- Sedgwick (Atlanta, GA)
- …to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer RN Medicare Compliance **PRIMARY PURPOSE** **:** To provide ... medical cost projections. + Serves as a consultant to Medicare Compliance Nurses on claims. + Applies...from an accredited college or university preferred. Active unrestricted RN license issued in a state or territory of… more
- Molina Healthcare (Atlanta, GA)
- …identifying opportunities for improvement. **Job Qualifications** **REQUIRED EDUCATION** : Registered Nurse or equivalent combination of Licensed Vocational ... clinical guidelines. + Facilitates integrated, proactive HCS management, ensuring compliance with state and federal regulatory and accrediting standards... Nurse (LVN) or Licensed Practical Nurse (LPN) with experience in lieu of … more
- Aveanna Healthcare (Smyrna, GA)
- …Tuition Discounts and Reimbursement + PTO, Sick Time, and Paid Holidays Requirements: + Registered Nurse licensure in the state of practice. + Obtain and ... Home Health RN Clinical Manager 15K Sign on Bonus ApplyRefer...and performs home visits as needed. + Ensures client compliance with federal/state regulations through policy and procedure administration… more
- Molina Healthcare (Atlanta, GA)
- …within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse ( RN ) performs clinical/medical reviews of previously denied cases ... interpret these guidelines. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing. Compact… more
- CenterWell (Atlanta, GA)
- …Coordination and under established performance criteria. This is a work-from-home telephonic nurse position The hours are M-F 9-5:30 EST with rotating weekends every ... services. Able to navigate healthcare options; care services post-acute offerings, Medicare coverage, billing issues, as well as accessing healthcare resources. +… more
- Molina Healthcare (Atlanta, GA)
- …care experience. **REQUIRED LICENSE, CERTIFICATION, ASSOCIATION** : Active, unrestricted State Registered Nursing ( RN ) license in good standing. **PREFERRED ... review. The position may also work with other internal departments, including Compliance , Corporate Legal Counsel, and Medical Affairs, in order to achieve and… more
- Fresenius Medical Center (Marietta, GA)
- …Report any significant information and/or change in patient condition directly to the registered nurse or supervisor. + Observe patient and conduct machine ... accordance with organization policies, procedures, and training and in compliance with regulations set forth by the corporation, state,...policy. Report any change or unusual findings to the registered nurse or supervisor. + Perform and… more
- PruittHealth (Norcross, GA)
- …as it relates to the RAI process and reimbursement systems. * Current Licensed Registered Nurse or Allied Health Care Professional in state of residence. ... **MINIMUM LICENSURE/CERTIFICATION REQUIRED BY LAW:** Current, active license as a Registered Nurse or Allied Health Professional -Compact License required.… more
- CenterWell (Atlanta, GA)
- …as assigned. **Use your skills to make an impact** **Required Qualifications:** + Licensed Registered Nurse ( RN ) with compact state licensure in state of ... and under established performance criteria. This is a work-from-home telephonic nurse position **Essential Functions:** + Act as CenterWell Home Health… more
- Molina Healthcare (Atlanta, GA)
- …identifying opportunities for improvement. **JOB QUALIFICATIONS** **Required Education** + Registered Nurse or equivalent combination of Licensed Vocational ... direct report supervisors, facilitates integrated, proactive HCS management, ensuring compliance with state and federal regulatory and accrediting standards... Nurse (LVN) or Licensed Practical Nurse (LPN) with experience in lieu of … more