Utilization Management Nurse jobs in Atlanta, GA

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Case Manager/Utilization Review RN, Case Management
Certification in Case Management, UR, or Quality preferred. Current License in the State of Georgia as a Registered Nurse....
RN Clinical Appeals Analyst
Piedmont Healthcare - 192 reviews - Atlanta, GA 30363
Five years acute care experience preferably in medical-surgical or critical care and two years recent experience in dispute management, clinical documentation,...

Clinical Documentation Improvement, RN, Atlanta

Northside Hospital - 404 reviews - Atlanta, GA
Minimum 5 years’ experience in nursing in an acute care setting through direct patient care, utilization review, case management or quality review....

RN Clinical Appeals Analyst

Piedmont Healthcare - 192 reviews - Atlanta, GA 30363 (Buckhead area)
Five years acute care experience preferably in medical-surgical or critical care and two years recent experience in dispute management, clinical documentation,...

Nurse Disability Consultant

Lincoln Financial - 468 reviews - Atlanta, GA
Educational experience and/or proficiency with Disability Management (STD/LTD) knowledge, Workers Compensationa, Utilization Review and/or nurse case management...

Concurrent Review Nurse I

Peach State Health Plan - 24 reviews - Smyrna, GA
Educate providers on utilization and medical management processes. Managed care or hospitalization utilization review background is a plus....

Training Specialist (RN) - GA, MO, NY

Anthem, Inc. - 2,001 reviews - Atlanta, GA 30319
Case management and/or utilization management experience required. Exercises classroom management including learner performance and escalates issues to Learning...

Case Manager- Acquired Brain Injury

Shepherd Center - 37 reviews - Atlanta, GA 30309 (Midtown area)
Primary responsibilities include utilization management, discharge planning and discharge and wellness management....
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Quality Improvement Manager

WellCare - 633 reviews - Atlanta, GA 30346
Coordinates guidelines, studies and performance improvement activities in concert with the utilization management, quality management, pharmacy services, case...

NURSE I

Fulton County, GA - 6 reviews - Atlanta, GA
$45,870 - $68,805 a year
Public Health Nurse I is the entry-level classification in the Public Health Nurse job family. Equipment, Machinery, Tools, and Materials Utilization :....

Clinical Quality Specialist

CareSource - 88 reviews - Atlanta, GA
Experience in case management, managed care terms, and practices or utilization review is preferred. Completion of an accredited Registered Nurse (RN) degree...

Medical Case Manager

Broadspire - 84 reviews - Atlanta, GA
Nurse, field case manager, occupational health nurse, insurance,. Employee health, office nurse, return to work, injured worker, registered nurse,....
Staff Development - RN
Assure quality in education by utilization of authoritative resources and best practices. Include the RAI process in training and orientation to assure optimal...
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Utilization Management - Director
WellCare - 633 reviews - Atlanta, GA 30346
Executes periodic competitor utilization management program comparison and analysis to ensure WellCare's utilization management program maintains competitive...
Review Nurse, PA/UM
Alliant Health Solutions - Atlanta, GA 30346
Registered Nurse (RN). Utilization Review or Prior Approval precertification experience desirable. Registered Nurse, with three to five years recent clinical...
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