master's degree in Nursing or related field. BSN ... The Fort McPherson VA Clinic is seeking a Registered Nurse , RN Care Manager to fill the role in...for the coordination of care focused on patient education, self- management , and customer satisfaction throughout the continuum of care.… 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 ... their area of specialty. 6. Completes employee conference, risk management and unit management reports within specified...Enhancing your Communication HLC#6488. PLAN: 6. Meets all Clinical Nurse I Employee Commitments. 7. Completion of VIP or… 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 ... their area of specialty. 7. Completes employee conference, risk management and unit management reports within specified...and specialty PL N: 4. Must meet all Clinical Nurse Employee Commitments. 5. Achieves electives/points and contact hours… more
- Molina Healthcare (Atlanta, GA)
- **JOB DESCRIPTION** **Job Summary** The Care Connections Nurse Practitioners focus on screening and preventive primary care services delivered in the home, ... including home, nursing facilities, and "pop up" clinic. The Nurse Practitioner will be required to work primarily in...required to work primarily in non-clinical settings and provide medical care to all levels of patients. Some programs… more
- Molina Healthcare (Atlanta, GA)
- JOB DESCRIPTION Job Summary Provides screening, preventive primary care and medical care services to members - primarily in non-clinical settings where members feel ... quality and cost-effective member care. Essential Job Duties * Provides general medical care and care coordination to various and/or specific patient member… more
- Gentiva (Alpharetta, GA)
- …Partnerships. Transform Hospice Care.** We are seeking a dedicated Hospice Nurse Practitioner to perform Face-to-Face (F2F) encounters essential for hospice ... + Document clinical findings accurately and attest F2F encounters in patient medical records. + Utilize Local Coverage Determination (LCD) criteria per hospice… more
- CVS Health (Atlanta, GA)
- …in the US with virtual training.** American Health Holding, Inc (AHH) is a medical management company that is a division within Aetna/CVS Health. Founded in ... URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers flexible medical management services that support… more
