- Kaiser Permanente (Duluth, GA)
- Kaiser Permanente is seeking a Registered Nurse ( RN ) Case Management for a nursing job in Duluth, Georgia.Job Description & RequirementsSpecialty: Case ... Associates Degree Nursing. License, Certification, Registration Registered Professional Nurse License (Georgia) Licensed Registered Nurse (Temporary… more
- Humana (Atlanta, GA)
- **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work...skills to make an impact** **Required Qualifications** + Licensed Registered Nurse ( RN ) compact licensure… more
- Humana (Atlanta, GA)
- **Become a part of our caring community and help us put health first** The Utilization Management Registered Nurse 2 utilizes clinical nursing skills to ... independent determination of the appropriate courses of action. The Utilization Management Registered Nurse...skills to make an impact** **Required Qualifications** + **Licensed Registered Nurse ( RN )** in the… more
- Humana (Atlanta, GA)
- …Worker (LCSW), Licensed Masters Social Worker (LMSW-ACP), Licensed Professional Counselor (LPC), RN ( Registered Nurse ) or other behavioral health ... and help us put health first** Humana Healthy Horizons is seeking a Utilization Management Behavioral Health Professional 2 who utilizes behavioral health… more
- Highmark Health (Atlanta, GA)
- …Inc. **Job Description :** **JOB SUMMARY** This job implements effective utilization management strategies including: review of appropriateness of health ... depending on where clinical care is being provided. **Preferred** + Certification in utilization management or a related field **SKILLS** + Working knowledge of… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …Part Time/ 24 Hours **Emory University Hospita** l is seeking an experienced ICU RUN Nurse . The (RUN) Resource Utilization Nurse is primarily responsible for ... and Healthcare Provider certifications required JOB DESCRIPTION: + The (RUN) Resource Utilization Nurse is primarily responsible for supporting the critical care… more
- Fresenius Medical Center (Lawrenceville, GA)
- …and acts as the liaison for patient care as per the disease management agreement, including initial and ongoing validation of member eligibility. Facilitate timely ... workup of patients for access management , dialysis services, patient education, hospitalizations, and kidney transplantation as appropriate, and ensures coordination… more
- CVS Health (Atlanta, GA)
- …. This role is a blended role doing both Case Management and Utilization Management . The RN Case Manager is responsible for telephonically and/or ... years clinical practice experience as an RN + 6+ months Case Management or Utilization Management experience + Must be able to work Monday through Friday… more
- Veterans Affairs, Veterans Health Administration (Atlanta, GA)
- …or Scope of Assigned Duties: The Nurse Employee Occupational Health (EOH) Registered Nurse ( RN ) is responsible for providing competent, evidence-based ... education, orientation, competencies and providing quality improvement and outcomes utilization consultation. The EOH RN contributes to...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
- Fresenius Medical Center (Decatur, GA)
- …under the direction of the Facility Manager, Director of Nursing and/or Charge Registered Nurse , utilizing standard nursing techniques to assist the physician in ... on adverse events and action thresholds in collaboration with facility management . + Maintains integrity of medical records and other organization administrative… more
- Sharecare, Inc. (Atlanta, GA)
- …appropriate total healthcare management and ensure cost effective, appropriate resource utilization and quality outcomes. The RN is also responsible for ... and their Primary Care Provider according to the disease management program intervention guidelines. An RN is...the disease management program intervention guidelines. An RN is supervised by an Operations Manager (OM). All… more
- Elevance Health (Atlanta, GA)
- **Telephonic Nurse Case Manager II** **Location: This is a... Case Manager II** is responsible for the Case Management and Utilization Management of ... with providers, claims or service issues. + Assists with development of utilization /care management policies and procedures. **Minimum Requirements:** + Requires… more
- Highmark Health (Atlanta, GA)
- …Nursing **EXPERIENCE** **Required** + 7 years in any combination of clinical, case/ utilization management and/or disease/condition management experience, or ... required depending on where clinical care is being provided. **Preferred** + Certification in utilization management or a related field + Certification in Case … more
- ChenMed (Decatur, GA)
- …of care and cost effectiveness through the integrating and functions of case management , utilization review and discharge planning. The incumbent in this role ... degree in a healthcare related field preferred + Valid, active licensure as professional nurse ( RN , LPN or other nursing discipline) required + A minimum of… more
- Elevance Health (Atlanta, GA)
- …required.** The **Telephonic Nurse Case Manager II** is responsible for care management within the scope of licensure for members with complex and chronic care ... **Telephonic Nurse Case Manager II** **Location: This is a...claims or service issues. + Assists with development of utilization /care management policies and procedures. **Minimum Requirements:**… more
- Elevance Health (Atlanta, GA)
- …with providers, claims or service issues. + Assists with development of utilization /care management policies and procedures. **Minimum Requirements:** + Requires ... **Telephonic Nurse Case Manager I - $3000 Sign-On Bonus... Case Manager I** is responsible for telephonic care management within the scope of licensure for members with… more
- CenterWell (Decatur, GA)
- …license, auto insurance and reliable transportation. + Two years as a Registered Nurse with at least one-year of management experience in a home care, ... clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates...School of Nursing. + Current state license as a Registered Nurse . + Proof of current CPR.… more
- Intermountain Health (Atlanta, GA)
- …team meetings. + Reviews data summary on regular basis. **Minimum Qualifications** + Current RN license for state in which the nurse practices. + BLS ... **Job Description:** The Nurse Care Manager works collaboratively with physicians and...institution. Degree will be verified. + Experience in case management , utilization review, or discharge planning. **Physical… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …of an accredited prelicensure nursing program. All candidates must be currently licensed as a Registered Nurse in the state of Georgia and have less than 12 ... awareness of AACN Synergy Model for Patient Care. Begins to develop time management skills. Able to access and locate policies and procedures on line. Able… more
- Shaw Industries Inc (Cartersville, GA)
- Job Title Nurse ( RN ) Position Overview This first shift Occupational Health Nurse is a licensed professional possessing a current RN license in Georgia. ... program that includes approved strategies for management of defined disease management programs. The Occupational Health Nurse will become part of an… more
