- Northeast Georgia Health System, Inc (Gainesville, GA)
- …members as needed to ensure services will be covered.Coordinate and communicate with Utilization Review Nurse on a daily, consistent basis to ensure patients ... Job Category:Nursing - Registered Nurse Work Shift/Schedule:8 Hr Morning - AfternoonNortheast Georgia...patient needs; Works collaborate with the Physicians, patient/family, nursing, utilization review and other members of the healthcare team… more
- Northeast Georgia Health System, Inc (Braselton, GA)
- Job Category:Nursing - Registered Nurse Work Shift/Schedule:8 Hr Morning - AfternoonNortheast Georgia Health System is rooted in a foundation of improving the health ... Center of Excellence in Minimally Invasive Surgery and Robotic Job SummaryThe Nurse Manager (NM) functions as the first-line administrative nursing leader, with… more
- Pacer Staffing (Atlanta, GA)
- …direction and build group engagement. Technical Skills: Thorough knowledge of Case Management , Utilization Management , TRICARE policies and procedures, HIPAA ... States, as a Licensed Clinical Social Worker or Registered Nurse US Citizenship Must be able to receive a...management within four (4) years of hire. Preferred: 2 years' experience working with populations with serious intellectual… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …meet established metrics, improve handoffs, reduce daily crisis regarding bed management , improve overall flow and drive the throughput policies and procedures. ... Licensure or other certifications:Preferred Educational Requirements: Preferred Experience: Two ( 2 ) plus years in a supervisory or leadership role.Other: Job… more
- Humana (Atlanta, GA)
- …documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments ... community and help us put health first** The Utilization Management Registered Nurse 2 utilizes clinical nursing skills to support the coordination,… more
- Humana (Atlanta, GA)
- …**Preferred Qualifications** + Registered Nurse + Experience in Medicare Utilization Management + Project Management Professional (PMP) certification ... are addressed. They will work closely with established functions inside utilization management (Medical Director, clinician decision making teams, quality… more
- Immigration and Customs Enforcement (Folkston, GA)
- …Corps (IHSC), Office of Deputy Assistant Director of Clinical Services (DAD-CSU). The Nurse Manager (NM) will report directly to the Regional Nurse Manager ... ensuring needed interpretation and/or translations services are available. Reviews utilization and documentation of translation services within the medical record,… more
- Veterans Affairs, Veterans Health Administration (Atlanta, GA)
- …AND 2 years of professional nursing experience in which one year is equivalent to Nurse I, Level 2 ; OR a BSN and 1 year of professional nursing experience ... responsibility for the coordination of care focused on education, self- management , and customer satisfaction throughout the continuum of care....equivalent to the Nurse I, Level 2 ; OR a Master's… more
- Elevance Health (Atlanta, GA)
- …required.** The **Telephonic Nurse Case Manager II** is responsible for care management within the scope of licensure for members with complex and chronic care ... with providers, claims or service issues. + Assists with development of utilization /care management policies and procedures. **Minimum Requirements:** + Requires… more
- Elevance Health (Atlanta, GA)
- …required.** The **Telephonic Nurse Case Manager II** is responsible for care management within the scope of licensure for members with complex and chronic care ... with providers, claims or service issues. + Assists with development of utilization /care management policies and procedures. **Minimum Requirements:** + Requires… more
- State of Georgia (Fulton County, GA)
- …Specific, additional experience in the analysis of medical services documentation and related claims 2 ) Utilization Review 3) Case Management 4) Analysis of ... Nurse Investigator Georgia - Fulton - Atlanta (https://careers.georgia.gov/jobs/51086/other-jobs-matching/location-only)...services. Position requires an active RN License AND two ( 2 ) years of clinical experience AND one (1) year… more
- Trinity Health (Athens, GA)
- …preferably in an acute care setting and a minimum of 1 year in case management , utilization management , or discharge planning preferred. **Our Commitment to ... on admission to the health care facility + Responsible for inpatient bed management and working in collaboration with the nursing units, environmental services, the… more
- Humana (Atlanta, GA)
- …ad hoc reports in Access and/or SQL + Graduate degree + Utilization Management Review Experience + Registered Nurse (RN) Credentials + Home Health, Durable ... caring community and help us put health first** The Compliance Professional 2 ensures compliance with governmental requirements. The Compliance Professional 2 … more
- Select Medical (Macon, GA)
- … within the plan of care. + Demonstrates compliance with facility-wide Utilization Management policies and procedures. + Coordinates UR compliance with ... current licensure in a clinical discipline either as a Nurse or a Respiratory Therapist OR Social Work SW/MSW...what is right. The Case Manager is responsible for utilization reviews and resource management , discharge planning,… more
- Elevance Health (Atlanta, GA)
- …Level:** Non- Management Exempt **Workshift:** **Job Family:** MED > Licensed Nurse Please be advised that Elevance Health only accepts resumes for compensation ... responsible for identifying, monitoring, and analyzing aberrant patterns of utilization and/or fraudulent activities by health care providers through prepayment… more
- HCA Healthcare (Savannah, GA)
- …RN license. + 1-3 years of clinical, hospital nursing experience is required. + 2 years of experience in case management or critical care is preferred. ... an organization that invests in you as a **Registered Nurse (RN) Case Manager** ? At **Memorial Health University...+ Certification in case management or utilization review is preferred. +… more
- PruittHealth (Athens, GA)
- …Practice Leadership: Responsible for overall facility care and clinical practice. 2 ) Care Process Leadership: Applies clinical and administrative skills to guide ... Helps develop and manage quality and safety initiatives, including risk management . 4) Education, Information, and Communication: Provided to help facility staff,… more
- HCA Healthcare (Savannah, GA)
- …RN license. + 1-3 years of clinical, hospital nursing experience is required. + 2 years of experience in Case Management or Critical Care is preferred. ... delivering patient-centered care?** Submit your application for the **Registered Nurse (RN) Case Manager** position and spend more time...+ Certification in Case Management or Utilization Review is preferred. +… more
- HCA Healthcare (Augusta, GA)
- …At Doctors Hospital of Augusta, our nurses play a vital part. We know that every nurse 's path and purpose is unique. Do you want to create your own personal career ... you will do in this role:** . You will ensure effective, flexible utilization of staff within staffing guidelines, taking into consideration the staff's competency… more
- State of Georgia (Baldwin, GA)
- …The Physician/Psychiatrist's general objective is to be responsible for the management and treatment of Psychiatric clients where the treatment could include ... psychiatric evaluations, pharmacotherapy and medication management with follow up to maintain the stability of the patient that is treated. The successful candidate… more
