RN - Utilization Management
Atlanta, GA · On-site +1
... utilization review or care management experience Preferred Licenses and Certifications * RN - ... Company NamePiedmont Healthcare CorporateEmployment Type: FULL_TIME
RN - Utilization Management
Atlanta, GA · On-site +1
... utilization review or care management experience Preferred Licenses and Certifications * RN - ... Company NamePiedmont Healthcare CorporateEmployment Type: FULL_TIME
Case Management Authorization. Spec IP
Atlanta, GA · Remote
$24.12 - $29.39/hr
At Emory Healthcare At Emory Healthcare we fuel your professional journey with better benefits ... On-site. * Utilization Management Department: This position is a remote position outside ...
Case Management Authorization. Spec IP
Atlanta, GA · Remote
$24.12 - $29.39/hr
At Emory Healthcare At Emory Healthcare we fuel your professional journey with better benefits ... On-site. * Utilization Management Department: This position is a remote position outside ...
At Emory Healthcare At Emory Healthcare we fuel your professional journey with better benefits ... On-site. * Utilization Management Department: This position is a remote position outside ...
At Emory Healthcare At Emory Healthcare we fuel your professional journey with better benefits ... On-site. * Utilization Management Department: This position is a remote position outside ...
At Emory Healthcare At Emory Healthcare we fuel your professional journey with better benefits ... On-site. * Utilization Management Department: This position is a remote position outside ...
At Emory Healthcare At Emory Healthcare we fuel your professional journey with better benefits ... On-site. * Utilization Management Department: This position is a remote position outside ...
Director - Talent Management - Remote
Atlanta, GA · On-site +1
$170K - $210K/yr
Director - Talent Management - Remote CRH Americas Corporate Atlanta, Georgia, United States Job ID ... Health, dental, and vision insurance * Paid time off * Paid holidays What CRH Offers You * Highly ...
Director - Talent Management - Remote
Atlanta, GA · On-site +1
$170K - $210K/yr
Director - Talent Management - Remote CRH Americas Corporate Atlanta, Georgia, United States Job ID ... Health, dental, and vision insurance * Paid time off * Paid holidays What CRH Offers You * Highly ...
Case Manager
Alpharetta, GA · Remote
$19.50 - $25.25/hr
Candidates need 2-3 years of Behavioral Health Experience, and 3-5 years of Utilization Management ... The Alpharetta, GA candidate will also have the ability to work remote. This is an inbound ...
Case Manager
Alpharetta, GA · Remote
$19.50 - $25.25/hr
Candidates need 2-3 years of Behavioral Health Experience, and 3-5 years of Utilization Management ... The Alpharetta, GA candidate will also have the ability to work remote. This is an inbound ...
Senior Director, Escalated Provider Issue Resolution
Atlanta, GA · Remote
$196K - $258K/yr
Oscar is the first health insurance company built around a full stack technology platform and a ... Partner with leaders across Claims, Network, Utilization Management, Payment Integrity, Contact ...
Senior Director, Escalated Provider Issue Resolution
Atlanta, GA · Remote
$196K - $258K/yr
Oscar is the first health insurance company built around a full stack technology platform and a ... Partner with leaders across Claims, Network, Utilization Management, Payment Integrity, Contact ...
Senior Director, Escalated Provider Issue Resolution
Atlanta, GA · Remote
$196K - $258K/yr
Oscar is the first health insurance company built around a full stack technology platform and a ... Partner with leaders across Claims, Network, Utilization Management, Payment Integrity, Contact ...
Senior Director, Escalated Provider Issue Resolution
Atlanta, GA · Remote
$196K - $258K/yr
Oscar is the first health insurance company built around a full stack technology platform and a ... Partner with leaders across Claims, Network, Utilization Management, Payment Integrity, Contact ...
Utilization Review Nurse
Atlanta, GA · Remote
$35 - $45.94/hr
This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; Illinois ... managed care plan This is an authentic Oscar Health job opportunity. Learn more about how you can ...
Utilization Review Nurse
Atlanta, GA · Remote
$35 - $45.94/hr
This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; Illinois ... managed care plan This is an authentic Oscar Health job opportunity. Learn more about how you can ...
Director - Talent Management - Remote
Atlanta, GA · Remote
$170K - $210K/yr
Job Summary In this role, the Talent Management Director will be responsible for enabling talent ... Health, dental, and vision insurance * Paid time off * Paid holidays What CRH Offers You
Director - Talent Management - Remote
Atlanta, GA · Remote
$170K - $210K/yr
Job Summary In this role, the Talent Management Director will be responsible for enabling talent ... Health, dental, and vision insurance * Paid time off * Paid holidays What CRH Offers You
This is a fully remote, full time engagement with an anticipated duration of ten months and an ... Demonstrated success leading large-scale healthcare or pharmacy benefit management (PBM ...
This is a fully remote, full time engagement with an anticipated duration of ten months and an ... Demonstrated success leading large-scale healthcare or pharmacy benefit management (PBM ...
Identifying and forwarding standard or expedited appeals to the appropriate health plan. * Staying current on industry regulations, guidelines, and best practices related to utilization management ...
Identifying and forwarding standard or expedited appeals to the appropriate health plan. * Staying current on industry regulations, guidelines, and best practices related to utilization management ...
Med Mgmt Nurse (contract)
Decatur, GA · Remote
Experience of at least 3 years of acute inpatient experience, utilization management experience and discharge planning experience. * 08:30-05:30 M-F * Remote, work from home Elevance Health operates ...
Med Mgmt Nurse (contract)
Decatur, GA · Remote
Experience of at least 3 years of acute inpatient experience, utilization management experience and discharge planning experience. * 08:30-05:30 M-F * Remote, work from home Elevance Health operates ...
Med Mgmt Nurse (contract)
Decatur, GA · Remote
Experience of at least 3 years of acute inpatient experience, utilization management experience and discharge planning experience. * 08:30-05:30 M-F * Remote, work from home Elevance Health operates ...
Med Mgmt Nurse (contract)
Decatur, GA · Remote
Experience of at least 3 years of acute inpatient experience, utilization management experience and discharge planning experience. * 08:30-05:30 M-F * Remote, work from home Elevance Health operates ...
... utilization, pharmacological prescribing and therapy management, multi-specialty platform, and ... Provide clinical guidance and direction to Market teams to drive Population Health Management ...
... utilization, pharmacological prescribing and therapy management, multi-specialty platform, and ... Provide clinical guidance and direction to Market teams to drive Population Health Management ...
Nurse Annotator (Prior Auth) Remote in US
Atlanta, GA · On-site +1
Come build the health care system of tomorrow, making it more responsive, affordable and optimized ... utilization management (UM) guidelines * Contribute to the development of high quality training ...
Nurse Annotator (Prior Auth) Remote in US
Atlanta, GA · On-site +1
Come build the health care system of tomorrow, making it more responsive, affordable and optimized ... utilization management (UM) guidelines * Contribute to the development of high quality training ...
Come build the health care system of tomorrow, making it more responsive, affordable and optimized ... utilization management (UM) guidelines * Contribute to the development of high quality training ...
Come build the health care system of tomorrow, making it more responsive, affordable and optimized ... utilization management (UM) guidelines * Contribute to the development of high quality training ...
Provide clinical guidance and direction to Market teams to drive Population Health Management ... This position will be remote within the designated market with occasional in-home patient treatment ...
Provide clinical guidance and direction to Market teams to drive Population Health Management ... This position will be remote within the designated market with occasional in-home patient treatment ...
Provide clinical guidance and direction to Market teams to drive Population Health Management ... This position will be remote within the designated market with occasional in-home patient treatment ...
Provide clinical guidance and direction to Market teams to drive Population Health Management ... This position will be remote within the designated market with occasional in-home patient treatment ...
Work closely with recruiters and hiring managers * Assist with basic recruiting coordination and ... Healthcare Scheduling • Hospitality • Retail • Sales Support Entry-level applicants and ...
New
Work closely with recruiters and hiring managers * Assist with basic recruiting coordination and ... Healthcare Scheduling • Hospitality • Retail • Sales Support Entry-level applicants and ...
New
Cvs Health Utilization Management Remote information
What is the difference between Cvs Health Utilization Management Remote vs Cvs Health Medical Reviewer?
| Aspect | Cvs Health Utilization Management Remote | Cvs Health Medical Reviewer |
|---|---|---|
| Credentials | RN, LPN, or other healthcare licenses | RN, MD, or DO licenses |
| Work Environment | Remote, home-based | Remote or onsite, depending on role |
| Employer & Industry Usage | Utilization management for insurance approvals | Medical review for claims and authorizations |
Both roles involve healthcare assessments, often requiring similar licenses. Utilization Management Remote focuses on reviewing medical necessity for insurance purposes, while Medical Reviewers may handle detailed case evaluations. Both are remote-friendly and integral to healthcare insurance processes, but differ slightly in scope and responsibilities.
What are popular job titles related to Cvs Health Utilization Management Remote jobs in Georgia?
For Cvs Health Utilization Management Remote jobs in Georgia, the most frequently searched job titles are:
What job categories do people searching Cvs Health Utilization Management Remote jobs in Georgia look for?
The top searched job categories for Cvs Health Utilization Management Remote jobs in Georgia are:
What cities in Georgia are hiring for Cvs Health Utilization Management Remote jobs?
Cities in Georgia with the most Cvs Health Utilization Management Remote job openings:
Full-time
Posted 7 days ago
Piedmont Healthcare rating
7.1
Based on 468 frontline employees who took The Breakroom Quiz
379th of 895 rated healthcare providers
Job description
OverviewExperience the advantages of real career change
Join Piedmont to move your career in the right direction. Stay for the diverse teams you'll love, a shared purpose, and schedule flexibility that frees you to live for what matters both in and outside of work. You'll feel valued, motivated to be your best, and recognized for your contributions to exceptional patient outcomes. Piedmont leaders are in your corner, invested in your success. Our wellness programs and comprehensive total benefits and rewards meet your needs today and help you plan for the future.
ResponsibilitiesThe purpose of this position is to ensure that acute hospital admission have the appropriate level of care, patient status, plan of care and meet medical necessity for an acute hospitalization. This roles monitors that the patient is progressing in their plan of care and meet medical necessity for continued stay. This role ensures that the patient's payer has the clinical information with which to authorize an acute hospital stay and the continued stay services to include covered days and associated services.QualificationsEducation- Graduate of an accredited nursing school Required
- Bachelor's Degree of Science in Nursing Preferred
- Master's degree Preferred
- 2 years of experience in an acute, post-acute or payer setting Required
- 3 years of utilization review or care management experience Preferred
- RN - Registered Nurse - Georgia State Licensure and/or NLC/eNCL Multistate Licensure Required
What Piedmont Healthcare employees say
Pay
Benefits
Hours and flexibility
Workplace
Get the full story on Breakroom
About Piedmont
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
10,000+ Employees
Headquarters location
Atlanta, GA, US
Year founded
1905