- Humana (Atlanta, GA)
- …part of our caring community and help us put health first** The Utilization Management Behavioral Health Nurse uses behavioral health knowledge and ... licensed in a Compact State** The Utilization Management Behavioral Health Nurse completes...Qualifications** + Minimum of Associate Degree in Nursing + Registered Nurse ( RN ) licensure with… more
- HCA Healthcare (Savannah, GA)
- …**Introduction** Do you want to join an organization that invests in you as a ** Registered Nurse ( RN ) Case Manager** ? At **Memorial Health University ... make a difference. We are looking for a dedicated ** Registered Nurse ( RN ) Case Manager**...or critical care is preferred. + Certification in case management or utilization review is preferred. +… more
- HCA Healthcare (Augusta, GA)
- …Associate's Degree in Nursing or higher is required . Must be licensed as a Registered Nurse in the state which you practice and/or hold an active ... healthcare provider. We are seeking a **House Supervisor - RN ** to join our healthcare family. **Benefits** Doctors Hospital...for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services… more
- CVS Health (Atlanta, GA)
- …expense reimbursement policy. Preferred Qualifications : Oklahoma residency preferred Oklahoma-licensed registered nurse preferred OR be certified as a Certified ... a variety of external and internal audiences including senior management . Required Qualifications : * 5 to 7 years'...(CHCQM) by the American Board of Quality Assurance and Utilization Review Providers prior to employment. A minimum of… more
- Highmark Health (Atlanta, GA)
- …and education or if necessary involve Special Investigation Unit or the Utilization Management area. **ESSENTIAL RESPONSIBILITIES** + Implement the pre-payment ... data to assure appropriate level of payment and resource utilization . It is also used to identify issues which...experience in Managed Care **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + Certified Medical Coder… more
- Elevance Health (Atlanta, GA)
- …**telephonic or face-to-face assessments for the identification, evaluation, coordination and management of members needs, including physical health, behavioral ... Care Coordinator Clinician - LPN/LVN, LSW, LCSW, or LMSW** **Carelon Medical Benefits Management ** **Location:** The ideal candidate will live within 50 miles of one… more
- HCA Healthcare (Augusta, GA)
- …at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical ... initiatives that impact supplies, inventory control, case cart process, preference card management and revenue integrity. utilized across the facility. What you will… more
- Morehouse School Of Medicine (Atlanta, GA)
- …long-term stages of illness for defined patient populations. This includes utilization management , transitional care planning, psychosocial and functional status ... Summary The Care Coordinator's primary responsibilities are to facilitate care management and coordination of clinical activities for chronically ill patients. The… more