- Kaiser Permanente (Duluth, GA)
- …an acute care setting.Minimum two ( 2 ) years of experience in utilization review, case management , and discharge planning preferred.Bachelors Degree in ... Kaiser Permanente is seeking a Registered Nurse (RN) Case Management for a...patients who are not referred to an ambulatory case/care management program.Attends scheduled rounds 2 times/week with… more
- Northeast Georgia Health System, Inc (Braselton, GA)
- Job Category:Nursing - Registered Nurse Work Shift/Schedule:8 Hr Morning - AfternoonNortheast Georgia Health System is rooted in a foundation of improving the health ... Center of Excellence in Minimally Invasive Surgery and Robotic Job SummaryThe Nurse Manager (NM) functions as the first-line administrative nursing leader, with… more
- Humana (Atlanta, GA)
- …documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments ... community and help us put health first** The Utilization Management Registered Nurse 2 utilizes clinical nursing skills to support the coordination,… more
- Humana (Atlanta, GA)
- …community and help us put health first** Humana Healthy Horizons is seeking a Utilization Management Behavioral Health Professional 2 who utilizes behavioral ... and communication of medical services and/or benefit administration determinations. The Utilization Management Behavioral Health Professional 2 work… more
- Veterans Affairs, Veterans Health Administration (Atlanta, GA)
- …individualized plan to achieve optimal population health and disease management . Demonstrates leadership and works collaboratively with the primary interdisciplinary ... January 29, 2024 Page 1 Functional Statement: Advanced Practice Nurse II (EKG's). Review the need for and order...section meetings. Preferred Experience: 1. Tele Medicine experience ~ 2 yrs, 2 . ER/Fastrack experience 3. PACT… more
- Veterans Affairs, Veterans Health Administration (Atlanta, GA)
- …AND 2 years of professional nursing experience in which one year is equivalent to Nurse I, Level 2 ; OR a BSN and 1 year of professional nursing experience ... responsibility for the coordination of care focused on education, self- management , and customer satisfaction throughout the continuum of care....equivalent to the Nurse I, Level 2 ; OR a Master's… 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
- State of Georgia (Fulton County, GA)
- …Specific, additional experience in the analysis of medical services documentation and related claims 2 ) Utilization Review 3) Case Management 4) Analysis of ... Nurse Investigator Georgia - Fulton - Atlanta (https://careers.georgia.gov/jobs/51086/other-jobs-matching/location-only)...services. Position requires an active RN License AND two ( 2 ) years of clinical experience AND one (1) year… more
- ChenMed (Decatur, GA)
- …expanding and we need great people to join our team. The Registered Nurse , Virtual Care is responsible for providing telephonic triage directional patient care ... counseling, urgent triage, patient advocacy, health education and referral and resource management to ChenMed patients and their families. The incumbent in this role… more
- Rep-Lite (Alpharetta, GA)
- …providing comprehensive education and support to healthcare professionals on the utilization of cutting-edge medical devices across various healthcare settings, with ... and hospital staff to ensure seamless integration and optimal utilization of medical devices. + Identify customer needs and...ABILITIES: + Bachelor of Science in Nursing (BSN), Registered Nurse (RN), Physician Assistant (PA), or Nurse … more
- CenterWell (Atlanta, GA)
- …in the state of Georgia including but not limited to consulting with assigned nurse practitioners on management of complex patients. + Review all acute ... utilization events, with goal of reducing unnecessary utilization . + Use of laptops for EMR charting. + As needed/ongoing attention to prescription refills, home… more
- Elevance Health (Atlanta, GA)
- …responsible for identifying, monitoring, and analyzing aberrant patterns of utilization and/or fraudulent activities by health care providers through prepayment ... + Develops, maintains and enhances the claims review process. + Assists management with developing unit goals, policies and procedures. + Investigates potential… more