15
utilization review nurse jobs in Atlanta, GA
Piedmont Atlanta Hospital —Atlanta, GA
Detailed knowledge of federal and state hospital Utilization Review (UR) regulations, Medicare Conditions of Participation, Medicare Guidelines regarding…
Estimated: $78.2K - $99K a year
Confidential —Atlanta, GA
Degree in nursing, social work, mental health/behavioral sciences, or related field required; Master's Degree preferred.
Estimated: $102K - $129K a year
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Autumn Breeze Healthcare Center —Marietta, GA
Registered Nurse (RN) license preferred. Ensure compliance with federal and state regulations related to MDS assessments and documentation.
Estimated: $64.2K - $81.3K a year
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Alliant Health Solutions, Inc. —Atlanta, GA
Registered Nurse with current, active, Georgia license required. This position is hybrid/remote, however the candidate MUST be located in the state of Georgia.
Estimated: $61.5K - $77.9K a year
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2d
Children's Healthcare of Atlanta —Brookhaven, GA
Provides clinical information to insurance companies as needed for completion of pre-certification process as noted in Children's Healthcare of Atlanta…
Estimated: $76.5K - $96.8K a year
2d
Alliant Health Solutions, Inc. —Atlanta, GA
Current and unencumbered Georgia nursing license. Alliant Health Solutions provides Federal and state government entities with the services, expertise and…
Estimated: $59.7K - $75.6K a year
Quick Apply
Highland Rivers Community Service Board —Marietta, GA
Participate in UM/BHCC related conference calls and meetings. The Utilization Management Specialist also ensures the agency provides quality services and…
Estimated: $34.7K - $43.9K a year
2d
Emory Healthcare —Atlanta, GA
A bachelor's degree in nursing or related health care field preferred. Currently licensed as a Registered Nurse in the state of Georgia.
Estimated: $87.7K - $111K a year
Children's Healthcare of Atlanta —Brookhaven, GA
Provides clinical information to insurance companies as needed for completion of pre-certification process as noted in Children's Healthcare of Atlanta…
Estimated: $75.4K - $95.5K a year
Wellstar Health System, Inc. —Atlanta, GA
Additional License(s) and Certification(s): It is expected that all RNs are licensed, knowledgeable and uphold the practice of nursing as outlined by the Scope…
Estimated: $80.6K - $102K a year
Wellstar Health System, Inc. —Atlanta, GA
Excellent communication skills, employing tact and effectiveness Demonstrate effective communication skills and collaborates with medical staff, clinical…
Estimated: $74.7K - $94.5K a year
Northside Hospital Inc. —Atlanta, GA
Graduate of an accredited Registered Nursing School (RN) with a current GARN license 2. BSN 2 Three (3) years' experience in case management, social services or…
Estimated: $68.5K - $86.7K a year
Grady Health System —Atlanta, GA
Current and active license as a Registered Nurse in the state of GA. Five years clinical experience in a hospital setting or four years recent clinical…
Estimated: $86.3K - $109K a year
Northside Hospital —Atlanta, GA
Graduate of an accredited Registered Nursing School (RN) with a current GARN license 2. BSN 2 Three (3) years' experience in case management, social services or…
Kaiser Permanente —Decatur, GA
The activities will include daily review of hospital care by chart review and discussion with attending physician, admission and concurrent review for inpatient…
Estimated: $98.4K - $125K a year
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