- ChenMed (Decatur, GA)
- …independent judgment **EDUCATION AND EXPERIENCE CRITERIA:** + BSN degree in Nursing required + Registered Nurse ( RN ) licensed to practice nursing in Florida ... we need great people to join our team. The Registered Nurse , CareLine, is responsible for providing...counseling, patient advocacy, health education and referral and resource management to ChenMed patients and their families. Providing on-call… more
- Highmark Health (Atlanta, GA)
- …Sunday required in addition to 3 weekdays** This job implements effective utilization management strategies including: review of appropriateness of health care ... depending on where clinical care is being provided. **Preferred** + Certification in utilization management or a related field **SKILLS** + Working knowledge of… more
- CenterWell (Sandy Springs, 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, ... Location** : Sandy Springs, GA **This is not a remote or work-from-home position. This position requires you to...School of Nursing. + Current state license as a Registered Nurse . + Proof of current CPR.… more
- Intermountain Health (Atlanta, GA)
- …REGISTRATION, LICENSE (*indicates primary source verification requirement) Required: + Active Registered Nurse License Preferred: + Certified Healthcare Access ... Associate (CHAA) EXPERIENCE Required: + Licensed Registered Nurse + Minimum of 2 years'...experience in acute clinical nursing setting + Knowledge of utilization management and case management … more
- PruittHealth (Norcross, GA)
- …credentials will be considered. **MINIMUM LICENSURE/CERTIFICATION REQUIRED:** + Current and unrestricted Registered Nurse ( RN ) licensure in state of ... 16,000 partners. **Position:** Episode Assessment Coordinator (Home Health) full time and REMOTE ! **Location: Any location throughout GA, NC, SC or FL** **JOB… more
- Guardian Life (Atlanta, GA)
- …services. Act as a liaison between all parties required in case management to facilitate collaboration toward RTW goals. Utilization of independent ... **Position Summary** The RN Clinical Consultant serves as a clinical resource...plan and length of disability. Plan for ongoing case management through proactive partnering with treating providers to move… more
- Humana (Atlanta, GA)
- …your skills to make an impact** **Required Qualifications** + Associate degree + Active Registered Nurse , ( RN ), License in your state of residence without ... project management and/or process improvement experience + Minimum 3 years utilization management experience with exposure to grievance and appeals +… more