EmploymentCrossing Jobs

RN - Pre Auth/Utilization Management Nurse 2 - GA/SC region - USA-GA-Atlanta

Mon, 26 Jun 2023 00:00:00 CDT

Description The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determin...

RN Care/Case Manager- CenterWell - Atlanta, GA - USA-GA-Atlanta

Mon, 26 Jun 2023 00:00:00 CDT

Description CenterWell Senior Primary Care, a subsidiary of ******* , is the new brand for a primary care medical group practice with centers open or opening in Florida, Georgia, Kansas, Louisiana...

Utilization Management RN (DME / HH Outpatient) - WAH - USA-GA-Atlanta

Mon, 26 Jun 2023 00:00:00 CDT

Nurse Auditor 2/RN (Coding and Home Health Field exp a MUST) Work At Home - USA-GA-Atlanta

Sun, 13 Aug 2023 00:00:00 CDT

Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis coding for services rendered is complete, compliant and accurate...

Compliance Nurse - Home Solutions UM - USA-GA-Atlanta

Sat, 22 Apr 2023 00:00:00 CDT

Description Remote Telephonic RN Opportunity The Compliance Nurse reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prev...

RN Care Manager - Remote, nationwide - USA-GA-Atlanta

Sat, 22 Apr 2023 00:00:00 CDT

Description The Care Manager, Telephonic Nurse 2 employs a variety of strategies, approaches and techniques to manage a member's physical, environmental and psycho-social health issues. Identifies an...

DoD SkillBridge, Military Spouse, Care Management, Registered Nurse - USA-GA-Atlanta

Thu, 20 Apr 2023 00:00:00 CDT

Description The Intern - Care Manager, Registered Nurse, RN performs varied activities moderately complex administrative/operational/member support and semi-routine assignments to support the busines...

Senior Pre-Authorization Nurse - USA-GA-Atlanta

Mon, 11 Sep 2023 00:00:00 CDT

Description The Senior Pre-Authorization Nurse reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to t...

Clinical Manager-Dialysis - USA-GA-Lawrenceville

Sun, 07 May 2023 00:00:00 CDT

PURPOSE AND SCOPE: Supports FMCNA’s mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirement...

RN, Utilization Management - Behavioral Health - USA-GA-Atlanta

Fri, 23 Jun 2023 00:00:00 CDT

Description Full-Time Remote, Telephonic RN opportunity. The Utilization Management Behavioral Health Nurse utilizes behavioral health knowledge and skills to support the coordination, documentation...

Utilization Management Nurse (South Central Region) - USA-GA-Atlanta

Thu, 11 May 2023 00:00:00 CDT

Pre-Authorization Nursing Supervisor - USA-GA-Atlanta

Sat, 13 May 2023 00:00:00 CDT

Description The Supervisor, Pre-Authorization Nursing reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward reques...

RN - Senior Stars Improvement, Clinical Professional - Must reside in Georgia or South Carolina - USA-GA-Atlanta

Sat, 13 May 2023 00:00:00 CDT

Description The Senior Stars Improvement, Clinical Professional (RN) responsible for the development, implementation and management oversight of the company's Medicare/Medicaid Stars Program. The Sen...

Stars Improvement Nurse - USA-GA-Atlanta

Sat, 13 May 2023 00:00:00 CDT

Description The Stars Improvement, Clinical Professional responsible for the development, implementation and management oversight of the company's Medicare/Medicaid Stars Program. The Stars Improveme...

Registered Nurse Inpatient Rehab Winter Park FT Days - USA-GA-Atlanta

Fri, 02 Jun 2023 00:00:00 CDT

Description All the benefits and perks you need for you and your family: *$10,000 Sign-on Bonus and up to $3,000 Relocation available for eligible candidates (see terms below) Team Based Nurs...

Nurse Manager - USA-GA-Decatur

Mon, 05 Jun 2023 00:00:00 CDT

Qualifications \n
\n \n Applicants pending the completion of educational or certification/licensure requirements ...

Clinical Manager HT II - USA-GA-Atlanta

Mon, 19 Jun 2023 00:00:00 CDT

PURPOSE AND SCOPE:Responsible for the day-to-day program operations and supporting the growth of the assigned single site Home Therapies program in coordination with the Business Unit management, in-c...

Utilization Management Nurse (LPN) - USA-GA-Atlanta

Sat, 10 Jun 2023 00:00:00 CDT

Description The Utilization Management Nurse 1 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determin...

Home Health LPN/LVN - USA-GA-Atlanta

Tue, 13 Jun 2023 00:00:00 CDT

Job Information Humana Home Health LPN/LVN in Atlanta Georgia Description Responsibilities The Home Health Nursing, LPN/LVN enables patients to stay in their homes by providing health and personal ser...

Home Health Registered Nurse - USA-GA-Atlanta

Tue, 13 Jun 2023 00:00:00 CDT

Job Information Humana Home Health Registered Nurse in Atlanta Georgia Description Responsibilities As a Home Health Registered Nurse , you will: Provide admission, case management, and follow-up sk...