177 utilization opportunities in Atlanta updated today
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· Page 1 / 9Overview Be inspired. Be rewarded. Belong. At Emory Healthcare. At Emory Healthcare we fuel your professional journey with better benefits, valuable resources, ongoing mentorship and leadership programs for all types of jobs, and a supportive environment that enables you to reach new heights in your
Utilization Management Representative I Location : This role enables associates to work virtually full-time, except for required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to
Your Job Georgia-Pacific’s Mailers division is hiring a RUM Specialist (Reliability & Utilization Specialist) to support our converting operations. Georgia-Pacific’s Mailers Packaging division is seeking a RUM Specialist to serve as a site-based technical expert responsible for maximizing the av
Job Summary: Health plan utilization management compliance experience. This director level position is primarily responsible for overseeing company compliance activities including designing strategies for the implementation of regulatory changes. Responsibilities include directing compliance reporti
Your Job Georgia-Pacific's Mailers division is hiring a RUM Specialist (Reliability & Utilization Specialist) to support our converting operations. Georgia-Pacific's Mailers Packaging division is seeking a RUM Specialist to serve as a site-based technical expert responsible for maximizing the av
Your Job Georgia-Pacific’s Mailers division is hiring a RUM Specialist (Reliability & Utilization Specialist) to support our converting operations. Georgia-Pacific’s Mailers Packaging division is seeking a RUM Specialist to serve as a site-based technical expert responsible for maximizing the av
Emory Healthcare/Emory UniversityOverview Be inspired. Be rewarded. Belong. At Emory Healthcare. At Emory Healthcare we fuel your professional journey with better benefits, valuable resources, ongoing mentorship and leadership programs for all types of jobs, and a supportive environment that enables you to reach new heights in your
Behavioral Health Utilization Management Medical Case Manager CalOptima Join Us in this Amazing Opportunity The Team You'll Join We are a mission driven community‐based organization that serves member health with excellence and dignity, respecting the value and needs of each person. If you are ready
CenterWellBecome a part of our caring community Conviva Care Solutions is seeking a RN who will collaborate with other health care givers in reviewing actual and proposed medical care and services against established CMS Coverage Guidelines/NCQA review criteria and who is interested in being part of a team th
HumanaBecome a part of our caring community The Utilization Management Behavioral Health Professional uses behavioral health knowledge to support the coordination, documentation, and communication of medical services and benefit administration determinations. Reporting to the UMB Manager, the UMB Health P
Overview Be inspired. Be rewarded. Belong. At Emory Healthcare. Benefits At Emory Healthcare we fuel your professional journey with better benefits, valuable resources, ongoing mentorship and leadership programs for all types of jobs, and a supportive environment that enables you to reach new height
Aprio AustinWork with a Top 20 CPA and advisory firm that Accounts for Anything. Aprio has 40 U.S. office locations, as well as international office locations and more than 3,200 team members that speak 60+ languages across the globe. By bringing together proven expertise, deep understanding, and strategic fore
LanceSoftLanceSoft is seeking a travel nurse RN Utilization Review for a travel nursing job in Atlanta, Georgia. Job Description & Requirements Specialty: Utilization Review Discipline: RN Duration: 13 weeks 40 hours per week Shift: 8 hours, days Employment Type: Travel Utilization Review RN - Target Review
Solomon Page is seeking a travel nurse RN Utilization Review for a travel nursing job in Atlanta, Georgia. Job Description & Requirements Specialty: Utilization Review Discipline: RN Start Date: ASAP Duration: 13 weeks 40 hours per week Shift: 8 hours, days Employment Type: Travel Our client is
LanceSoft is seeking a travel nurse RN Utilization Review for a travel nursing job in Atlanta, Georgia. Job Description & Requirements Specialty: Utilization Review Discipline: RN Duration: 13 weeks 40 hours per week Shift: 8 hours, days Employment Type: Travel Utilization Review RN - Target Rev
Solomon Page is seeking a travel nurse RN Utilization Review for a travel nursing job in Atlanta, Georgia. Job Description & Requirements Specialty: Utilization Review Discipline: RN Start Date: ASAP Duration: 13 weeks 40 hours per week Shift: 8 hours, days Employment Type: Travel Our client is look
Our Utilization Management RN (Registered Nurse) evaluates efficiency, appropriateness, and medical necessity for medical services, and procedures for our Health Plan. This role uses clinical knowledge to provide judgment to review medical services with evidence‑based criteria, authorize requested s
Job Summary This job reviews requests for medication coverage determination for prior authorization review and appeals. Through the Utilization Review system, the incumbent evaluates clinical information provided by the physician against medical policy criteria. The incumbent then uses his/her clini
The Utilization Review (UR) Specialist is a Registered Nurse responsible for conducting thorough medical necessity reviews to assist with determining appropriate patient class designation. The UR Specialist performs timely and comprehensive reviews of the patient chart utilizing InterQual Criteria,
A leading health solutions company is seeking a Utilization Management RN to evaluate medical necessity and efficiency of services. This role requires 4+ years of nursing experience and familiarity with managed care. Responsibilities include authorizing services and collaborating with medical direct
Southeast Primary Care PartnersApply Job Type Full-time *Description** Position Title: Manager, Utilization Management (UM) Company: Southeast Primary Care Partners – Physicians First ACO (PFACO)/Physicians First Health Network (PFHN) Location: Primarily Remote | Occasional Travel Required Position Overview Physicians First ACO (
About Claratel Behavioral Health Claratel Behavioral Health is an innovative, community-based behavioral health and developmental disabilities services organization offering a full range of mental health, developmental disabilities, and substance use disorder services to underserved individuals. As
Southeast Primary Care PartnersJob Type Full-time Description Position Title: Manager, Utilization Management (UM) Company: Southeast Primary Care Partners - Physicians First ACO (PFACO)/Physicians First Health Network (PFHN) Location: Primarily Remote | Occasional Travel Required Position Overview Physicians First ACO (PFACO) an
Claratel Behavioral Health*About Claratel Behavioral Health** Claratel Behavioral Health is an innovative, community-based behavioral health and developmental disabilities services organization offering a full range of mental health, developmental disabilities, and substance use disorder services to underserved individuals.
About Claratel Behavioral Health Claratel Behavioral Health is an innovative, community-based behavioral health and developmental disabilities services organization offering a full range of mental health, developmental disabilities, and substance use disorder services to underserved individuals. As
*About Claratel Behavioral Health** Claratel Behavioral Health is an innovative, community-based behavioral health and developmental disabilities services organization offering a full range of mental health, developmental disabilities, and substance use disorder services to underserved individuals.
Position Title: Manager, Utilization Management (UM) Company: Southeast Primary Care Partners – Physicians First ACO (PFACO)/Physicians First Health Network (PFHN) Location: Primarily Remote | Occasional Travel Required Position Overview Physicians First ACO (PFACO) and Physicians First Heatlh Netwo
Apply Job Type: Full-time Description Position Title: Manager, Utilization Management (UM) Company: Southeast Primary Care Partners – Physicians First ACO (PFACO)/Physicians First Health Network (PFHN) Location: Primarily Remote | Occasional Travel Required Position Overview Physicians First ACO (PF
Summary: The primary responsibility of this role consists of reviewing member transportation requests that are over the contractual mileage guidelines. ESSENTIAL FUNCTIONS Reviewing and making approval/denial determinations for all member transportation requests that are outside of the geographical
$40,000 – $63,000/year
Estimation confidence: Low
Estimate based on market data for Atlanta. Actual salaries may vary depending on experience, company, and area.
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