Utilization Management jobs in Nashville, TN

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Long Term Support Services Coordinator - RN Clinician - #997...
Anthem, Inc. 513 reviews - Nashville, TN
Responsible for overall management of member's case within the scope of licensure; Interfaces with Medical Directors, Physician Advisors and/or Inter...
Sponsored by Anthem, Inc. - 5 days ago
Utilization Review Nurse / Case Manager Specialist
Kelly Services 2,891 reviews - Nashville, TN
1 or more years Utilization Management experience. Adhere to quality assurance standards and all utilization management policies and procedures....
Sponsored by Kelly Services - 10 days ago

Registered Nurse (Chief Nurse Quality, Safety & Value)

Department of Veterans Affairs 844 reviews - Nashville, TN
Systems Redesign, Continuous Readiness, Utilization Management, Risk Management, Patient Safety, Performance Measures, Clinical Consultation, Policy...
8 days ago - save job - email - more...

Mgr, Care Management / Saint Thomas West Hospital / FT Days

Saint Thomas West Hospital - Nashville, TN
Serves as content specialist for staff in the areas of utilization criteria, appeal and review process, and case management system documentation....
A Member of Ascension Health - 3 days ago - save job - email - more...

RN Acute Care Case Mananger (Utilization Review Nurse) Nashv...

Cigna 788 reviews - Nashville, TN
Experience in utilization management and/or discharge planning. RN Acute Care Case Mananger (Utilization Review Nurse) Nashville, TN....
24 days ago - save job - email - more...

Platform Utilization Sucess Manager

Healthstream 10 reviews - Nashville, TN
Develops consultative relationships with customers to improve platform utilization. Develops metrics for identifying low utilization patterns in existing...
1 day ago - save job - email - more...

Physician Advisor / Saint Thomas Midtown Hospital / FT Days

Saint Thomas Health 5 reviews - Nashville, TN
Assists and manages the denial management process. The Physician Advisor p rovides medical direction in the care management, clinical documentation improvement,...
5 days ago - save job - email - more...

Physician Advisor / Saint Thomas Midtown Hospital / FT Days

Saint Thomas Midtown Hospital - Nashville, TN
Assists and manages the denial management process. The Physician Advisor p rovides medical direction in the care management, clinical documentation improvement,...
A Member of Ascension Health - 5 days ago - save job - email - more...

Health Services Coordinator

NaviHealth 11 reviews - Nashville, TN
Provides telephonic follow up with beneficiaries for Case Management services to include post discharge and chronic condition management as indicated....
1 day ago - save job - email - more...

Behavioral Health RN/SW Case Manager - Nashville, TN

Cigna 788 reviews - Nashville, TN
Performs utilization management duties for Cigna-Health. Med Mgt--Case Management. Evaluates and refers cases to quality of care and disease management, case...
5 days ago - save job - email - more...

Utilization Review Nurse (RN) - Case Management-PRN

Centennial Medical Center 49 reviews - Nashville, TN
Utilization Review Nurse. Centennial Medical Center is currently looking for a Utilization Review Nurse. The Utilization Review Nurse performs medical necessity...
HCA Inc - 10 days ago - save job - email - more...

LPN Case Coordinator - Nashville, TN

Cigna 788 reviews - Nashville, TN
Med Mgt--Case Management. Responsible for the effective and sufficient support of all utilization management activities to include prospective/ pre...
24 days ago - save job - email - more...
RN / Utilization Review Nurse / Case Manager
Kelly Services 2,891 reviews - Nashville, TN
Adhere to quality assurance standards and all utilization management policies and procedures. RN / CASE MANAGER / UTILIZATION REVIEW NURSE....
Sponsored by Kelly Services - 9 days ago
Utilization Review Case Manager / RN
MedSolutions - Franklin, TN
O 2 – 5 years experience in utilization and case management required. O Certification must be obtained within a 4 year period to continue employment in a Case...
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Sponsored by MedSolutions - 30+ days ago
Long Term Support Services Coordinator - Non RN Clinician -...
Anthem, Inc. 513 reviews - Nashville, TN
Participates in coordinating care for members with chronic illnesses, co-morbidities, and/or disabilities as directed by responsible RN, and in conjunction with...
Sponsored by Anthem, Inc. - 5 days ago

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Company with Utilization Management jobs
513 reviews
Anthem, Inc. is one of the nation's leading health benefits companies with nearly 69 million people served by its affiliated companies.