Utilization review nurse jobs in Dunwoody, GA

A company is looking for a Utilization Review Registered Nurse to join their Clinical Review team.. Key Responsibilities Complete medical necessity and level of care reviews using clinical judgment and..

Ensures completion of appropriate clinical review of all applicable patients as stated in system.. Initiates and facilitates physician communications relative to utilization review process when indicated..

Position Purpose. Performs a clinical review and assesses care related to mental health and substance.. Registered Nurse. State Licensure and or Compact State Licensure requiredPay Range. 25.97. 46..

Supervises, directs, and evaluates assigned staff. develops and oversees employee work schedules to ensure adequate coverage and control. compiles and reviews timesheets. approves processes..

Summary. The Medical Record Review Coordinator is responsible for utilizing hospital electronic medical.. May serve as a resource during real time case review process to obtain information related to donor..

1 FLSA Status. Non Exempt Job Code. C404 JOB SUMMARY As a Plans Review Coordinator, the role involves.. Additionally, duties entail confirming permit fees, reviewing computer records for permit processing..

Conduct admission and concurrent reviews for assigned program patients. obtain admission information and.. Conducts ongoing reviews of clinical charts. Facilitates Peer Review as outlined in Utilization..

DescriptionThe City of Norcross is looking for a full time Plan Review Coordinator. This position is.. The need for accuracy and effective utilization of accepted programs and routines is high. Incumbent..

Position Summary. As Desk Review Specialist, you will be reviewing incoming auto damage demands from other carriers or entities to determine if amounts claimed are reasonable and consistent with..

Description of BenefitsHumana, Inc. and its affiliated subsidiaries (collectively,. Humana ) offers competitive benefits that support whole person well being. Associate benefits ar..

Site Development provides technical review of all construction plans, both public and private sector.. earth disturbing activities. within the City Limits of Atlanta. This review serves to enforce both..

Join us to start Caring. Connecting. Growing together. As a Behavioral. Mental Health Care Advocate you will be responsible for utilization review of behavioral health and substance abuse cases..

Position Overview. At Zelis, the Itemized Bill Review Facility Reviewer is responsible for analyzing.. They will work closely with Hospital Bill Review and Concept Development staff to efficiently identify..

Also responsible for submission of overpayments to the payers and for the notification of any patient overpayments.PRIMARY DUTIES AND RESPONSIBILITIES1.Reviews. and remittance advices for..

JOB SUMMARY The Transfer DRG Revenue Review Specialist performs work to capture lost revenue for.. The company has reviewed this job description to ensure that the essential functions and basic duties..

Medical Review Team POSITION LOCATIONThis position is available to Virginia residents as Richmond or.. What you bringActive Registered Nurse (RN) licensure At least two years experience working in a role..

Qualifications. Hold or be eligible for a valid Georgia Educator Certificate at the T 4 level or higher. Bachelor's degree in Special Education, Education Administration, or a rela..

Reviews system reports to determine state or program compliance or changes in state or program.. Quality Assurance Utilization Coordinator (Bilingual). APEX Program. Norcross, GA. High school diploma..