- Humana (Atlanta, GA)
- **Become a part of our caring community and help us put health first** The Pre - Authorization Nurse 2 reviews prior authorization requests for appropriate ... policies, and approves services or forward requests to the appropriate stakeholder. The Pre - Authorization Nurse 2 + Completes medical necessity and level of… more
- Evolent Health (Atlanta, GA)
- …Stay for the culture. **What You'll Be Doing:** As a Pain Management Clinical Reviewer, Nurse , you will be a key member of the utilization management team. We can ... providing better health outcomes. **Collaboration Opportunities:** As a Clinical Reviewer, Nurse , you will routinely interact with leadership and management staff,… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …consultation based on the plan of care for each patient; Obtains insurance authorization and coordinates efforts to establish clinical and financial plans pre ... personnel and insurance case management of all changes in patient schedules for pre -transplant or transplant phase of care and any alternative courses of action that… more
- Morehouse School Of Medicine (Atlanta, GA)
- …more details. Applicants will need to upload a copy of a current Nurse Practitioner license Posting Details Position Information About MSM Morehouse School of ... is seeking an Advanced Practice Provider. The APP is an Advanced Practice Registered Nurse ( APRN ) or Physician Assistant (PA) who will be responsible for providing… more
- Evolent Health (Atlanta, GA)
- …this individual also works with our clinical team, which includes our Nurse , Clinical Reviewers and Field Medical Directors. Opportunities to work collaboratively ... policies to determine if submitted requests require a prior authorization review or redirect as required. + Entering data...for a bonus component that would be dependent on pre -defined performance factors. As part of our total compensation… more