2mo
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Utilization Specialist
Valdosta, Georgia, United States
OnsiteFull Time
2+ YOEProactively monitor utilization of services to optimize reimbursement; liaison with managed care and facility staff; reviews for certification and medical necessity.
Microsoft Office, Healthcare IT systems
2mo
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Utilization Specialist
Valdosta, Georgia, United States
OnsiteFull Time
2+ YOEMonitor service utilization to optimize reimbursement; liaise with managed care organizations; perform reviews for medical necessity; manage pre-authorization/appeals; ensure accurate documentation and reporting.
1w
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Utilization Review (UR) / Utilization (UM) Coordinator
Moultrie, Georgia, United States
OnsiteFull Time
3+ YOELicensed RN or therapist with 3+ years experience in utilization review, chart analysis, insurance knowledge, chemical dependency/mental health programs, and crisis intervention preferred.
ASAM, DSM-V
10h
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Utilization Review Specialist
Decatur, Georgia, United States
OnsiteFull Time
2+ YOE2+ years behavioral health experience; experience in utilization review or care management; knowledge of ASAM criteria, ICD-10, payer requirements; EMR proficiency; strong communication and problem-solving skills.
EMR, ICD-10
3mo
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Utilization Management Director, Compliance
Atlanta, Georgia, United States
OnsiteFull Time
10+ YOE4+ MgmtDirector-level leadership for health plan utilization management compliance, overseeing regulatory changes, reporting, investigations, and cross-functional programs.
1d
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Utilization Review Specialist /RN
Decatur, Georgia, United States
RemoteFull Time
2+ YOEActive Georgia RN license, Associate degree in nursing, minimum 5 years acute hospital experience or 2 years utilization review experience, proficiency with InterQual criteria, and ability to meet productivity and competency expectations.
InterQual
3mo
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Utilization Management Program Manager-RN
Arizona or Arkansas or Connecticut or Florida or Georgia or Idaho or Indiana or Iowa or Kansas or Kentucky or Louisiana or Michigan or Mississippi or Missouri or Montana or Nebraska or Nevada or New Hampshire or New Mexico or North Carolina or Oklahoma or Oregon or Pennsylvania or South Carolina or South Dakota or Tennessee or Texas or Utah or Virginia or West Virginia or Wisconsin
RemoteFull Time
5+ YOEUnencumbered Oregon RN within 90 days, 1 year clinical nursing plus 4 years health-plan utilization management, experience with managed care, data analysis, quality management, and electronic documentation.
Microsoft Office, EPIC, Clinical Care Advanced
1w
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D107 - C&A MH Crisis - Utilization Management Coordinator
Macon, Georgia, United States
OnsiteFull Time
1+ YOEHigh school diploma required (bachelor's in a helping profession preferred), 1-3 years utilization management experience, knowledge of authorization and documentation processes.
Beacon, SFTP, Carelogic
1w
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Utilization Management Rep I
Indianapolis or Louisville or Columbus
RemoteFull Time
1+ YOEHS diploma/GED,1+ year call-center or customer service experience; ability to coordinate precertification/prior authorization, perform data entry, screen clinical cases, and communicate with providers and clients.
1mo
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Utilization Management Nurse Consultant
Michigan or Mississippi or Pennsylvania or North Carolina or Maryland or Minnesota or Nebraska or Missouri or Colorado or New York or New Jersey or Arizona or Connecticut or Texas or District of Columbia or Florida or Rhode Island or Iowa or Alaska or Arkansas or South Dakota or Idaho or Illinois or Kansas or Tennessee or Virginia or Delaware or Wisconsin or Georgia or West Virginia or Oregon or Oklahoma
$29-$62/hr RemoteFull Time
3+ YOEActive unrestricted RN license in state of residence, 3+ years Med-Surg RN hospital experience, Associates in Nursing required (BSN preferred), 1+ year Microsoft Office (Outlook, Teams, Excel) experience, ability to work multiple IT platforms.
Microsoft Outlook, Microsoft Teams, Microsoft Excel
5d
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Utilization Management Behavioral Health Professional
Virginia or Texas or Tennessee or South Carolina or Pennsylvania or West Virginia or New York or Wisconsin or North Carolina or New Jersey or Massachusetts or Louisiana or Michigan or Kentucky or Maryland or Kansas or Indiana or Illinois or Georgia or Florida or Arkansas or Alabama or Vermont or Rhode Island or Maine or Delaware or Connecticut
$65k-$89k/yr RemoteFull Time
1+ YOERequires behavioral health clinical licensure (RN/LCSW/LPC/LMFT/LCP/clinical psychologist), 1+ year post-degree clinical and 1+ year managed care experience, Microsoft Office proficiency, and remote work capabilities.
Microsoft Word, Microsoft Excel, Microsoft PowerPoint, HireVue
1mo
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Epic Tapestry Certified - Utilization Management - Senior Consultant
Nashville or Dallas or Columbus or Atlanta
$63k-$219k/yr HybridFull Time
5+ YOE5+ years in Healthcare IT in an Epic non-clinical leader role, Epic Tapestry certification and certification in an Epic non-clinical app, bachelor's degree or equivalent, project planning, stakeholder communication, and system configuration/testing experience.
Epic Tapestry, Microsoft Excel, Gen AI
2w
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Copy of Utility Locator Technician
Valdosta, Georgia, United States
$19/hr OnsiteFull Time
1+ YOELocate water and sewer lines, process GA 811 locate requests, read maps and construction drawings, use detection equipment, and maintain records; requires high school level education and valid Georgia driver’s license.
GA 811
1w
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Water Operator
Winder, Georgia, United States
OnsiteFull Time
Operate and maintain municipal drinking water treatment plant equipment, perform water treatment and lab tests, conduct basic maintenance and grounds work, and comply with safety requirements.
2w
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Part-Time Certified Water/Wastewater Operator
Florida or Clayton County or Cobb County or DeKalb County or Douglas County or Fayette County or Fulton County or Gwinnett County or Henry County or Jackson County or Rockdale County
$30/hr FieldPart Time
High school diploma/GED, Florida Class C Water Operator license required, valid Florida driver license and reliable vehicle, ability to lift 50 lbs, perform outdoor and physically demanding tasks, familiarity with water/wastewater systems and mobile software.
1d
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Meter Technician
Columbus, Georgia, United States
$20-$25/hr FieldFull Time
1+ YOEPerform meter installation, reading, repair, AMR/AMI troubleshooting, customer service, and occasional on-call response; high school diploma, valid driver\u0019s license, First Aid/CPR required.
CIS Infinity, AMR, AMI
1d
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Plant Operator Trainee-WPC
Mcdonough, Georgia, United States
$20/hr OnsiteFull Time
High school diploma/GED, must obtain Class III wastewater license within 18 months, valid Georgia driver's license, ability to perform physical tasks and lift heavy loads, basic lab sampling and data entry skills.
SCADA
2w
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Utilization Management RN III
Arkansas or Arizona or Florida or Georgia or Iowa or Illinois or Kansas or Kentucky or Michigan or Minnesota or Missouri or North Dakota or Nebraska or Oklahoma or South Dakota or Tennessee or Texas or Virginia or Wisconsin
$70k-$105k/yr RemoteFull Time
5+ YOEBachelor's or equivalent and 5 years experience beyond degree; active LPN or RN license required (active unrestricted RN required); clinical assessment, UM and appeals experience preferred.
3w
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UR RN Inhouse/Remote (In-House Preferred)
Albany, Georgia, United States
HybridFull Time
4+ YOEGeorgia RN with 4+ years acute clinical experience and 1+ years utilization review experience; associate degree in nursing required (BSN preferred); CCM or CPUR preferred; proficiency with EHR and Microsoft Office.
Microsoft Office Suite, Electronic health record, Internet
3mo
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Physician Advisor- Utilization Management & Clinical Documentation Integrity- ONSITE
Athens or Livonia or Georgia or United States
OnsiteFull Time, Contract
5+ YOEMD or DO, board certified, active Georgia medical license, 5+ years clinical hospital experience, leadership and people management skills, strong EMR and data/analytics capability, knowledge of utilization review and clinical documentation.
EMR
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