Nurse Investigator

Job SummaryWe are seeking a skilled Nurse Investigator to join our team at the State of Georgia. As a key member of our Fraud Unit, you will play a critical role in conducting healthcare investigations.Key ResponsibilitiesReview provider and recipient records to identify potential healthcare fraudMake determinations of medical necessity to ensure compliance...

Job SummaryAs a Nurse Investigator with the State of Georgia, you will play a critical role in ensuring the integrity of our healthcare services. Under the direction of the Fraud Unit Director, you will assist in healthcare investigations by reviewing provider and recipient records, making determinations of medical necessity, and verifying whether services...

Job Summary:The SIU Investigator III is a critical role within the Special Investigations Unit at CareSource, responsible for investigating and resolving high-complexity allegations of healthcare fraud, waste, and abuse (FWA) by medical professionals, facilities, and members. This position requires a strong analytical mindset, excellent research skills, and...

Job SummaryAs a Nurse Investigator with the Georgia Department of Law, you will play a critical role in uncovering and preventing healthcare fraud within the Medicaid program. This position requires a strong understanding of medical policies and procedures, as well as excellent analytical and communication skills.Key ResponsibilitiesConduct thorough reviews...

Job SummaryAs a Nurse Investigator with the Georgia Department of Law, you will play a critical role in uncovering and preventing healthcare fraud within the Medicaid program. Under the direction of the Fraud Unit Director, you will assist in conducting thorough investigations by reviewing provider and recipient records, making determinations of medical...

Job Summary:The Nurse Consultant will provide clinical expertise to ensure compliance with medical necessity and quality standards. This role will investigate and resolve complex member requests and appeals, working collaboratively with clinical and administrative teams.Key Responsibilities:Investigate and resolve complex member requests and appeals,...

Job SummaryThe Nurse Consultant will provide clinical expertise to ensure compliance with medical necessity and quality concerns. This role will investigate and resolve complex member requests and appeals, working collaboratively with Quality and Patient Safety Teams.Key ResponsibilitiesProvide clinical expertise to investigate and resolve member requests...

Job SummaryThe Nurse Consultant will provide clinical expertise to ensure compliance with medical necessity and quality concerns. This role will investigate and resolve complex member requests and appeals, working collaboratively with Quality and Patient Safety Teams.Key ResponsibilitiesProvide clinical expertise to investigate and resolve member requests...

Job Opportunity at Grady Health SystemGrady Health System offers a wide range of career paths for experienced professionals. Whether you have many years of experience or are in the early stages of your career, you can find a rewarding career at Grady.**Job Summary**The Performance Improvement RN is a professional nurse with a high degree of competence and...

Job SummaryWe are seeking a highly skilled Medical Registered Nurse to join our research team at Children's Healthcare of Atlanta. As a key member of our team, you will be responsible for developing, implementing, and supporting research processes, including study design, data management, and regulatory compliance.Key ResponsibilitiesAssist investigators in...

Job SummaryThe Nurse Consultant will provide clinical expertise to ensure compliance with medical necessity and quality concerns. This role will investigate and resolve complex member requests and appeals, working collaboratively with Quality and Patient Safety Teams.Key ResponsibilitiesInvestigate and resolve complex member requests and appeals, working...

Job SummaryThe Nurse Consultant will provide clinical expertise to ensure compliance with medical necessity and quality concerns. This role will investigate and resolve complex member requests and appeals, working collaboratively with Quality and Patient Safety Teams.Key ResponsibilitiesInvestigate and resolve complex member requests and appeals, working...

Job SummaryWe are seeking a highly skilled Clinical Research Nurse Specialist to join our team at Children's Healthcare of Atlanta. As a key member of our research team, you will be responsible for supporting the development, implementation, and management of research studies.Key ResponsibilitiesAssist investigators in study design, completion of approval...

Job Summary:The Nurse Consultant will provide clinical expertise to ensure compliance with medical necessity and quality concerns. This role will investigate and resolve complex member requests and appeals, working collaboratively with Quality and Patient Safety Teams. The ideal candidate will have a strong clinical background and excellent communication...

{"Job Title": "Nurse Consultant", "Job Summary": "As a Nurse Consultant at Kaiser Permanente, you will play a critical role in providing clinical expertise to ensure compliance with medical necessity and quality concerns. You will work closely with the Director of Risk Management, Quality and Patient Safety Teams, and other clinical professionals to...

Job SummaryThe role of the Infection Disease Control Nurse entails overseeing the Infection Prevention and Control Program, aimed at mitigating the transmission of infections and managing outbreaks. Key responsibilities involve gathering, evaluating, and presenting infection-related data and patterns to nursing personnel and healthcare providers....

Job SummaryWe are seeking a highly skilled Clinical Research Nurse to join our team at Medix. The successful candidate will be responsible for supporting the clinical departments conducting research and will play a key role in ensuring the smooth execution of clinical trials.Key ResponsibilitiesCoordinate and perform clinical procedures during research...

Job SummaryWe are seeking a highly skilled and motivated Research Nurse to join our team at Children's Healthcare of Atlanta. As a Research Nurse, you will play a critical role in supporting the development and implementation of research protocols, ensuring the delivery of safe patient care and services, and promoting a safe environment at our...

Job SummaryWe are seeking a highly skilled Clinical Research Nurse to join our team at Medix®. As a Clinical Research Nurse, you will play a critical role in supporting the clinical departments conducting research and ensuring the highest level of patient care.Key ResponsibilitiesCoordinate and perform clinical procedures during research visits, including...

Job SummaryWe are seeking a highly skilled Clinical Research Nurse to join our team at Medix®. As a Clinical Research Nurse, you will play a critical role in supporting the clinical departments conducting research and ensuring the highest level of patient care.Key ResponsibilitiesCoordinate and perform clinical procedures during research visits, including...