Utilization Management Nurse jobs in Atlanta, GA

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RN - Operating Room
Department of Veterans Affairs 934 reviews - Decatur, GA
Responsible to the Nurse Manager, Service Line Designee, or other nursing management with practice accountability to the Associate Director for Patient/Nursing...
Sponsored by Department of Veterans Affairs - 22 days ago
Prior Authorization Coordinator (RN)
AmeriHealth Caritas 54 reviews - Atlanta, GA
2+ years experience in utilization management, preferably within managed care. Current, unrestricted GA Registered Nurse license....
Sponsored by AmeriHealth Caritas - 30+ days ago
Salesforce.com Senior Associate Healthcare Advisory
PwC 1,202 reviews - Atlanta, GA
Change management and training. Utilization of PC applications (i.e. Our professionals have deep health industry expertise and include physicians, nurses,...
Sponsored by PwC - 30+ days ago

Clinical Documentation - Team Lead

Grady Health System 97 reviews - Atlanta, GA 30303 (Five Points area)
Familiarity with processes associated with Utilization Review, Care Management and coding. This position formulates and delivers ongoing and evolving point of...

NICU Case Manager RN

Humana 884 reviews - Atlanta, GA
Previous experience in utilization management, discharge planning and/or home health or rehab. Examine clinical programs information to identify members for...

Prebill Denials RN

Shared Services - Atlanta - Norcross, GA
Utilization Review, appeals, denials, managed care contracting, experienced preferred. Escalate medical review request and/or denial activities to management as...

Registered Nurse (RN) - Utilization Management Nurse Consult...

Aetna 460 reviews - Atlanta, GA 30301 (Buckhead area)
The Utilization Management Nurse Consultant:. Lends expertise to other internal and external constituents in the coordination and administration of the...

Utilization Management Rep I

Kelly Services 3,119 reviews - Atlanta, GA 30346
Utilization Management Rep I position in a Fortune 500® corporation located in Atlanta, GA . Refers cases requiring clinical review to a Nurse reviewer....

Prior Authorization Coordinator

Superior Group 21 reviews - Atlanta, GA
The nurse will apply medical health benefit policy and medical management guidelines to authorize services and appropriately identify and refer requests to the...


Atlanta Medical Center 863 reviews - Atlanta, GA
Experienced in care coordination and/or utilization review. Registered Nurse Licensed in the State of Georgia. FINANCIAL CASE MANAGER....

Registered Nurse (RN) - Clinical Health Services Supervisor

Aetna 460 reviews - Atlanta, GA
Utilization Management also preferred. Experience in Case Management. Case Management experience is required. Certification in Case Management is desired....

Nurse Case Manager I/II or Senior

Anthem, Inc. 555 reviews - Atlanta, GA
Assists with development of utilization/care management policies and procedures. Monitors and evaluates effectiveness of the care management plan and modifies...

Assistant Nurse Manager, EUH, Emergency Services

Emory Healthcare 150 reviews - Atlanta, GA
Understands established area budget and adjusts resource utilization to minimize variances. Supports other Assistant Nurse Managers in work they are trying to...
RN Medical Case Manager - Worker's Comp
Travelers 65 reviews - Alpharetta, GA
For nurses handling Workers Compensation Claims, perform Utilization Review according to established guidelines....
Sponsored by Miracle Workers - 7 days ago
Tenet Health 863 reviews - Roswell, GA
Experience in case management, utilization review, discharge planning, preferred. The Case Manager will act as an advocate for the patient, physician, and...
Sponsored by Nurse.com - 19 days ago
Admissions Intake Nurse (Full-Time/Various Shifts)
Grady Health System 97 reviews - Atlanta, GA
Must have knowledge of Utilization/Case Management principals. Experience in Admissions, Bed Control, Case Management, Pre-Certification and with Inter....
Sponsored by Grady Health System - 17 days ago
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Company with Utilization Management Nurse jobs
54 reviews
AmeriHealth Caritas is the nation's leader in health care solutions for the underserved and chronically ill for over 30 years.