Utilization Review Jobs in Georgia
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Search Results - Utilization Review Jobs in Georgia
Medical Solutions-Savannah
Job Description
Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Savannah, Georgia.
Job Description & Requirements
• Specialty: Utilization Review
• Discipline: RN
• Duration: 12 weeks...
ziprecruiter.com -
IDR Healthcare-Marietta (GA)
IDR Healthcare is seeking a local contract nurse RN Utilization Review for a local contract nursing job in Marietta, Georgia.
Job Description & Requirements
• Specialty: Utilization Review
• Discipline: RN
• Start Date: 03/17/2025
• Duration: 18...
jobrapido.com -
3 similar jobs: Savannah, Atlanta, Augusta
J. Edward Staffing LLC-Lawrenceville (GA)
Nursing School (RN) with a current GARN license 2. Two (2) years previous experience in case management, utilization review, or social services. 3. Ability to interact with patients, families, physicians and hospital staff. 4. Excellent oral and written...
resume-library.com -
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...
MetaSense Inc-Lawrenceville (GA)
Nursing School (RN) with a current GARN license 2. Two (2) years previous experience in case management, utilization review, or social services. 3. Ability to interact with patients, families, physicians and hospital staff. 4. Excellent oral and written...
resume-library.com -
River Edge Behavioral Heath-Macon
as indicated for patients.
• Participates in the Medical Staff peer review/documentation/utilization review processes and maintains agency-established targeted outcomes.
• Attends Medical Staff and agency meeting as required.
Qualifications Needed (education...
Quick Med Staffing-Lawrenceville (GA)
Graduate of an accredited Registered Nursing School (RN) with a current Georgia RN license.
• Minimum of 2 years of experience in case management, utilization review, or social services.
• Excellent oral and written communication skills.
• Ability to type...
jobg8.com -
Emory Healthcare-Peachtree City
and/or participate in facility meetings as directed by Center Manager (may include utilization review, infection control, disaster preparedness, etc.).
Communicate pertinent patient information to referring physicians, staff, employers, insurance carriers...
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 -
Quick Med Staffing-Lawrenceville (GA)
their care.
Requirements:
• Graduate of an accredited Registered Nursing School (RN) with a current Georgia RN license.
• Minimum of 2 years of experience in case management, utilization review, or social services.
• Excellent oral and written communication...
ziprecruiter.com -
Encompass Health-Hartwell (GA)
of hospital plans, including the Provision of Care/Scope of Services, Leadership, Information Management, Utilization Review, Infection Control, and Patient Safety plans. Oversee risk management activities, including completion of incident reports, notice...
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 -
Encompass Health-Leary
Ensure accuracy of discharge and payor-related information in the patient record
• Participate in utilization review process: data collection, trend review, and resolution actions.
• Participate in case management on-call schedule as needed...
appcast.io -
Valdosta
Conducts and oversees concurrent and retrospective reviews for all patients.
• Act as a liaison between Medicaid reviewers and the staff completing required paperwork to facilitate the Utilization Review process.
• Collaborates with physicians...
icims.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 -
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