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Utilization Management Nurse jobs in Atlanta, GA

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Admissions Intake Nurse- Crestview Long Term Care (Full Time...
On Staff Admissions Nurse. Must have knowledge of Utilization/Case Management principals. Admission Nurse will review all referrals prior to admission....
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CLINICAL DOC SPECIALIST I(Job Id 740)
Experience in an acute inpatient care setting through the areas of direct patient care, utilization review, case management or quality review....
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Assistant Nurse Manager, Emergency Services, 9a-5:30p

Emory Healthcare - 220 reviews - Atlanta, GA 30322
Understands established area budget and adjusts resource utilization to minimize variances. Supports other Assistant Nurse Managers in work they are trying to...

Supervisor Care Management

DeKalb Medical - 204 reviews - Decatur, GA
Acts as a resource to staff and ancillary departments regarding all aspects of the Care Management department’s processes for discharge planning, care...

Precertification Nurse

Change Healthcare - 123 reviews - Atlanta, GA
Three (3) years of Utilization Management (Precertification, Case Management, Disease Management, Retrospective Review) preferred....

Field Service Coordinator - RN

WellCare - 532 reviews - Atlanta, GA 30346
Preferred Other Prior utilization management experience preferred in some geographic regions. Maintains accurate records of case management activities in the...

Assistant Manager, Nursing - NICU at Scottish Rite.

Children's Healthcare of Atlanta - 191 reviews - Atlanta, GA 30342 (Buckhead area)
Nursing - Nursing - Management. Current license in the State of Georgia as a registered nurse. Provides oversight of patient care delivered by Licensed...

Case Manager, RN - Norcross, GA

UnitedHealth Group - 3,957 reviews - Norcross, GA
Case Management experience. Providing patient education to assist with self management. Interact with home visit Nurse Practitioners to coordinate care Required...

Coord-Rehab Referral Atlanta Medical Center

WellStar Atlanta Medical Ctr - Atlanta, GA
GA Licensed Registered Nurse or Licensed Practical Nurse with registered nurse oversight, PT, OT, ST, MSW or M.D....

Telephonic Nurse Case-Manager RN CCM– Workers’ Comp

Brown & Brown Insurance - 32 reviews - Atlanta, GA
Case Management experience. Registered Nurse – current license – with 3-5 years clinical experience (orthopedic, neurological, neuromuscular, ICCU, industrial...

RN, Care Coordinator

Universal American - 77 reviews - Atlanta, GA 30349
Improved health will be accomplished through prevention and chronic care management. Analytical and interpretation skills including departmental, utilization,...

Specialist-Clinical Doc AMC

WellStar Atlanta Medical Ctr - Atlanta, GA
Experience with utilization management, coding/DRG, billing, auditing and various healthcare payers is also preferred. Registered Nurse in state of Georgia....
Admissions Intake Nurse
Must have knowledge of Utilization/Case Management principals. Experience in Admissions, Bed Control, Case Management, Pre-Certification and with InterQual™...
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ECC Nurse Case Manager- Pool
The Registered Nurse Case Manager collaborates with other members of the case management and health care teams, utilizes professional nursing skills to:....
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Medical Management Specialist I-III - Atlanta, GA - 120135
Medical Management Specialist I-III. Gathers clinical information regarding case and determines appropriate area to refer or assign case (utilization management...
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