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Registered Nurse (RN)--Utilization Review--FT
Utilization Review Nurse. The Utilization Review Nurse performs medical necessity reviews on all commercial payor admissions to obtain authorization for care...
Sponsored by HCA Inc
Hospital / Manager Job in Chattanooga, Tennessee / Hospital...
HCA - 654 reviews - Chattanooga, TN
Performs utilization review ensuring admissions meet criteria for appropriateness of care and medical necessity....
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RN Supervisor
Blakeford at Green Hills - Nashville, TN
Registered Nurse (RN). Review resident care plans for appropriate resident goals, problems, approaches and revisions based on nursing needs....
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Medical Review Nurse

StrategicHealthSolutions - Franklin, TN
Medical Review Nurse I, II, III – in Franklin TN. Prior functional working experience in medical records review arena preferred (Utilization Review, Case...

Utilization Management Representative l-III - Nashville, TN...

Anthem, Inc. - 1,631 reviews - Nashville, TN
Refers cases requiring clinical review to a Nurse reviewer. The Utilization Management Rep l is responsible for coordinating cases for precertification and...

RN Onsite Utilization Review - Knoxville, TN

Humana - 1,910 reviews - Knoxville, TN 37932
Conduct admission review, post-discharge calls and discharge planning. Humana is seeking a Onsite Nurse who will collaborate with other health care givers in...

Review Analyst (Acute Care)

BlueCross BlueShield of Tennessee - 3,267 reviews - Chattanooga, TN
Performs prospective and retrospective medical necessity reviews. Utilizes the following systems applications when performing comprehensive reviews:....

Case Manager RN PT Sat/Sun 12Hr shifts w/benefits

North Knoxville Medical Center - Powell, TN 37849
Case Management / Utilization Review. Must be a registered nurse with 2-4 years of clinical experience. Case Manager RN PT Sat/Sun 12Hr shifts w/benefits....

Case Manager RN FT

North Knoxville Medical Center - Powell, TN 37849
Case Management / Utilization Review. Must be a registered nurse with 2-4 years of clinical experience. Case Manager RN FT....

SSC- Appeal Nurse

Shared Services Center - Franklin - Franklin, TN
Utilization review and/or case management experience preferred. SSC- Appeal Nurse. Review all assigned inpatient denials;...

Medicare Medical Review Project Supervisor

StrategicHealthSolutions - Franklin, TN
Active Registered Nurse license. We are hiring a Medicare Medical Review Project Supervisor who has 3 plus years of professional experience and an active...

Inpatient Care Nurse - Telephonic

WellCare - 533 reviews - Brentwood, TN 37027
2 years of experience in a clinical setting with general nursing exposure in utilization management to include pre-authorization, utilization review, concurrent...

Office Based Case Manager - Franklin, TN

UnitedHealth Group - 3,963 reviews - Franklin, TN
Experience in utilization review, concurrent review and / or risk management. Interact with home visit Nurse Practitioners to coordinate care Required...
RN Onsite Utilization Review - Knoxville, TN
Humana - 1,910 reviews - Knoxville, TN
RN Onsite Utilization Review. Conduct admission review, post-discharge calls and discharge planning. Humana is seeking a Onsite Nurse who will collaborate with...
Sponsored by InsuranceJobs.com
Case Mgr Lead (FT/Days)
Participates in preparation for Utilization Review meeting. This may involve assisting with projects, review and/or developing policies, and conducting periodic...
Sponsored by HCA Inc

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Utilization Review Nurse salaries in Tennessee

$55,327 per year

27.5% lower than national average

$41,466$73,820
Common

Estimated salary from 11 employees and 1 jobs