- Elevance Health (Atlanta, GA)
- …as required by law. Must have License to practice in the state of Georgia** The ** Medical Management Nurse ** is responsible for review of the most complex or ... whether treatment is medically necessary and provides consultation to Medical Director on cases that are unclear or do...Director on particularly peculiar or complex cases as the nurse deems appropriate. + May make recommendations on alternate… more
- Elevance Health (Atlanta, GA)
- …projects relevant to medical call or general medical management policies, practices and procedures **Minimum Requirements:** ** Nurse Demand Management ... ** Nurse Demand Management ** **Sign On Bonus:$3,000**...resources and nursing background to provide callers with appropriate medical information. + Provides caller with appropriate community resources… 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
- 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
- Humana (Atlanta, GA)
- …of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are varied and frequently require ... community and help us put health first** The 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 (Decatur, GA)
- …and a leader within their area of specialty. Completes employee conference, risk management and unit management reports within specified time frames. Identifies ... within the unit to provide optimal patient outcomes. Role models time management skills through example. Ensures compliance and adherence with stated policies and… more
- Evolent (Atlanta, GA)
- …of direct clinical patient care + Minimum of one year of experience with medical management activities in a managed care environment + Schedule: Monday-Friday, ... for the mission. Stay for the culture. **What You'll Be Doing:** The Nurse Reviewer is responsible for performing precertification and prior approvals. Tasks are… more
- CVS Health (Atlanta, GA)
- …Holding, Inc. (AHH), a division of Aetna/CVS Health, is a URAC-accredited medical management organization founded in 1993. We provide flexible, cost-effective ... healthcare for members. We are seeking a dedicated Utilization Management (UM) Nurse Consultant to join our...Use established guidelines to authorize services or escalate to Medical Directors as needed. + Navigate multiple computer systems… more
- CVS Health (Atlanta, GA)
- …with heart, each and every day. **Position Summary** Medicare Predetermination Utilization Management Nurse Consultant position: _Utilization Management is a ... external constituents in the coordination and administration of the utilization/benefit management function. **Required Qualifications** + 3+ years of experience as… more
- Molina Healthcare (Atlanta, GA)
- …set schedule) Looking for a RN with experience with appeals, claims review, and medical coding. **Job Summary** Provides support for medical claim and internal ... quality and cost-effective member care. **ESSENTIAL JOB DUTIES:** + Facilitates clinical/ medical reviews of retrospective medical claim reviews, medical… more
- Emory Healthcare/Emory University (Decatur, GA)
- …a leader within their area of specialty. + Completes employee conference, risk management and unit management reports within specified time frames. + Identifies ... within the unit to provide optimal patient outcomes. + Role models time management skills through example. + Ensures compliance and adherence with stated policies… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …do just that! On 10E you will work with a variety of patients seeking medical and surgical care. You can strengthen your knowledge and competencies by working with ... heparin drips, tracheostomies, blood products, IV antibiotics, intravascular and central line management , and surgical drain devices. + Number of Beds: 23-bed +… more
- Fresenius Medical Center (Decatur, GA)
- …and acting on adverse events and action thresholds in collaboration with facility management . + Maintains integrity of medical records and other FVC ... procedure, under the direction of the Facility Manager and/or Charge Registered Nurse , utilizing standard nursing techniques to assist the physician in optimum… 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
- CVS Health (Atlanta, GA)
- …external constituents in the coordination and administration of the utilization/benefit management function. + UMNC meets set productivity and quality expectations. ... hours available with Holiday,Weekend,and laterotations. + **Required Qualifications** + Registered Nurse + Must have active current and unrestricted RN licensure in… more
- Veterans Affairs, Veterans Health Administration (Fort Mcpherson, GA)
- …5 years of nursing experience with progressive leadership experience, including 3 years nurse management experience. Master's degree in Nursing or a related ... ineligible to apply. Responsibilities Functions or Scope of Assigned Duties of Assistant Nurse Manager: The Nurse III Assistant Nurse Manager (ANM)… more
- Ageless Mens Health (Marietta, GA)
- …Primary Care, Wellness Clinic, Ambulatory Care, Full-Time RN, Healthcare Jobs, Nurse Jobs, Nursing Careers, Weight Management , Aesthetic Medicine, Concierge ... Registered Nurse (RN) - Men's Health Clinic | Ageless...focus on medically managed testosterone replacement therapy (TRT), weight management , skin care, and concierge medicine - helping men… more
- ChenMed (Decatur, GA)
- … management programs, clinical meetings and other meetings. The Nurse Practitioner, Specialty incumbent adheres to strict departmental goals/objectives, standards ... we need great people to join our team. The Nurse Practitioner (NP), Specialty acts as part of the...responsibilities include but are not limited to: geriatric assessment, medical history, physical exam, diagnosis and treatment, development of… more