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rn utilization review jobs in Atlanta, GA

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Clinical Review Specialist, Commercial Insurance
Liberty Mutual - 1,152 reviews - Suwanee, GA
$57,000 - $70,000 a year
Previous hospital bill auditing or utilization review experience a plus. Clinical Review Specialist. Clinical Review Specialist, Commercial Insurance....
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Case Manager (RN) - Inpatient Rehab
Eastside Medical Center - Snellville - Snellville, GA
Certification in Case Management, Nursing, or Utilization Review, preferred. RN with current state licensure, BSN preferred....
Sponsored by HCA Inc
Admissions Intake Nurse- Crestview Long Term Care (Full Time...
RN Direct Care-Givers. Admission Nurse will review all referrals prior to admission. Assigned to work directly under a Logistics Coordinator/Bed Czar to manage...
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UM Nurse Consultant

Aetna - 1,632 reviews - Atlanta, GA
Requires an RN with unrestricted active license. Click here to review the benefits associated with this position....

Medical Management Specialist I

Anthem, Inc. - 1,635 reviews - Atlanta, GA
Conducts initial review of files to determine appropriate action required. In addition to coordinating cases for pre-certification and prior authorization...

Nurse Medical Management Lead, Onsite Atlanta, GA

Anthem, Inc. - 1,635 reviews - Atlanta, GA
Conducts precertification, continued stay review, care coordination, or discharge planning for appropriateness of treatment setting reviews to ensure compliance...

Clinical Denial Specialist RN

Northside Hospital - 305 reviews - Atlanta, GA
Through discharge planning and utilization review, the Care Coordination Department provides the necessary interventions in order to assure effective and...

Utilization Review Coordinator

Universal Health Services - Atlanta, GA
Provides staff training and education on utilization review. 2 years experience in Utilization Review in a mental health....

RN, Case Management Outreach Coordinator Neuroscience

Children's Healthcare of Atlanta - 191 reviews - Atlanta, GA 30342 (Buckhead area)
Utilization Review Functions:. Care coordination, case management, discharge planning and utilization review experience preferred....

Clinical Data Abstractor (RN), Full-time, Piedmont Healthcar...

Piedmont Healthcare - 155 reviews - Atlanta, GA
Mortality reviews, Blood Utilization, Infection Control, Patient Safety). Reviews and verifies data prior to submission....

Review Nurse - SOURCE/CCSP

Georgia Medical Care Foundation, Inc. - Atlanta, GA
The SOURCE/CCSP Review Nurse, as a member of a professional multi-disciplinary team, is responsible for the complete medical review and appropriate processing...

Manager Utilization Management

UnitedHealth Group - 3,967 reviews - Atlanta, GA
Utilization Management, Medicaid, Medicare, ,MCG, RN, Registered, Utilization Review, Discharge Planning, Atlanta, GA, Georgia....

Care Coordinator

Kennestone Hospital - 29 reviews - Marietta, GA
RN with a Georgia License, Graduate of an accredited/approved school of nursing:. Knowledgeable in utilizing screening criteria in review of clinical data with...
Registered Nurse - Prior Authorization
Hamilton Stone Staffing - Atlanta, GA
$56,000 - $69,000 a year
Complete medical necessity and level of care reviews for requested services using clinical judgment and refer to Medical Directors for review depending on case...
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Medical Management Specialist I-III - Atlanta, GA - 120135
Conducts initial review of files to determine appropriate action required. In addition to coordinating cases for pre-certification and prior authorization...
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Company with rn utilization review jobs
Liberty Mutual Insurance is a diversified global insurer with over 50,000 employees located in more than 900 offices throughout the world.