- Evolent (Atlanta, GA)
- …Evolent for the mission. Stay for the culture. **What You'll Be Doing:** The Clinical Review Nurse is responsible for performing precertification and prior ... physician-developed medical policies, and clinical decision-making criteria sets. The Clinical Review Nurse serves as a member advocate, expediting care… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …groups and questionnaires to identify and resolves areas for improvement. + Meets all Clinical Nurse I Employee Commitments. + Achieves points and contact hours ... and leadership programs + And more **Description** We're seeking a **Registered Nurse , Vascular Access** responsible for being a capable clinician who has acquired… more
- Emory Healthcare/Emory University (Decatur, GA)
- …be required based on department and specialty PL N: + Must meet all Clinical Nurse Employee Commitments. + Achieves electives/points and contact hours as defined ... 36 hours** Emory Healthcare is seeking a **Unit Charge Nurse , Medical Oncology** responsible for being a capable clinician...theory, research and experience to respond to changes in clinical situations. This RN professional is able to apply… more
- Fresenius Medical Center (Atlanta, GA)
- **About this role:** As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical ... or chronic kidney disease. **Training and advancement:** You will enter our Clinical Leadership Program that creates and supports a culture of continuous learning… more
- Emory Healthcare/Emory University (Decatur, GA)
- …development _,_ and leadership programs + And more **Description** We're seeking a ** Clinical Utilization Review Nurse Preceptor (Registered Nurse ... as a whole. + Will demonstrate foresight regarding the impact of both the clinical and administrative roles within the utilization review process based on… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …as appropriate. In collaboration with clinical leaders, provides weekly and daily clinical review of the surgical schedule to ensure procedures are posted ... to the entering and updating of scheduling data, monitoring, clinical verification, confirming and publishing the final procedural area...communicates changes to physicians, clinical offices and others… more
- Dialysis Clinic, Inc. (Fayetteville, GA)
- …of new staff members as directed and supervised by the education coordinator, the clinical supervisor and/or the nurse manager + Provide feedback and assist the ... with a lower caregiver-to-patient ratio than other providers. The **Dialysis Charge Nurse ** supervises nursing personnel to ensure every patient receives the safest… more
- Cardinal Health (Atlanta, GA)
- …both scheduled outbound calls and inbound call queue. + Meets regularly with Clinical Supervisor and/or Senior Nurse , Individualized Care to discuss feedback ... who need them-faster.** **_What Individualized Care contributes to Cardinal Health_** Clinical Operations is responsible for providing clinical specialties… more
- Oracle (Atlanta, GA)
- …+ Excellent communication, stakeholder engagement, and leadership skills. **Preferred Qualifications:** + Clinical experience as a nurse or physician with a deep ... **Job Description** The Clinical Note AI Agent Product Management Leader will...Gather and analyze information to define product specifications and review design specifications. Envision and communicate product strategy and… more
- Humana (Atlanta, GA)
- **Become a part of our caring community and help us put health first** The Appeals Nurse 2 resolves clinical complaints and appeals. The Appeals Nurse 2 work ... and independent determination of the appropriate courses of action. The Appeals Nurse 2 reviews documentation and interprets data obtained from clinical … more
- Vatica Health (Atlanta, GA)
- …is seeking clinically experienced and detailed-oriented nurses to join our team. As a Nurse Consultant, you will collect, review and analyze patient data to ... + Minimum of 3 years of recent adult health clinical experience as a Registered Nurse (RN)- preferably in critical care (ie, ICU/CCU/MICU) and/or ED)… more
- Select Medical (Atlanta, GA)
- …highly effective level of care. **Qualifications** **What we're looking for in a Clinical Liaison** **Required Skills:** + Registered Nurse (RN) or Respiratory ... other designations like LPN, PT, OT etc., upon further review . + Ability to complete clinical assessments...upon further review . + Ability to complete clinical assessments of medically complex patients. **Preferred skills that… more
- ChenMed (Decatur, GA)
- …This position may require participation in risk and quality management programs, clinical meetings and other meetings. The Nurse Practitioner, Specialty ... nurse practitioner role. + Facilitate patient/family conferences to review treatment goals, optimize resource utilization, provide family education and identify… more
- Humana (Atlanta, GA)
- …a part of our caring community and help us put health first** The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record ... complete, compliant and accurate to support optimal reimbursement. The Nurse Auditor 2 work assignments are varied and frequently... clinical and coding experience to conduct a clinical validation review of the inpatient medical… more
- Molina Healthcare (Atlanta, GA)
- **Job Description** **Job Summary** The Medical Review Nurse provides support for medical claim and internal appeals review activities - ensuring alignment ... regulatory requirements, Molina policies and procedures, and medically appropriate clinical guidelines. Contributes to overarching strategy to provide quality and… more
- Elevance Health (Atlanta, GA)
- …in different states; therefore, Multi-State Licensure will be required.** The **Medical Management Nurse ** is responsible for review of the most complex or ... **Medical Management Nurse ** **Location: Virtual: This role enables associates to...management experience and requires a minimum of 2 years clinical , utilization review , or managed care experience;… more
- Gentiva (Stockbridge, GA)
- …(LCD) criteria per hospice policy and regulatory requirements. + Communicate clinical findings, review treatment plans, lab results, diagnostics, and ... Partnerships. Transform Hospice Care.** We are seeking a dedicated Hospice Nurse Practitioner to perform Face-to-Face (F2F) encounters essential for hospice… more
- Veterans Affairs, Veterans Health Administration (Atlanta, GA)
- …required during regular duty hours and while on-call. The incumbent will provide clinical supervision of nurse anesthetists (CRNAs) and participation in ... determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Responsibilities This is an open continuous… more
- PruittHealth (Union City, GA)
- ** CLINICAL COMPETENCY COORDINATOR** **Join the PruittHealth family, where the health and safety of our workforce is our top priority!** We're not only committed to ... provided to patients is determined by assessing competency of clinical staff on an ongoing basis, evaluating care provided...conditions and acuity. 7. Meets regularly with DHS to review learning needs, coordinate training and to implement plans… more
- Sunrise Senior Living (Decatur, GA)
- …NAME** Sunrise of Decatur **Job ID** 2025-229588 **JOB OVERVIEW** The Wellness Nurse is responsible for monitoring the health and well-being of our residents ... administration, communication with resident support services and families, and maintaining clinical quality assurance while leading and demonstrating the Mission for… more