- Elevance Health (Atlanta, GA)
- **Diagnosis Related Group Clinical Validation Auditor-** **Registered Nurse ** **Location:** This position will work a hybrid model (remote and office). Ideal ... miles of one of our PulsePoint locations. The **Diagnosis Related Group Clinical Validation Auditor** is responsible for auditing inpatient medical records to ensure… more
- Elevance Health (Atlanta, GA)
- ** Nurse and CPC - Clinical Fraud...opportunities for fraud and abuse prevention and control. + Review and conducts analysis of claims and medical records ... locations. **Hybrid Workplace Strategy:** 1-2 days in office per week The ** Clinical Fraud Investigator II** is responsible for identifying issues and/or entities… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …appropriate. + In collaboration with clinical leaders, provides weekly and daily clinical review of the surgical schedule to ensure procedures are posted ... and leadership programs + And more **Description** We're seeking a **Registered Nurse , Clinical Procedural Coordinator,** responsible for tasks and functions… more
- Fresenius Medical Center (Lithonia, GA)
- …or federal surveys. + Participates in the completion of the FMS Administrative Clinical Review . **PHYSICAL DEMANDS AND WORKING CONDITIONS:** + The physical ... requirements. Ensure provision of quality patient care while maintaining cost-effective clinical operations in accordance with all legal, compliance, and regulatory… more
- Fresenius Medical Center (Buford, 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
- Elevance Health (Atlanta, GA)
- …outpatient precertification, prior authorization, and post service requests. + Refers cases requiring clinical review to a Nurse reviewer. + Responsible for ... I** will be responsible for coordinating cases for precertification and prior authorization review . **How you will make an impact:** + Managing incoming calls or… more
- Veterans Affairs, Veterans Health Administration (Atlanta, GA)
- …techniques for the practice of anesthesia. Performs as a mentor, preceptor, or nurse educator providing didactic and clinical instruction for graduate-level ... of anesthesia patient care audit processes involving in depth review and analysis of anesthesia records. Provides guidance and...8. Ability to perform as a mentor, preceptor, or nurse educator providing didactic and clinical instruction… more
- PruittHealth (Atlanta, GA)
- **JOB PURPOSE:** Senior Nurse Consultant serves as a member of the clinical and region team, to assist centers in achieving clinical excellence. She/he is ... a pro-active education and support plan, consistent with/based on the comprehensive quarterly clinical systems review and clinical outcomes to ensure center… more
- State of Georgia (Fulton County, GA)
- Full-Time Instructor - Nurse Aide Georgia - Fulton - Atlanta (https://careers.georgia.gov/jobs/61169/other-jobs-matching/location-only) Hot ... is seeking highly qualified applicants for its Full-Time Instructor ( Nurse Aide) position in the Health & Public Safety...daily instruction of students in-person, on campus and in clinical settings. This is a full-time position, and it… more
- Emory Healthcare/Emory University (Decatur, GA)
- …groups and questionnaires to identify and resolves areas for improvement. Meets all Clinical Nurse I Employee Commitments. Achieves points and contact hours as ... of the beds are occupied with regular med-surg patients from KP, Hospitalist/Nephrology services. Nurse to patient ratio is 1 t 5:6. PCT ratio 1 to 12:14 patients.… more
- Gentiva (Alpharetta, GA)
- …F2F encounter within the regulatory time frames established by CMS + Provides clinical findings, including review of the medical treatment plans, diagnostic ... care for everyone, so we offer ongoing professional training, lower nurse -to-patient ratios, and comprehensive benefits for eligible employees. Here, you'll join… more
- Elevance Health (Atlanta, GA)
- …platform delivers significant cost-of-care savings across an expanding set of clinical domains, including radiology, cardiology and oncology. ** Nurse Reviewer ... work between the hours from 9:00 am-6:00 pm, rotating weekend shifts. The ** Nurse Reviewer I** is responsible for conducting preauthorization, out of network and… more
- Emory Healthcare/Emory University (Decatur, GA)
- …and NIHSS certification to care for this population. We are a 24 bed unit. The nurse to patient ratio is 1:5-6. We have an active unit practice council. A Unit ... Nurse educator and an Education Coordinator are all available...routinely usesacquiredknowledge, theory,researchand experience to respond to changes in clinical situations.This RN professional can apply the Synergy Model… more
- Fresenius Medical Center (Atlanta, GA)
- …regulations at: https://content.intranet.fmcna.com/regulatory-affairs/wp-content/uploads/sites/46/2019/05/Pre-Licensed- Nurse -50-State- Review ... of the hemodialysis health care team as a Registered Nurse Applicant, under the direction or supervision of a...for other staff members. + Routinely meets with the Clinical Manager to discuss personnel and patient care status,… more
- Emory Healthcare/Emory University (Decatur, GA)
- …Ongoing mentorship, _development,_ and leadership programs and more! **Description** **Registered ED Nurse ** **Emory Decatur Hospital** **11am - 11pm / Full Time/ 36 ... Hours** We'reseeking a **Registered Nurse , Emergency Department** responsible for being a capable clinician who hasacquiredbroad experience in caring for patients… more
- Emory Healthcare/Emory University (Decatur, GA)
- …mentorship, _development,_ and leadership programs and more! **Description** **Registered ED Nurse ** **Emory Decatur Hospital** **9am - 9:30pm / Full Time/ 36 ... Hours** We'reseeking a **Registered Nurse , Emergency Department** responsible for being a capable clinician who hasacquiredbroad experience in caring for patients… more
- Emory Healthcare/Emory University (Decatur, GA)
- …+ Ongoing mentorship, _development,_ and leadership programs and more! **Description** **Registered Nurse ICU** **7pm - 7am / Full Time/ 36 Hours** We're seeking ... a **Registered Nurse , Critical Care** to join Emory Decatur's 32-bed open...theory, research, and experience to respond to changes in clinical situations. You will be able to apply the… more
- Emory Healthcare/Emory University (Duluth, GA)
- …groups and questionnaires to identify and resolves areas for improvement. + Meets all Clinical Nurse I Employee Commitments. + Achieves points and contact hours ... Routinely uses acquired knowledge, theory, research and experience to respond to changes in clinical situations. + Is able to apply the Synergy Model for Care in… more
- Lincoln Financial Group (Atlanta, GA)
- …Role at a Glance** We are excited to bring on a highly motivated Nurse Disability Consultant to our clinical organization. This position will be responsible ... claims. In this role you will act as a clinical resource for Group Protection benefit specialists and claim...for** * 4 Year/Bachelor's Degree in Nursing * Registered Nurse License - Current, unrestricted license in the state… more
- CenterWell (Atlanta, GA)
- …caring community and help us put health first** Part time (20 hours/week) clinical triage nurse and contact center support. Every weekend requirement. Holiday ... Health, Hospice, and Palliative Care Services. + Assist with clinical eligibility review for alternate services +...to make an impact** **Required Qualifications** + **Licensed Registered Nurse (RN) with compact state licensure in state of… more