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Alliant Health Group is a family of companies that provides professional services supporting the effective administration of healthcare programs and funding to support healthcare improvement initiatives. Alliant Health Solutions provides Federal and state government entities with the services, expertise and information systems necessary to increase the effectiveness, accessibility and value of health care.
Currently, Alliant Health Solutions, a "2023 Best Place to Work and Healthiest Employer", seeks an UCR Review Nurse. The Medicaid Utilization and Compliance Review (UCR) Nurse, as a member of a professional multi-disciplinary work team, is responsible for the analysis and monitoring of policy compliance for Medicaid providers. This position will determine an estimate of recoverable amounts by reviewing coding and billing patterns and identifying payment errors of these previously identified providers for the Department of Community Health (DCH), Office of Inspector General, Program Integrity Unit. This position offers the opportunity to telecommute following the successful completion of orientation and training.
In this role, the ideal candidate will:
Other Job Functions
Education, experience and training required and preferred for the position are below:
Required:
Registered Nurse (RN) with current Georgia license and three to five years of clinical experience
Preferred:
Bachelor's degree in nursing, case management experience; and/or certified case manager
Knowledge of Department of Community Health (DCH)
Prior telecommuting experience
Alliant offers work/life balance and great benefits including medical, dental life, disability, paid-time off, retirement with match and contribution, disability, employee assistance program, parental life, and more. If interested, click the apply icon above to apply.
Alliant Health Group ("the Company) is an Affirmative Action, Equal Opportunity Employer and Drug Free Workplace. In compliance with the American's with Disability Act (ADA) and Amendments Act (ADAAA), all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender, gender identity, national origin, disability or veteran status. If you are an individual with a disability and require a reasonable accommodation to complete any part of the application process, please let us know. Likewise, if you are limited in the ability to access or use this online application process and need an alternative method for applying, we will determine an alternative method for you to apply. Please contact 678-527-3000.
Full Time
$84k-101k (estimate)
04/29/2024
06/27/2024