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
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
RN Case Manager
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 ...
RN Case Manager
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 ...
Utilization Review Clinician - Behavioral Health
Atlanta, GA · On-site
$27.02 - $48.55/hr
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 ...
Utilization Review Clinician - Behavioral Health
Atlanta, GA · On-site
$27.02 - $48.55/hr
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 ...
Office Coordinator
$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.
Office Coordinator
$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.
Office Coordinator
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.
Office Coordinator
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.
Office Coordinator
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.
Office Coordinator
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.
Office Coordinator
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.
Office Coordinator
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.
Office Coordinator
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.
Office Coordinator
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.
Office Coordinator
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.
Office Coordinator
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.
Office Coordinator
$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.
Office Coordinator
$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.
Office Coordinator
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.
Office Coordinator
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.
Office Coordinator
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.
Office Coordinator
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.
Office Coordinator
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.
Office Coordinator
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 ...
Team Leader, Office Coordinator
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.
Team Leader, Office Coordinator
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.
Team Leader, Office Coordinator
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.
Team Leader, Office Coordinator
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.
Team Leader, Office Coordinator
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.
Team Leader, Office Coordinator
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.
Team Leader, Office Coordinator
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.
Team Leader, Office Coordinator
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.
Concurrent Review information
What are the key skills and qualifications needed to thrive as a concurrent review nurse, and why are they important?
To thrive as a Concurrent Review Nurse, you need a strong clinical background, current RN licensure, and a thorough understanding of utilization management and healthcare regulations. Familiarity with case management software, electronic health records (EHRs), and knowledge of insurance guidelines and ICD/CPT coding is typically required. Excellent analytical thinking, communication skills, and attention to detail help in collaborating with providers and ensuring appropriate care. These competencies are crucial for ensuring patients receive medically necessary care while maintaining compliance and cost-effectiveness.
What is concurrent review in healthcare?
Concurrent review is a process used in healthcare to assess the necessity and appropriateness of ongoing inpatient care while the patient is still hospitalized. The goal is to ensure that medical services are being delivered efficiently and according to established guidelines. Utilization review nurses or case managers typically conduct these reviews by evaluating medical records, communicating with providers, and making recommendations regarding continued stay or discharge planning. This helps control healthcare costs and improves patient outcomes by preventing unnecessary treatments or extended hospitalizations.
What is the difference between Concurrent Review vs Utilization Review?
| 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.
What are some common challenges faced by concurrent review nurses, and how can they be managed?
Concurrent Review nurses often face challenges such as managing a high volume of case reviews within tight deadlines and ensuring timely communication with providers and insurance companies. Staying organized, utilizing efficient documentation systems, and maintaining up-to-date knowledge of regulatory requirements can help overcome these hurdles. Collaboration with interdisciplinary teams and regular training on evolving guidelines are also essential for success in this role.
What are popular job titles related to Concurrent Review jobs in Georgia?
For Concurrent Review jobs in Georgia, the most frequently searched job titles are:
- Weekend Physician Advisor Utilization Review
- Night Shift Remote Utilization Review Nurse
- Utilization Review Physician
- Evening Utilization Review Nurse
- Per Diem Utilization Review Nurse
- Remote Per Diem Utilization Review Nurse
- Medical Claim Review Nurse
- Utilization Review Specialist
- Freelance Utilization Review Nurse
- Part Time Utilization Review Nurse
What job categories do people searching Concurrent Review jobs in Georgia look for?
The top searched job categories for Concurrent Review jobs in Georgia are:
- Remote Rn Utilization Review Nurse
- Fulltime Cigna Utilization Review Nurse
- Remote Aetna Utilization Review
- Remote Optum Utilization Review
- Cigna Utilization Review Remote
- Prior Authorization Utilization Review
- Online Utilization Review
- Per Diem Optum Utilization Review
- Remote Navihealth Utilization Review
- Medical Claims Review Nurse
Other
Medical, Dental, Vision, Retirement
Posted yesterday
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Job description
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 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