- Elevance Health (Atlanta, GA)
- …Works on reviews that are routine having limited or no previous medical review experience requiring guidance by more senior colleagues and/or management. + Partners ... information presented meets medical necessity criteria or requires additional medical necessity review . + Conducts initial medical necessity review of exception… more
- Molina Healthcare (Atlanta, GA)
- …DESCRIPTION** **Job Summary** Utilizing clinical knowledge and experience, responsible for review of documentation to ensure medical necessity and appropriate level ... quality of care issues. + Assists with Complex Claim review including DRG Validation, Itemized Bill Review ,...Claim review including DRG Validation, Itemized Bill Review , Appropriate Level of Care, Inpatient Readmission, and any… more
- State of Georgia (Fulton County, GA)
- Compliance Nurse 2 Georgia - Fulton - Atlanta (https://careers.georgia.gov/jobs/64225/other-jobs-matching/location-only) Hot ... Up for Job Alerts Please visit the DCH jobsite link to review the job posting and apply: If interested, please apply to:… more
- Gwinnett County Public Schools (Suwanee, GA)
- Direct Care Nurse Facilitator - Sp Ed/Psy Instructional Srvcs JobID: 95217 + Position Type: Office Professionals/ Direct Care Nurse Facilitator + Date Posted: ... Center + Date Available: 11/04/2024 Job Code: Direct Care Nurse Facilitator - 030213 Standard Hours: 20 Department: Sp...home visits for staff for introductions and a direct review of the student's medical needs. b. Orient staff… 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 ... operations and quality improvement practices for designated centers. The senior nurse consultant provides education, mentoring and validation of required systems and… more
- State of Georgia (Fulton County, GA)
- Full-Time Instructor - Nurse Aide Georgia - Fulton - Atlanta (https://careers.georgia.gov/jobs/63718/other-jobs-matching/location-only) Hot ... College (ATC) is seeking highly qualified applicants for its Full-Time Instructor ( Nurse Aide) position in the Health & Public Safety Technology department of… more
- Gentiva (Alpharetta, GA)
- …care for everyone, so we offer ongoing professional training, lower nurse -to-patient ratios, and comprehensive benefits for eligible employees. Here, you'll join ... difference in people's lives every day. **Overview** We're looking for a **Hospice Nurse Practitioner** to join our team.You will report directly to the Executive… more
- CVS Health (Atlanta, GA)
- …in the USA opportunity and will not be patient facing. The Licensed Practical Nurse (LPN) or Licensed Vocational Nurse (LVN) will provide processing and ... involve computer system data entry, data management, and reporting. - Review criteria-based prior authorizations following policy and procedure - Provide on-call… more
- Cardinal Health (Atlanta, GA)
- …meet the particular needs of an individual patient. **_Job Summary_** The Nurse , Individualized Care promotes high-quality patient care and treatment through patient ... treatments of a small number of pharmaceutical clients, the Nurse receives inbound calls from patients and schedules outbound...other status protected by federal, state or local law._ _To read and review this privacy notice click_ here… more
- Elevance Health (Atlanta, GA)
- …weekend schedule.** **Build the Possibilities. Make an Extraordinary Impact.** The **Medical Management Nurse ** is responsible for the review of the most complex ... **Be Part of an Extraordinary Team** **Medical Management Nurse ** **Location: Remote-** Candidates must reside within 50...and requires a minimum of 2 years clinical, utilization review , or managed care experience; or any combination of… more
- State of Georgia (Dekalb County, GA)
- Registered Nurse - Admissions Georgia - Dekalb - Decatur (https://careers.georgia.gov/jobs/63961/other-jobs-matching/location-only) Healthcare ... (DBHDD) is currently seeking qualified candidates for the position of Registered Nurse in the Admissions Unit, at Georgia Regional Hospital - Atlanta, located… more
- BioLife Plasma Services (Duluth, GA)
- …Center Manager and will perform as a Medical Support Specialist (Plasma Center Nurse ) to support plasma center operations. _BioLife Plasma Services is a subsidiary ... determine donor eligibility to donate plasma, management of donor adverse events, review of laboratory test results, and donor notification of unsuitable test… more
- Elevance Health (Atlanta, GA)
- **Medical Management Nurse ** **Federal Employee Program - FEP** , a proud member of the Elevance Health, Inc. family of companies, it is a powerful combination, and ... (EST) shift rotation twice a month.** The **Medical Management Nurse ** is responsible for reviewing the most complex or...and requires a minimum of 2 years clinical, utilization review , or managed care experience; or any combination of… more
- Peachtree Orthopedics (Atlanta, GA)
- …with medical assistant's area of expertise. HOSPITAL ROUNDS + See and assess patient, review chart, write progress note and orders when needed + Discuss plan of care ... program. + Two years' experience working as a Physician Assistant or Nurse Practitioner, preferably in orthopedics. + Upper extremity experience preferable. +… more
- Highmark Health (Atlanta, GA)
- …Network (https://www.ahn.org/services/healthcare-at-home/infusion-therapy)** **GENERAL OVERVIEW:** The Registered Nurse assesses human responses and plans, ... nursing care for individuals or families for whom the nurse is responsible. The Registered Nurse is...in on-going interdisciplinary communication specific to each patient with review of patient status and plan of care. +… 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...policies and procedures for a patient population based on receipt/ review of evidence-based research. Includes revising and evaluating effectiveness… more
- PruittHealth (Norcross, GA)
- **REGISTERED NURSE CASE MANAGER (RN)** Dekalb/Fulton Counties OR Henry County - Pick your territory! **HOSPICE SERVICES** **Join the PruittHealth Hospice family, ... regulations and guidelines. + Supervises hospice aides and certified nurse aides, making a supervisory visit at least every...the terminal illness. + Verify by patients visit and review of documentation that the caregivers in the SNF… more
- Emory Healthcare/Emory University (Decatur, GA)
- …+ Ongoing mentorship, _development,_ and leadership programs and more! **Description** **Registered Nurse ICU** **7am - 7pm / Full Time/ 36 Hours / Weekend ... Option** We're seeking a **Registered Nurse , Critical Care** to join Emory Decatur's 32-bed open...policies and procedures for a patient population based on receipt/ review of evidence-based research. Includes revising and evaluating effectiveness… more
- Emory Healthcare/Emory University (Decatur, GA)
- …Ongoing mentorship, _development,_ and leadership programs and more! **Description** **Registered ED Nurse ** **Emory Decatur Hospital** **1pm - 1am / 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)
- …**7am - 7:30pm/ Full Time/ 36 Hours** We'reseeking a **Registered Nurse , Med/Surg Department** responsible for being a capable clinician who hasacquiredbroad ... to revise policies and procedures for a patient population based on receipt/ review of evidence-based research. + Delegates appropriately utilizing the Synergy model… more