Atlanta, GA · On-site
Medical
Dental
Vision
Retirement
RN Travel Assignment Genie Healthcare is looking for a RN to work in Utilization Review or Concurrent Review for a 20 weeks travel assignment located in Atlanta, GA for the shift (4x10 Days-Please ...
New
Atlanta, GA · On-site
Medical
Dental
Vision
Retirement
RN Travel Assignment Genie Healthcare is looking for a RN to work in Utilization Review or Concurrent Review for a 20 weeks travel assignment located in Atlanta, GA for the shift (4x10 Days-Please ...
New
Atlanta, GA · On-site
Concurrent Review * Continued Stay Reviews * Medical Necessity * Retrospective Review * Utilize InterQual Criteria * Utilize Milliman Guidelines Regulatory: * CMS: Centers for Medicare and Medicaid ...
Atlanta, GA · On-site
Concurrent Review * Continued Stay Reviews * Medical Necessity * Retrospective Review * Utilize InterQual Criteria * Utilize Milliman Guidelines Regulatory: * CMS: Centers for Medicare and Medicaid ...
Atlanta, GA · On-site
$27.02 - $48.55/hr
Medical
Retirement
PTO
Performs concurrent review of behavioral health (BH) inpatient to determine overall health of member, treatment needs, and discharge planning * Analyzes BH member data to improve quality and ...
Atlanta, GA · On-site
$27.02 - $48.55/hr
Medical
Retirement
PTO
Performs concurrent review of behavioral health (BH) inpatient to determine overall health of member, treatment needs, and discharge planning * Analyzes BH member data to improve quality and ...
$16.09/hr
Perform initial review prior to date of service and concurrent review until precertification obtained. Communicate and collaborate with other departments to eliminate precertification denials.
$16.09/hr
Perform initial review prior to date of service and concurrent review until precertification obtained. Communicate and collaborate with other departments to eliminate precertification denials.
Savannah, GA · On-site
$16.09/hr
Perform initial review prior to date of service and concurrent review until precertification obtained. Communicate and collaborate with other departments to eliminate precertification denials.
Savannah, GA · On-site
$16.09/hr
Perform initial review prior to date of service and concurrent review until precertification obtained. Communicate and collaborate with other departments to eliminate precertification denials.
Savannah, GA · On-site
$16.09/hr
Perform initial review prior to date of service and concurrent review until precertification obtained. Communicate and collaborate with other departments to eliminate precertification denials.
Savannah, GA · On-site
$16.09/hr
Perform initial review prior to date of service and concurrent review until precertification obtained. Communicate and collaborate with other departments to eliminate precertification denials.
Savannah, GA · On-site
$16.09/hr
Perform initial review prior to date of service and concurrent review until precertification obtained. Communicate and collaborate with other departments to eliminate precertification denials.
Savannah, GA · On-site
$16.09/hr
Perform initial review prior to date of service and concurrent review until precertification obtained. Communicate and collaborate with other departments to eliminate precertification denials.
Savannah, GA · On-site
$16.09/hr
Perform initial review prior to date of service and concurrent review until precertification obtained. Communicate and collaborate with other departments to eliminate precertification denials.
Savannah, GA · On-site
$16.09/hr
Perform initial review prior to date of service and concurrent review until precertification obtained. Communicate and collaborate with other departments to eliminate precertification denials.
Savannah, GA · On-site
$16.09/hr
Perform initial review prior to date of service and concurrent review until precertification obtained. Communicate and collaborate with other departments to eliminate precertification denials.
Savannah, GA · On-site
$16.09/hr
Perform initial review prior to date of service and concurrent review until precertification obtained. Communicate and collaborate with other departments to eliminate precertification denials.
$16.09/hr
Perform initial review prior to date of service and concurrent review until precertification obtained. Communicate and collaborate with other departments to eliminate precertification denials.
$16.09/hr
Perform initial review prior to date of service and concurrent review until precertification obtained. Communicate and collaborate with other departments to eliminate precertification denials.
Savannah, GA · On-site
$16.09/hr
Perform initial review prior to date of service and concurrent review until precertification obtained. Communicate and collaborate with other departments to eliminate precertification denials.
Savannah, GA · On-site
$16.09/hr
Perform initial review prior to date of service and concurrent review until precertification obtained. Communicate and collaborate with other departments to eliminate precertification denials.
Savannah, GA · On-site
$16.09/hr
Perform initial review prior to date of service and concurrent review until precertification obtained. Communicate and collaborate with other departments to eliminate precertification denials.
Savannah, GA · On-site
$16.09/hr
Perform initial review prior to date of service and concurrent review until precertification obtained. Communicate and collaborate with other departments to eliminate precertification denials.
Savannah, GA · On-site
$16.09/hr
Perform initial review prior to date of service and concurrent review until precertification obtained. Communicate and collaborate with other departments to eliminate precertification denials.
Savannah, GA · On-site
$16.09/hr
Perform initial review prior to date of service and concurrent review until precertification obtained. Communicate and collaborate with other departments to eliminate precertification denials.
Completes and submits all initial, concurrent, and discharge reviews, including supporting clinical documentation, within payer and Trinity Health established timeframes. * Facilitates peer-to-peer ...
New
Completes and submits all initial, concurrent, and discharge reviews, including supporting clinical documentation, within payer and Trinity Health established timeframes. * Facilitates peer-to-peer ...
New
Day Shift Description: The Utilization Review (UR) Coordinator collaborates with a ... Actively manages and resolves concurrent payer denials in collaboration with appropriate ...
Day Shift Description: The Utilization Review (UR) Coordinator collaborates with a ... Actively manages and resolves concurrent payer denials in collaboration with appropriate ...
Savannah, GA · On-site
$18.15/hr
Perform initial review prior to date of service and concurrent review until precertification obtained. Communicate and collaborate with other departments to eliminate precertification denials.
Savannah, GA · On-site
$18.15/hr
Perform initial review prior to date of service and concurrent review until precertification obtained. Communicate and collaborate with other departments to eliminate precertification denials.
Pembroke, GA · On-site
$18.15/hr
Perform initial review prior to date of service and concurrent review until precertification obtained. Communicate and collaborate with other departments to eliminate precertification denials.
Pembroke, GA · On-site
$18.15/hr
Perform initial review prior to date of service and concurrent review until precertification obtained. Communicate and collaborate with other departments to eliminate precertification denials.
Pembroke, GA · On-site
$18.15/hr
Perform initial review prior to date of service and concurrent review until precertification obtained. Communicate and collaborate with other departments to eliminate precertification denials.
Pembroke, GA · On-site
$18.15/hr
Perform initial review prior to date of service and concurrent review until precertification obtained. Communicate and collaborate with other departments to eliminate precertification denials.
Perform initial review prior to date of service and concurrent review until precertification obtained. Communicate and collaborate with other departments to eliminate precertification denials.
Perform initial review prior to date of service and concurrent review until precertification obtained. Communicate and collaborate with other departments to eliminate precertification denials.
Savannah, GA · On-site
$18.15/hr
Perform initial review prior to date of service and concurrent review until precertification obtained. Communicate and collaborate with other departments to eliminate precertification denials.
Savannah, GA · On-site
$18.15/hr
Perform initial review prior to date of service and concurrent review until precertification obtained. Communicate and collaborate with other departments to eliminate precertification denials.
| Aspect | Concurrent Review | Utilization Review |
|---|---|---|
| Purpose | Assess ongoing patient care during hospitalization | Evaluate the necessity and appropriateness of services, often before or after care |
| Timing | Performed in real-time during treatment | Can be pre-authorization, concurrent, or retrospective |
| Work Environment | Hospitals, clinics, insurance companies | Insurance companies, healthcare organizations |
| Credentials | Registered nurses, case managers, healthcare professionals | Medical reviewers, nurses, case managers |
Concurrent Review focuses on evaluating ongoing patient care during hospitalization, ensuring treatments are appropriate in real-time. Utilization Review has a broader scope, including pre-authorization and retrospective assessments to determine the necessity of services. While both roles involve healthcare professionals and are used within insurance and healthcare settings, their timing and specific focus differ.
For Concurrent Review jobs in Georgia, the most frequently searched job titles are:
The top searched job categories for Concurrent Review jobs in Georgia are:
Other
Medical, Dental, Vision, Retirement
Posted yesterday
New
Genie Healthcare is looking for a RN to work in Utilization Review or Concurrent Review for a 20 weeks travel assignment located in Atlanta, GA for the shift (4x10 Days-Please verify shift details with recruiter, 07:00:00-17:00:00, 10.00-4).
Pay and benefits packages are estimated based on client bill rate at time the job was posted. These rates are subject to change.
Exact pay and benefits vary based on several things, including, but not limited to, guaranteed hours, client changes in bill rate, experience, etc.
Benefits: Medical Insurance, Dental Insurance, Vision Insurance, 401(k) with company matching (50% up to 6% of what you contribute)
Client Details City Atlanta State GA
