Utilization Management Nurse jobs in Atlanta, GA

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Case Manager/Registered Nurse (RN), Utilization Review, FT W...
Piedmont Healthcare 138 reviews - Atlanta, GA
Georgia as a Registered Nurse. Certification in Case Management, UR, or Quality. Follow Medicare guidelines regarding utilization review (Condition Code 44, 2MN...
Sponsored by Piedmont
Ultilization Review RN FT (Variable)
Piedmont Healthcare 138 reviews - Fayetteville, GA
Three years Utilization or Case Management experience. Current License in the State of Georgia as a Registered Nurse. Join a clinical team at its best!...
Sponsored by Piedmont
Registered Nurse (RN) - Utilization Management/Concurrent Re...
Centene 272 reviews - Atlanta, GA
Utilization Management/Concurrent Review Nurse - (RN). Educate providers on utilization and medical management processes....
Sponsored by Personified

Utilization Management - Director

WellCare 151 reviews - Atlanta, GA
Executes periodic competitor utilization management program comparison and analysis to ensure WellCare's utilization management program maintains competitive...

Telephonic Nurse Case-Manager RN CCM– Workers’ Comp

Brown & Brown Insurance 27 reviews - Atlanta, GA
Case Management experience. Registered Nurse – current license – with 3-5 years clinical experience (orthopedic, neurological, neuromuscular, ICCU, industrial...

Review Nurse, Source/CCSP

Georgia Medical Care Foundation, Inc. - Atlanta, GA
• Previous Medicaid, Utilization Review, Case Management, or Quality Assurance experience preferred. • Registered Nurse with current Georgia license required;...

Prior Authorization Nurse

Meridy Staffing Solutions - Atlanta, GA
$60,000 - $68,000 a year
Education providers on the utilization and medical management processes. Prior Authorization (Registered Nurse) | Available IMMEDIATELY | Atlanta, GA.| $60,000...
Easily apply

Case Manager- RN Generous Sign on Bonus* FT, DAYS

United Pro Search - Atlanta, GA
Experience in case management, utilization review, discharge planning, preferred. The Case Manager will act as an advocate for the patient, physician, and...
Easily apply

Nurse Medical Mgmt Ld Onsite 113551

Anthem, Inc. 674 reviews - Atlanta, GA
Requires current active unrestricted RN license to practice as a health professional within the scope of practice in applicable state(s) or territory of the...

FER Acute UM Nurse - Atlanta, GA

Humana 1,146 reviews - Atlanta, GA
Previous experience in utilization management, discharge planning and/or home health or rehab. Examine clinical programs information to identify members for...

Prior Authorization Nurse I

KP Recruiting Group - Atlanta, GA
Educate providers on utilization and medical management processes. Enter and maintain pertinent clinical information in various medical management systems....
Easily apply

RN, Care Coordinator

APS Healthcare 78 reviews - Atlanta, GA
Analytical and interpretation skills including departmental, utilization, financial and operations data. Manage patients in current disease management programs,...

Prior Authorization Nurse I

Premiere Onboard - Atlanta, GA
Educate providers on utilization and medical management processes. Enter and maintain pertinent clinical information in various medical management systems....
Easily apply
RN Utilization Review-onsite 4 days and 1 day remote
Cancer Treatment Centers of America 104 reviews - Atlanta, GA
Utilization Management, Bill Audit, Case Management or Appeals and Denials experience preferred. Responsible for coordinating and performing all aspects of...
Sponsored
Nurse Medical Mgmt Ld 113551
Anthem, Inc. 674 reviews - Atlanta, GA
Requires current active unrestricted RN license to practice as a health professional within the scope of practice in applicable state(s) or territory of the...
Sponsored

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Utility salaries in Atlanta, GA

$10.58 per hour

28.0% lower than national average

$7.25 $15.73
Common

Salary data based on 17 employees and 8 jobs

Company with Utilization Management Nurse jobs
For more than a century, Piedmont Healthcare has been a recognized leader in delivering expert care.