RN Utilization Manager jobs in Atlanta, GA

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RN Nurse Medical Management I/II Utilization Management - On...
Anthem, Inc. - 2,001 reviews - Atlanta, GA 30319
RN Nurse Medical Management I/II Utilization Management - Onsite Piedmont Fayette Hospital Fayetteville, GA 127569....
Review Nurse, PA/UM
Alliant Health Solutions - Atlanta, GA 30346
Utilization Review or Prior Approval precertification experience desirable. Consult with the Manager, Clinical Lead PA/UM, or Medical Directors on issues...
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HPBC Program Director-Nurse Manager
Veterans Affairs, Veterans Health Administration - 2,598 reviews - Decatur, GA
$71,466 - $110,708 a year
Practice, ethics and resource utilization; The Program Director/Nurse Manager is responsible for the development and continued effective functioning of the...

RN, Targeted Review

Kaiser Permanente - 4,385 reviews - Atlanta, GA
Monitors utilization trends in the market area, keeping appropriate management informed. License, Certification, Registration - Unrestricted current RN...

Nurse Manager- Workers' Compensation (remote / virtual)

Conduent - 166 reviews - Atlanta, GA
Knowledge of Utilization Review. Active and unencumbered RN license. The Nurse Manager may be account dedicated....

Cancer Support Program Case Manager RN - $3,000 Sign On Bonu...

UnitedHealth Group - 5,042 reviews - Atlanta, GA
Certified Case Manager (CCM). As a Cancer Support Program (CSP) RN Case Manager in our Atlanta office, you will review patient status over the phone while...

Nurse Case Manager

Children's Healthcare of Atlanta - 307 reviews - Atlanta, GA 30322
Experience in care coordination, case management, discharge planning, and utilization review. Currently employed Licensed Practical Nurse case manager with...

Nurse Medical Management I/II Atlanta, GA

Anthem, Inc. - 2,001 reviews - Atlanta, GA 30319
Requires current active unrestricted RN license to practice as a health professional in the state of Georgia and 3-5 years acute care clinical experience or...

Manager Medical Management

CareSource - 88 reviews - Atlanta, GA
Monitor productivity and utilization trends. Current, unrestricted RN licensure in state of practice is required....

Field Service Coordinator - RN

WellCare - 633 reviews - Atlanta, GA 30346
Manager, Field Services Coordination. Preferred Certified Case Manager (CCM) Technical Skills:. Promotes effective utilization and monitors health care...

Manager, UCR

Alliant Health Solutions - Atlanta, GA 30346
UR experience must include statistical analysis of utilization review reports or their equivalent.. The Utilization and Compliance Review Manager is responsible...
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Utilization Review RN

Avery Partners, Inc. - Atlanta, GA
Avery Partners is seeking a Utilization Review RN for the North Atlanta suburbs. This person will work collaboratively with case managers, physicians and other...
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Care Manager I (RN)

Peach State Health Plan - 24 reviews - Smyrna, GA
Current state’s RN license. Assess the member's current health status, resource utilization, past and present treatment plan and services, prognosis, short and...
Case Manager, Registered Nurse (RN)
Piedmont Healthcare - 192 reviews - Atlanta, GA 30363
Coordinates progression of care as well as resource utilization across the continuum. Evaluating medical necessity and appropriateness of scheduled and direct...
Case Manager/Utilization Review RN, Case Management
Coordinates progression of care as well as resource utilization across the continuum. Evaluating medical necessity and appropriateness of scheduled and direct...

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