Utilization Review Nurse jobs in Tennessee

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Quality Review Nurse
Brookdale - Nashville, TN
Clinical Review RN, Home Health QA/QI Nurse, Assisted Living, Independent Living, Medicare Home Health, clinical review, HCS-D, COS-C, coding certified, coding...
Sponsored by Brookdale - 7 days ago
Utilization Review Case Manager / RN
MedSolutions - Franklin, TN
Utilization Review Case Manager Nurse / RN. Performs utilization review activities for Post Acute Care requests and contacts providers where additional...
Easily apply
Sponsored by MedSolutions - 22 days ago

Lead Medicare Claims Reviewer (RN)

Catapult Consultants - Nashville, TN
Must be a Graduate from an accredited school of nursing and has an active license as a Registered Nurse (RN) or Licensed Practical Nurse (LPN)....
3 days ago - save job - email - more...

Medical Review Nurse

CES, LLC - Nashville, TN
LEAD CLAIMS REVIEW ANALYST. Previous Medicare Medical Review experience is preferred. *At least 5 years utilization/quality assurance review and ICD-9-CM/CPT...
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2 days ago - save job - email - more...

Nurse Consultant Utilization Review

Arthur J. Gallagher 42 reviews - Franklin, TN
Nurse Consultant Utilization Review - 16640 Description At Gallagher Bassett Services, Inc. Experience in Worker's Compensation or Utilization Review....
Arthur J. Gallagher & Co - 9 days ago - save job - email - more...

Medicare Medical Review RN

NCI Information Systems, Inc. 105 reviews - Nashville, TN
As the Medical Review Nurse ( Medical Reviewer III ), you will primarily be responsible for conducting clinical reviews of medical records during the course of...
12 days ago - save job - email - more...

PATIENT CARE MANAGER - PRN

Tennova Healthcare - Jefferson City, TN
Licensure as a Registered Nurse in the State of Tennessee. General responsibilities include pre-certification, admission certification, concurrent insurance...
3 days ago - save job - email - more...

RN Utilization Management

Covenant Health Corporate - Knoxville, TN
The RN Utilization Management will perform utilization management functions to include medical necessity reviews to promote a utilization management program...
Covenant Health - 16 days ago - save job - email - more...

Nurse Consultant Utilization Review

Gallagher Bassett Services, Inc. - Franklin, TN - +1 location
Experience in Worker's Compensation or Utilization Review. Provides utilization management review of worker's compensation claims ....
9 days ago - save job - email - more...

Clinical Quality Performance Advisor

Sedgwick Claims Management Services 185 reviews - Memphis, TN
Audits file actions of individual nurses; Delivers Quality Program training for newly hired nurses; Six (6) year of related line of business experience in...
11 days ago - save job - email - more...

Senior Nurse Manager - Remote

MedSolutions - Franklin, TN
Senior Nurse Manager. Assists with overflow referral review, data entry, and utilization / case management activities when necessary....
Easily apply
15 days ago - save job - email - more...

Audit Nurse-RN/LPN-Davidson County

Home Health Care of Middle TN 2 reviews - Nashville, TN
A Registered Nurse (RN) or a Licensed Practical (LPN) Nurse, licensed in the state of Tennessee. 1-2 years of utilization review/quality improvement experience...
2 days ago - save job - email - more...
Telephonic Utilization Management Nurse - Office based in Me...
UnitedHealth Group 1,560 reviews - Memphis, TN
Perform telephonic utilization and concurrent review using Milliman criteria. Conduct clinical chart reviews....
Sponsored by UnitedHealth Group - 8 days ago
Senior Nurse Manager - Remote
MedSolutions - Franklin, TN
Senior Nurse Manager. Assists with overflow referral review, data entry, and utilization / case management activities when necessary....
Easily apply
Sponsored by MedSolutions - 15 days ago
Medical Review Nurse
CES, LLC - Nashville, TN
LEAD CLAIMS REVIEW ANALYST. Previous Medicare Medical Review experience is preferred. *At least 5 years utilization/quality assurance review and ICD-9-CM/CPT...
Easily apply
Sponsored by CES, LLC - 2 days ago

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