Utilization review nurse jobs in Roswell, GA

A company is looking for a Utilization Review Nurse for a remote position with a weekend schedule.. Key Responsibilities Perform initial admission and continued stay reviews using InterQual or Milliman..

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..

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..

And or identified outliers or nonconformance to defined process.Ensures accuracy in data collection, data entry, and data analysis related to the medical record review process and data reporting..

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..

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..

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..

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..

Medical Director Opportunity. Medicare Risk Adjustment HCC Review. Columbus, Ohio Full Time Opportunity.. Advises manager of possible trends in inappropriate utilization (under and or over), and other quality..

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..

With Wanderly you can compare Travel nurse salary from leading Travel nurse agencies in the United.. Specialty. Emergency Room RN Travel Emergency Room (ER) Registered Nurse. Watertown, NY Travel Nurse..

Description We're looking for Medical Surgical RNs for an immediate travel nurse opening in Warm.. As a Medical Surgical Travel Nurse, you should be prepared to perform the following tasks. Provide..

Job Summary. Licensed registered nurse who has completed training in the care of Specialty Procedure.. Reviews laboratory data for abnormal or unusual results. Confers with the physician as needed based on..