Alliant Health Solutions, Inc.
Location
Atlanta, Georgia
The Review Nurse conducts prior approval and precertification reviews for Georgia Fee-for-Service Medicaid members. Responsibilities include evaluating clinical information, documenting review decisions, and collaborating with medical directors for peer reviews.
Requires a Registered Nurse license in Georgia with at least three years of recent clinical experience. Experience in Utilization Review or Prior Approval Precertification is preferred.
Are you a bedside nurse seeking a change from the hospital setting? If you answered "yes", Alliant Health Solutions, a "2025 Best Place to Work and Healthiest Employer", may be the place for you!
Alliant is recruiting a Hybrid Review Nurse for its Prior Authorization and Utilization Management (PA/UM) team. The Review Nurse conducts prior approval and precertification reviews for Georgia Fee-for-Service Medicaid members for the team’s defined review types while meeting and exceeding contract expectations. The primary responsibilities of the Nurse Reviewers are listed below.
Education, experience and training required and preferred for the position are below:
• Utilization Review or Prior Approval Precertification experience
No additional openings are live from this employer right now.
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