Utilization Management Nurse jobs in Atlanta, GA

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Admissions Intake Nurse (Full-Time/Day Shift)
Grady Health System 103 reviews - Atlanta, GA
Must have knowledge of Utilization/Case Management principals. Experience in Admissions, Bed Control, Case Management, Pre-Certification and with InterQualâ„¢...
Sponsored by Grady Health System  - 25 days ago
Clinical Coder/Utilization Review Specialist - Remote - Work...
Gentiva Health Services, Inc. 496 reviews - Atlanta, GA
Nurse Management Multi Site. Registered Nurse, Bachelor's Degree preferred. Current state license as a Registered Nurse....
Sponsored by NurseJobsNationwide.com  - 19 days ago
RN Coder/ Nurse Auditor - Remote Position
- Georgia
Experience with utilization management systems or clinical decision making tools such as MCG or InterQual. And have experience using a case management system...
Sponsored by NurseCareerBoard.com  - 6 days ago

Case Manager (RN) - FT Days

Rockdale Medical Center 26 reviews - Conyers, GA
Understanding of case management, discharge planning, and utilization review (UR) role related to the continuum of care needs of the patient population....

Utilization Management Representative I - Atlanta, GA - 8/3...

Anthem, Inc. 600 reviews - Atlanta, GA 30301(Buckhead area)
Utilization Management Rep I. Refers cases requiring clinical review to a Nurse reviewer. At Anthem, Inc., it’s a powerful combination, and the foundation upon...

Utilization Management Representative - IHM

Anthem, Inc. 600 reviews - Atlanta, GA
Utilization Management Representative (I, II, or Sr.). Refers cases requiring clinical review to a Nurse reviewer....

Clinical Review Nurse

Children's Healthcare of Atlanta 147 reviews - Atlanta, GA
Provides clinical information to insurance companies as needed for completion of pre-certification process as noted in the CHOA Utilization Management Plan....

RN Case Manager

Atlanta Medical Center 946 reviews - Atlanta, GA
Related experience includes case management, utilization review/management, fiscal management, patient accounts, coding and/or discharge planning....

RN Case Manager - Bundled Payment Specialist

United Surgical Partners International 19 reviews - Atlanta, GA
Document all interactions in a care management tool. Throughout the episode, the RN-BPS will be responsible for tracking key metrics including site of service,...

Concurrent Review Nurse I Opening in Atlanta Suburbs

Premiere Onboard - Atlanta, GA
Educate providers on utilization and medical management processes. Enter and maintain pertinent clinical information in various medical management systems....
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RN-Onsite Review Nurse - Piedmont Hospital - Atlanta, GA

Humana 955 reviews - Atlanta, GA
Previous experience in Utilization Management. Previous experience in utilization management, case management, discharge planning and/or home health or rehab...

RN Utilization Management Analyst, EUOSH, Social Services, 8...

Emory Healthcare 159 reviews - Atlanta, GA
Two years of recent health care experience (within the past five years) and one year of experience in utilization management, quality improvement, or discharge...

UM Nurse Consultant

Aetna 507 reviews - Atlanta, GA 30339
Services and benefit utilization. Nursing/Registered Nurse (RN) is required. Functional - Medical Management/Medical Management - Hospital/1-3 Years....
Nurse, RN, Operating Room, Varied Days & Hours w/ Call (Surg...
Nemours 53 reviews - Atlanta, GA
Career, Employment, Jobs, Opening, Occupation, Compensation, Salary, Hospital, Health Care, Healthcare, Medical, Clinical, Pediatrics, Pediatric, Children,...
Sponsored by Nemours  - 16 days ago
Nurse Staff RN - 1500566
Golden Living Centers 738 reviews - Decatur, GA
Registered Nurse / RN job duties include:. RN Staff Nurse candidates should also have:. Experience with providing pain management and IV skills....
Sponsored by Golden Living Centers  - 4 days ago

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Company with Utilization Management Nurse jobs
Atlanta can’t live without Grady. Grady Health System is one of the largest public health systems in the United States.