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15 utilization nurse jobs at 10 companies in Atlanta, GA

4w
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Clinical Utilization Review Nurse Preceptor / RN
Atlanta, Georgia, United States
OnsiteFull Time
Emory Healthcare
Emory Healthcare: Academic healthcare system providing patient care and medical services.
3+ YOEValid Georgia nursing license, BSN required, 3+ years healthcare and utilization review experience, UR RN II experience, competency in utilization review processes, training and auditing skills.
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2mo
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Utilization Specialist
Riverdale, Georgia, United States
OnsitePart Time
Acadia Healthcare
Acadia HealthcareNASDAQ: ACHC: Provides behavioral healthcare and substance use treatment services.
2+ YOEClinical experience required (or 2+ years working with the population). High school diploma required; associate/bachelor/masters in social work, behavioral health, nursing preferred. CPR, de-escalation and restraint certification required; LPN/RN/LMSW/LCSW/LPC preferred.
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1mo
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Utilization/Clinical Review RN -PRN
Atlanta, Georgia, United States
HybridPart Time
Children's Healthcare of Atlanta
Children's Healthcare of Atlanta: Provides specialized medical care and research for pediatric patients.
3+ YOEActive Georgia RN licensure (or multi-state via compact), 3+ years healthcare experience, utilization review experience preferred, working knowledge of MCG/InterQual and Epic, strong decision-making and computer skills.
MCG, InterQual, Epic, McKesson, Microsoft Windows
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2mo
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Inpatient Utilization Review Registered Nurse PRN / RN
Atlanta, Georgia, United States
OnsiteContract, Part Time
Emory Healthcare
Emory Healthcare: Academic healthcare system providing patient care and medical services.
2+ YOEValid Georgia RN license or temporary permit, 2 years recent healthcare experience, BSN preferred, ability to perform medium physical tasks, willing to work PRN (≥4 shifts/month), complete yearly competencies.
Milliman, Interqual, Case Management Systems
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1mo
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Med Mgmt Nurse
Indianapolis or Atlanta or Nashville or Tampa or Louisville or Grand Prairie or United States
HybridFull Time
Elevance Health
Elevance HealthNYSE: ELV: Provides health insurance plans and integrated healthcare services.
4+ YOEAssociate degree in nursing, active unrestricted RN license (multi-state if servicing multiple states), minimum 4 years care/case management experience (plus 2 years clinical/utilization review or equivalent), nursing judgment and critical thinking.
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3w
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Registered Nurse - Dedicated Education Unit - FT Days
Atlanta, Georgia, United States
OnsiteFull Time
Grady Health System
Grady Health System: Public academic healthcare system providing comprehensive hospital and emergency services.
Provide age-appropriate nursing care, educate patients/families, coordinate care, utilize nursing process, communicate effectively, and support quality and safety initiatives.
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18h
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Inpatient Care Management Nurse RN - Remote
Atlanta, Georgia, United States
$60k-$107k/yr RemoteFull Time
UnitedHealth Group
UnitedHealth GroupNYSE: UNH: Provides health insurance and technology-enabled health care services.
3+ YOEActive unrestricted RN license, 3+ years of hospital clinical nursing experience, computer proficiency, secure home workspace and internet, and weekend availability. Acute inpatient case management or utilization review preferred.
InterQual, Windows, IM, Microsoft Excel, Microsoft Outlook, Microsoft Suite
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3mo
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Registered Nurse - (RN) - ED Admission Case Manager
Gainesville, Georgia, United States
OnsiteFull Time
Northeast Georgia Health System
Northeast Georgia Health System: Operates multi-hospital systems providing clinical care and wellness services.
1+ YOEGA-licensed RN with associate degree; 1-5 years in utilization/case management; ED/acute care experience preferred; CCM/ACM preferred.
InterQual, MCG Guidelines, Electronic Health Records (EHR)
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1mo
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Care Coordinator Registered Nurse (RN) - Care Management (Days) (PRN)
Bremen or Carrollton or Villa Rica
OnsitePart Time
Tanner Health
Tanner Health: Regional healthcare system providing comprehensive medical and hospital services.
3+ YOECurrent Georgia and Alabama RN license required, 3 years clinical experience (medical-surgical preferred), case management preferred, knowledge of utilization review and care transitions, strong critical thinking and communication skills.
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3w
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Nursing Coordinator - RN / LPN
Marietta, Georgia, United States
$25-$35/hr OnsiteFull Time
BrightStar Care
BrightStar Care: Provides in-home medical and non-medical care services.
Licensed LPN required; experience coordinating patient care, health coaching, scheduling, utilization review, and EHR documentation; strong communication and clinical knowledge.
eClinicalWorks
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2w
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Manager I - Clinical Solutions Manager
Las Vegas or Atlanta or Tampa or Indianapolis or Mason or Roanoke or Denver or Colorado Springs or Norfolk
$94k-$162k/yr HybridFull Time
Elevance Health
Elevance HealthNYSE: ELV: Provides health insurance plans and integrated healthcare services.
5+ YOEActive unrestricted RN license, minimum 5 years acute care clinical experience, management and escalation resolution experience, knowledge of medical policy and utilization management.
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1mo
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Patient Care Coordinator, RN
Atlanta, Georgia, United States
$44-$57/hr OnsiteFull Time
Kaiser Permanente
Kaiser Permanente: Provides integrated medical care and health insurance plans.
2+ YOEActive Georgia RN license, 2+ years RN experience in utilization/case management or discharge planning, BSN or equivalent experience, knowledge of regulations, strong communication and time-management skills.
EMR
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1mo
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Patient Care Coordinator, RN
Atlanta, Georgia, United States
$44-$57/hr OnsiteFull Time
Kaiser Permanente
Kaiser Permanente: Provides integrated medical care and health insurance plans.
2+ YOEActive Georgia RN license, 2+ years RN experience in utilization/case management or discharge planning, BLS/CPR not specified, proficiency with EMR, strong communication and time-management skills, and knowledge of managed care/Medicare.
Electronic Medical Records (EMR)
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1w
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Complex Case Manager, Behavioral Health
Atlanta, Georgia, United States
$47-$61/hr OnsiteFull Time
Kaiser Permanente
Kaiser Permanente: Provides integrated medical care and health insurance plans.
5+ YOEFive years of RN clinical nursing, social work, case management, or utilization management experience; Georgia RN or social work license; case manager certificate within 12 months; high school diploma/GED required.
EMR, ICD9, ICD10, CPT4
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1mo
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Behavioral Health Care Manager II - ABA - GA/NC
Atlanta or Durham or Columbus or Raleigh or Winston-Salem
RemoteFull Time
Elevance Health
Elevance HealthNYSE: ELV: Provides health insurance plans and integrated healthcare services.
3+ YOERequires MA/MS in social work/counseling or degree in nursing, active professional licensure (e.g., RN, LCSW, LBA, etc.), 3+ years behavioral health/managed care experience, strong communication and analytical skills, prior utilization/case management experience.
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