Trabajos remote utilization review nurse en Atlanta, Georgia (GA) State

Experience in utilization review, concurrent review or risk management. This position is approximately 50% Case Management and 50% Utilization Review. Perform utilization review of cased. Support members with condition education, medication reviews and connections to resources such as Home Health...

By continuously reviewing and auditing member treatment records, the utilization review nurse will ensure members do not receive unnecessary procedures, ineffective treatment, or experience unnecessarily extensive hospital stays. Job Description:The Utilization Review Nurses role is to ensure tha...

Experience in utilization review, concurrent review or risk management. This position is approximately 50% Case Management and 50% Utilization Review. Perform utilization review of cased. You’ll enjoy the flexibility to work remotely * from anywhere within the U. ...

Gathers and reviews relevant medical information and documents utilization review process outcome based on system accepted utilization criteria on the accepted current review forms and in computer systems. Initiates and facilitates physician communications relative to utilization review process w...

You’ll enjoy the flexibility to work remotely * from anywhere within the U. Review of Musculoskeletal (MSK) care requests to determine if medical necessity has been met or refer to Medical Directors when clinical information does not meet clinical criteria. Review documentation submitted to suppo...

Background in preservice review/utilization review/utilization management. As a Telephonic Oncology Preservice Review Nurse you will be performing pre-service clinical coverage review of services that require notification, using applicable benefit plan documents, evidence-based medical policy and...

Advanced Care Partners is seeking a Registered Nurse (RN) Home Health for a nursing job in Cobb County, Georgia. Registered Nurse(RN) $45/hr + Differentials(Case + Shift)!. Registered (RN) to provide essential care for medically fragile children and adults in their homes or schools. Valid RN nurs...

Become a part of our caring community and help us put health firstThis position qualifies for a $10K sign on bonus!As a Home Health RN Case Manager, You WillProvide admission, case management, and...

Ridgeview Institute Smyrna is seeking a Registered Nurse (RN) Behavioral Health for a nursing job in Smyrna, Georgia. Job Description & RequirementsSpecialty: Behavioral HealthDiscipline: RNDuration:...

Implements and coordinates all case management activities relating to catastrophic cases and chronically ill members/clients across the continuum of care that can include consultant referrals, home care visits, the use of community resources, and alternative levels of care. Position Summary/Missi...

ICU Experienced RNMake a difference and influence a growing cardiology team. The CCU is seeking ICU RN with Cardiac / Cardiovascular expertise to join our 12-bed Coronary Intensive Care Unit (CCU)</strong&g...

Exceptions: Individuals currently employed as a LPN within the EHC system at the time of completion of an accredited RN program and becoming licensed as a RN will be considered eligible to move to the Nurse Clinician title while matriculating through the Resident program. That’s what defines an E...

The activities will include daily review of hospital care by chart review and discussion with attending physician, admission and concurrent review for inpatient admissions, meetings with patient and families to develop discharge planning, identification of patients for ambulatory case management,...

We are looking for a Case Manager for a growing Case Management Company. Type Of Work Evaluate injured workers Develop care plans Coordinate medical care between patients, providers, therapist...

Gathers clinical information and applies the appropriate clinical criteria/guideline, policy, procedure and clinical judgment to render coverage determination/recommendation along the continuum of careCommunicates with providers and other parties to facilitate care/treatment Ide...

Interim HealthCare Inc is seeking a Registered Nurse (RN) Home Health Hospice for a nursing job in Scottdale, Georgia. What we offer our Hospice Registered Nurses (RN):. As a Hospice Registered Nurse (RN), here’s a big-picture view of what you’ll do:. Founded in 1966, Interim HealthCare is the na...

TravelNurseSource is working with Host Healthcare to find a qualified Case Manager RN in Roswell, Georgia, 30076!Pay Information$2,031 to $2,184 per weekAbout The Position</s...

Benefits* Competitive choices for health, dental and vision coverage; 1x base salary in life insurance, plus Short-Term and Long-Term DisabilityRetirement * 401(k) & Roth IRAPaid Time * v...

If this sounds like the right opportunity in health care for you, apply today!A DAY IN THE LIFE OF A REGISTERED NURSE (RN) As a Registered Nurse (RN), you play a vital role in our clinic. You take pride in the difference you make i...

OverviewCritical Illness Recovery HospitalLocation: Select Specialty Hospital - Midtown AtlantaRegistered Nurse (RN)Full TimeDays$15,000. Sign On Bonus* Ask us about our newly increased rates!*Why work for Select Specialty / Regency Hospitals? We are committed to your growth and success!* Clinica...

We are looking for High Caliber Acute Care RN Case Managers to join our family of full time employed case management Consultants. Requirements:* Minimum 2 + years of recent case management experience in an acute care hospital setting performing utilization review and discharge planning* RN with w...

Work ShiftDayWork Day(s)Monday-FridayShift Start Time8:00 AMShift End Time5:00 PMWorker Sub-TypePRNChildren's is one of the nation's leading children's hospitals. Refers cases identified as risk management issues, peer review issues, or quality issues to appropriate personnel. ...

Become a part of our caring community and help us put health firstThis position qualifies for a $10K sign on bonus!As a Home Health RN Case Manager, you will:Provide admission, case management, and follow-up skilled nursing visits for home health patients. Administer on-going care and case manage...

Registered Nurse (RN) Opportunity. Registered Nurse (RN) position, such as:. One of the most rewarding aspects of working as a Registered Nurse (RN) is providing excellent care, comfort, and security to the patients and families you treat, at their most vulnerable times. We are proud of our robus...