Utilization Review Jobs in Atlanta
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Search Results - Utilization Review Jobs in Atlanta
IDR Healthcare-Atlanta
IDR Healthcare is seeking a local contract nurse RN Utilization Review for a local contract nursing job in Atlanta, Georgia.
Job Description & Requirements
• Specialty: Utilization Review
• Discipline: RN
• Start Date: 03/17/2025
• Duration: 18...
The Emily Program-Atlanta
Collaborate with the Utilization Review team to provide medical information to support the facilitation of peer-to-peer insurance reviews, determination of appropriate levels of care, arbitration of clinical appeals, etc.
• Participate in call schedule...
UnitedHealth Group-Atlanta
health equity on a global scale. Join us to start Caring. Connecting. Growing together.
The Behavioral Medical Director position is responsible for providing oversight to and direction of the Utilization Management Program and performing peer reviews...
appcast.io -
Pozent-Atlanta
Experience in a related clinical setting- 3 years Required
Managed care or utilization review experience - Highly Desired
A medical doctor/registered nurse or physicians assistant- Required
Must reside in Atlanta, GA...
jobvertise.com -
National Coalition Of Healthcare Recruiters-Atlanta
with a wide range of hospital personnel, physicians, patients|family members and representatives of outside agencies
Working knowledge of Case Management philosophy|process|role, needs assessment, principles of utilization review|quality assurance, discharge...
nchcr.com -
Atlanta
procedures, and performance standards and URAAC guidelines and state regulations.
Responsibilities:
MAJOR DUTIES AND RESPONSIBILITIES:
• Reviews medical files and provides recommendations for utilization review, chart reviews, medical necessity...
icims.com -
National Coalition Of Healthcare Recruiters-Atlanta
of hospital personnel, physicians, patients|family members and representatives of outside agencies
Working knowledge of Case Management philosophy|process|role, needs assessment, principles of utilization review|quality assurance, discharge planning...
nchcr.com -
Atlanta
Overview:
The Utilization Management Physician will be responsible for providing thorough and accurate reviews of utilization management cases to ensure the appropriate use of medical resources while continuing to hold high standards of patient...
icims.com -
Atlanta
in an acute care setting through direct patient care, utilization review, case management or quality review with passing score on clinical competency assessment.
• Ability to interact with a wide range of personnel (treating physicians, nurses, CDISs, case...
icims.com -
Atlanta
effectively, and therapeutically while being assertive and conveying an impression which reflects favorably upon the organization.
• In collaboration with Utilization Review, the SW CM will initiate and facilitate discussions with the payors to act...
icims.com -
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