Utilization Management Nurse jobs in Atlanta, GA

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Case Manager/Utilization Review Registered Nurse (RN)
Piedmont Healthcare - 186 reviews - Atlanta, GA 30363
Certification in Case Management, UR, or Quality. Current License in the State of Georgia as a Registered Nurse....
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Utilization Management - Director
WellCare - 614 reviews - Atlanta, GA 30346
Executes periodic competitor utilization management program comparison and analysis to ensure WellCare's utilization management program maintains competitive...
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RN Nursing Supervisor - Every Weekend (7AM-7PM)
Salude - 4 reviews - Suwanee, GA 30024
Ongoing pursuit of Continuing Education Credits in clinical subjects, management, personal growth and development....
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Utilization Management Nurse ( Utilization Mgmt Exp.Required...

Shared Services - Atlanta - Norcross, GA
Management as needed. Utilization Review, appeals, denials, managed care contracting, experienced required. The Prebill Denials Nurse will review post discharge...

CARE MANAGER-UM (LCSW, LMFT, LPC, RN)

Beacon Health Options - 271 reviews - Atlanta, GA
At least one year in utilization management required. The UR Care Manager will be responsible for conducting behavioral health utilization review for inpatient,...

Prior Authorizations RN

UnitedHealth Group - 4,809 reviews - Atlanta, GA
Previous experience in Prior Authorizations or related function (case management, utilization review, coverage determination, etc.)....

Nurse Disability Consultant

Lincoln Financial - 450 reviews - Atlanta, GA
Educational experience and/or proficiency with Disability Management (STD/LTD) knowledge, Workers Compensationa, Utilization Review and/or nurse case management...

RN Professional and Clinical Quality Coordinator

Northside Hospital - 389 reviews - Atlanta, GA
RN Supervisory, project management or education experience a plus. Knowledge and experience in the utilization of AV and media resources for educational...

Utilization Review Specialist

Treatment Management Company - Atlanta, GA
Utilization Review Specialist*. Registered Nurse, Licensed Vocational Nurse, or Licensed Psychiatric Technician or CADC II....
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RN Telephonic Case Manager – Kidney Resource Service - Telec...

UnitedHealth Group - 4,809 reviews - Atlanta, GA
Experience in utilization review, concurrent review and/or risk management. Telephonic case management experience....

NURSE III

Fulton County, GA - 6 reviews - Atlanta, GA
$61,318 - $91,976 a year
Equipment, Machinery, Tools, and Materials Utilization :. Public Health Nurse III is distinguished from Public Health Nurse II in that the former assumes a...

Clinical Appeals Specialist

Treatment Management Company - Atlanta, GA
Case management, discharge planning, and/or utilization review:. In addition, having at least two to three years’ experience in case management, discharge...
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Nurse Medical Mgmt Ld Atlanta, GA - Onsite 123605VMJ

Anthem, Inc. - 1,923 reviews - Atlanta, GA 30301 (Buckhead area)
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...
Field Service Coordinator - RN
WellCare - 614 reviews - Atlanta, GA 30346
Preferred Other Prior utilization management experience preferred in some geographic regions. Maintains accurate records of case management activities in the...
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RN Clinical Appeals Analyst
Piedmont Healthcare - 186 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,...
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