Utilization Management Nurse jobs in Atlanta, GA

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RN Appeals Nurse Case Manager - Business Office
Care Management Interns. Case Management Certification preferred. Accountable for the utilization management, care coordination, and discharge planning for...
RN UM - Medical Management I/II/Sr ($3000 Sign On-Bonus) (At...
Anthem, Inc. - 2,464 reviews - Atlanta, GA 30301
Nurse Medical Management I/II/Sr. May assist with development of utilization management policies and procedures....
Episode Assessment Coordinator RN, Oasis Reviewer
PruittHealth - 144 reviews - Norcross, GA
Reviews visit utilization for appropriateness as per care guidelines and, best practices and patient condition;...

Utilization Management Nurse Consultant

Aetna - 2,646 reviews - Atlanta, GA   +1 location
1-2 years utilization management experience; In the Utilization Management Nurse Consultant you will utilize clinical skills to coordinate, document and...

Utilization Management Analyst, RN, 8a-5p

Emory Healthcare - 385 reviews - Atlanta, GA 30322
Collects and records required Utilization Management information for appropriate management of the patients in the units to which they are assigned....

Clinical Appeals RN

UnitedHealth Group - 9,622 reviews - Atlanta, GA
Utilization management, prior authorization, case management or prior appeals experience. UnitedHealthcare serves employers and individuals, states and...

RN, Case Manager, Utilization Management, 8a-5p

Emory Healthcare - 385 reviews - Atlanta, GA 30322
Collects and records required Utilization Management information for appropriate management of the patients in the units to which they are assigned....

NURSE III

Fulton County, GA - 7 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...

RN Case Manager, Optum Office Based

UnitedHealth Group - 9,622 reviews - Norcross, GA 30092
Experience in utilization review, concurrent review or risk management. Case management experience. We’re making a strong connection between exceptional patient...

RN Nurse Case Mgr. I, II, or Sr IHM

Anthem - 2,464 reviews - Atlanta, GA 30319
Nurse Case Manager I. Nurse Case Manager II. Assists with development of utilization/care management policies and procedures....

Skilled Nursing Facility RHB Care Coordinator - RN

Kaiser Permanente - 5,879 reviews - Atlanta, GA
Refers cases identified as risk management, peer review or quality issues to QAIR and Risk Management. Minimum two (2) years of experience in utilization or...

Asst Mgr Nursing - NICU at Egleston

Children's Healthcare of Atlanta - 396 reviews - Atlanta, GA 30322
Nursing - Nursing - Management. Current Georgia license as a Registered Nurse. Demonstrates fiscal responsibility in supporting budget, productivity, and...

Review Nurse, ICWP

Alliant Health Solutions - Atlanta, GA 30346
Registered Nurse (RN). Certification in Rehab, Case Management, UR, or Medical Review is preferred. And clearly and concisely documents the rationale for all...
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Community-based RN Case Manager - Athens, GA
Cigna - 2,598 reviews - Atlanta, GA
Provides clinical assessments, health education, and utilization management. Hospital, Medical Case management or SNF case management experience required....
Utilization Management Nurse
The primary role of the Utilization Management Nurse is to review and monitor members’ utilization of health care services with the goal of maintaining high...
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