- Molina Healthcare (Macon, GA)
- … and/or coding experience, or equivalent combination of relevant education and experience. + Registered Nurse ( RN ). License must be active and unrestricted ... 6 PM (Team will work on set schedule) Looking for a RN with experience with appeals, claims review , and medical coding. **Job Summary** Provides support for … more
- 315 health (Warner Robins, GA)
- …everyone should have confidence in navigating their healthcare. We are looking for a qualified Registered Nurse ( RN ) to serve our patient population in the ... best health! Responsibilities: + Welcome patients into continuous care program(s) and review benefits and services included + Educate patients on the frequency and… more
- PruittHealth (Warner Robins, GA)
- …care or LTC experience. **MINIMUM LICENSURE/CERTIFICATION REQUIRED BY LAW:** Current and unrestricted Registered Nurse ( RN ) licensure in state of practice. ... staff's demonstration of proper procedures and attitudes and reviewing medical records and documentation. **KEY RESPONSIBILITIES:** 1. Coordinates clinical… more
- Molina Healthcare (Macon, 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 ... a RN with experience with appeals, claims review , and medical coding. JOB DESCRIPTION Job...or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must… more
- Molina Healthcare (Macon, GA)
- …authorization, managed care, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... JOB DESCRIPTION **Job Summary** The Care Review Clinician ( RN ) provides support for...requests within required timelines. * Refers appropriate cases to medical directors (MDs) and presents them in a consistent… more
- Molina Healthcare (Macon, 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
- Molina Healthcare (Macon, GA)
- …authorization, managed care, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically… more
- Molina Healthcare (Macon, GA)
- …authorization, managed care, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically… more
- Molina Healthcare (Macon, GA)
- … claims review , or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted in the ... JOB DESCRIPTION Job Summary The RN Lead, DRG Coding/Validation provides lead level support...validation tools and process improvements - ensuring that member medical claims are settled in a timely fashion and… more
- Fresenius Medical Center (Warner Robins, GA)
- …effective dialysis therapy for assigned patients under the direct supervision of a registered nurse . Participates in the implementation and evaluation of patient ... as your own._ **Connect with your goals and change lives** **with Fresenius Medical Care North America.** Here, we make connections that empower patients, their… more
- Gentiva (Macon, GA)
- …of an accredited graduate-level nurse practitioner education program + Current registered nurse license in state of practice + Current advanced practice ... Partnerships. Transform Hospice Care.** We are seeking a dedicated Hospice Nurse Practitioner to perform Face-to-Face (F2F) encounters essential for hospice… more
- Aveanna Healthcare (Macon, GA)
- RN Clinical Supervisor - Hybrid Schedule ApplyRefer a FriendBack Job Details Requisition #: 208318 Location: Macon, GA 31210 Category: Nursing Salary: $75,000.00 - ... $80,000.00 per year Position Details Position: Clinical Supervisor ( RN ) Clinical Case Manager Join a Company That Puts People First! Aveanna Healthcare is one of the… more
- Molina Healthcare (Macon, GA)
- …related field or equivalent experience, OR completion of any of the following programs: + Registered Nurse ( RN ) or State Licensed Vocational Nurse (LVN), ... in support of annual HEDIS project management and ongoing review of medical records submitted by providers....OR completion of any of the following programs: + Registered Nurse ( RN ) or State… more
- Molina Healthcare (Macon, GA)
- …Microsoft Excel (edit/save spreadsheets, sort/filter) **Required License, Certification, Association** Licensed registered nurse ( RN ), Licensed practical ... CPT guidelines, internal policies, and contract requirements. This position completes a medical review to facilitate a referral to law enforcement or for payment… more