Choa
Utilization/Clinical Review RN -PRN
Children's Healthcare of Atlanta Support Center
Sponsorship not specifiedDetected 9 days ago
HRISEpicCommunicationProblem Solving
About the role
- Note: If you are CURRENTLY employed at Children's and/or have an active badge or network access, STOP here.
- Submit your application via Workday using the Career App (Find Jobs).
- Work Shift Variable Work Day(s) Variable Shift Start Time 6:00 AM Shift End Time 5:00 PM Worker Sub-Type PRN Children's is one of the nation's leading children's hospitals.
Responsibilities
- Refers denied cases to appropriate personnel and provides assistance and/or clinical support to aid in appeal process.
Nice to have
- Bachelor of Science in Nursing
- Previous experience with MCG and/or InterQual systems
- 2 years of experience in hospital or insurance related utilization review highly preferred
- Graduation from an accredited school of nursing
- Licensure as a Registered Nurse in the single State of Georgia or Multi-State through the Enhanced Nurse Licensure Compact
- Demonstration of creativity in problem-solving
- Must possess above-average computer skills
- Must be able to successfully pass the Basic Windows Skill Assessment at 80% or higher rating within 30 days of employment
Skills
- Knowledge, Skills, and Abilities
- Effective decision-making/problem-solving skills
Company info
- Shift Start Time
- Shift End Time
- Worker Sub-Type
- Children's is one of the nation's leading children's hospitals.
- No matter the role, every member of our team is an essential part of our mission to make kids better today and healthier tomorrow.
- We're committed to putting you first, and that commitment is at the heart of our company culture: People first.
- Children always.
- Find your next career opportunity and make a difference doing what you love at Children's.
Visa & Work Authorization
- opportunities to all qualified applicants and employees without regard to race, color, sex, religion, national origin, citizenship, age, veteran status, disability or any other characteristic covered by applicable law
This listing is sourced directly from Choa's careers page and normalized into a canonical job model.