- Prime Healthcare (Riverdale, GA)
- …cost effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity, intensity ... more
- CVS Health (Atlanta, GA)
- …engagement, and overall health outcomes. + Work collaboratively with Aetna's Clinical Program Consultant to review Population Health, High-Cost Claimant, ... more
- Molina Healthcare (Atlanta, GA)
- …requests in timely support of nurse reviewers; reviews cases requiring concurrent review , and manages the denial process. + Monitors appropriate care ... more