• Manager , Utilization

    Humana (Atlanta, GA)
    …a part of our caring community and help us put health first** The Manager , Utilization Management Nursing utilizes clinical nursing skills to support ... and communication of medical services and/or benefit administration determinations. The Manager , Utilization Management Nursing works within specific… more
    Humana (03/12/25)
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  • Manager , Utilization

    Humana (Atlanta, GA)
    …a part of our caring community and help us put health first** The Manager , Utilization Management Behavioral Health utilizes behavioral health knowledge and ... and communication of medical services and/or benefit administration determinations. The Manager , Utilization Management Behavioral Health works within… more
    Humana (03/12/25)
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  • Trainer - Clinical Services - Utilization

    Molina Healthcare (Atlanta, GA)
    …or State Clinical Social Worker/Counseling (or related field) License Certified Case Manager (CCM), Utilization Management Certification (CPHM), Certified ... Responsible for the development, implementation, and delivery of training curriculum for Utilization Management , Case Management , and LTSS staff. Leads… more
    Molina Healthcare (03/13/25)
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  • Clinical Manager Registered Nurse…

    Fresenius Medical Center (Woodstock, GA)
    **About this role:** As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical operations. ... leading your business, and advanced leadership. As a Clinical Manager , you may advance your career into an Area...Disease (ICD) coding. + Manages clinic financials including efficient utilization of supplies or equipment and regular profits and… more
    Fresenius Medical Center (03/04/25)
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  • Rapid Response Registered Nurse / RN

    Emory Healthcare/Emory University (Atlanta, GA)
    …incentives + Ongoing mentorship, _development,_ and leadership programs **Description** **Rapid Response Registered Nurse / RN** 7a-7:30p / Full Time / 36 Hours per ... week Emory University Hospital The (RUN) Resource Utilization Nurse is primarily responsible for supporting the critical...RUN nurse may assist the emergency department in the management of critical care patients awaiting inpatient bed admission… more
    Emory Healthcare/Emory University (03/07/25)
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  • Registered Nurse Surgery Center PRN

    Fresenius Medical Center (Decatur, GA)
    …care pre, during and post procedure, under the direction of the Facility Manager , Director of Nursing and/or Charge Registered Nurse, utilizing standard nursing ... adverse events and action thresholds in collaboration with facility management . + Maintains integrity of medical records and other...the facility and reports any issues to the Facility Manager . + Ensures a clean, safe and sanitary environment… more
    Fresenius Medical Center (03/15/25)
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  • Registered Nurse, Virtual Care (Remote)…

    ChenMed (Decatur, GA)
    …rapidly expanding and we need great people to join our team. The Registered Nurse, Care Line, is responsible for providing telephonic triage directional patient care ... client counseling, patient advocacy, health education and referral and resource management to ChenMed patients and their families. Providing on-call coverage, the… more
    ChenMed (03/14/25)
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  • Manager , Healthcare Services (Remote)

    Molina Healthcare (Atlanta, GA)
    …performing one or more of the following activities: care review/ utilization management (prior authorizations, inpatient/outpatient medical necessity, etc.), ... of illness and the site of service. **KNOWLEDGE/SKILLS/ABILITIES** The Manager , Healthcare Services provides operational management and...years in one or more of the following areas: utilization management , case management , care… more
    Molina Healthcare (03/07/25)
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  • Manager , HCS Clinical Policy - Medicare…

    Molina Healthcare (Atlanta, GA)
    …integrated) performing one or more of the following activities: utilization management (prior authorizations, inpatient/outpatient medical necessity, etc.). ... enhance the continuity of care + Functions as hands-on manager responsible for supervision and coordination of enterprise clinical...years in one or more of the following areas: utilization management , case management , care… more
    Molina Healthcare (02/14/25)
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  • RN Clinical Manager , Home Health

    CenterWell (Marietta, GA)
    …+ Valid driver's license, auto insurance and reliable transportation. + Two years as a Registered Nurse with at least one-year of management experience in a home ... to sit on-site at our Marietta, GA branch location.** The **RN Clinical Manager ** coordinates and oversees all direct care patient services provided by clinical… more
    CenterWell (03/04/25)
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