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Utilization Management Nurse Review Specialist
Corizon Health - 454 reviews - Brentwood, TN
Qualificatons of the Corizon Health Utilization Management Nurse Review Specialist. Benefits offered to the Corizon Health Utilization Management Nurse Review...
Day Shift Charge Nurse--RN ONLY
Gallatin Center For Rehabilitation and Healing - Gallatin, TN 37066
$48,000 - $52,920 a year
Registered Nurse (RN). Gives feedback regarding employees performance to unit nurse manager / head nurse or assistant director of nursing / shift supervisor....
Easily apply
Home Health RN Manager of Clinical Practice
Kindred At Home - 109 reviews - Nashville, TN 37211
Admissions Nurse, Admission Nurse, BSN, cardio nurse, cardio RN, cardio registered nurse, cardiac nurse, cardiac RN, cardiac registered nurse, case management,...

Remote Medical Review RN - Part B/DME - Casual Status

NCI Information Systems, Inc. - 5 reviews - Nashville, TN
Advanced Knowledge of utilization review/ quality assurance procedures. As a Remote Medical Review RN - Part B/DME - Casual Status ( Medical Reviewer III ), you...

Utilization Review Nurse - Knoxville, TN

Humana - 2,654 reviews - Knoxville, TN 37932
Humana is seeking a Utilization Review Nurse who will collaborate with other health care givers in reviewing actual and proposed medical care and services...

UTILIZATION MANAGEMENT COORDINATOR (FT)

Rolling Hills Hospital - 21 reviews - Franklin, TN
Experienced Utilization Management Coordinator to. Coordinate and monitor appropriate utilization of services throughout....

Care Coordinator - RN

TriWest Healthcare Alliance - 244 reviews - Nashville, TN
Conducts review and pre-screening reviews for Medical Director prior to non-certification. O Conducts Utilization Management continued stay and inpatient...

Medicare Medical Review RN

NCI Information Systems, Inc. - 5 reviews - Nashville, TN
At least 4 years utilization/quality assurance review and ICD-9/10-CM/CPT-4 coding experience. As the Medicare Medical Review RN ( Medical Reviewer III ), you...

Utilization Management Nurse Review Specialist

Corizon Health - 454 reviews - Brentwood, TN
Qualificatons of the Corizon Health Utilization Management Nurse Review Specialist. Benefits offered to the Corizon Health Utilization Management Nurse Review...

Medical Record Reviewer/Lead Claims Review Analyst

ANALYTICA - 5 reviews - Nashville, TN
ANALYTICA is seeking a Medical Record Reviewer/Lead Claims Review Analyst to perform pre and/or postpay medical review workload for Medicare and/or Medicaid...
Easily apply

RN Medical Reviewer III

CGS Administrators - 21 reviews - Nashville, TN
Provides support and review of medical claims and utilization practices. Administrative experience in health care quality assurance, medical insurance,...

Review Analyst

BlueCross BlueShield of Tennessee - 4,133 reviews - Chattanooga, TN
Performs prospective and retrospective medical necessity reviews. Utilizes the following systems applications when performing comprehensive reviews:....

Medical Record Reviewer/Lead Claims Review Analyst (Virtual...

Select Source Solutions - Nashville, TN
Qualifications for Lead Claims Review Analyst. At least 2 years utilization/quality assurance review and ICD-9-CM/CPT coding experience....
Care Coordinator - RN - Post Acute Care - $2,500 Sign On Bon...
Current unrestricted Registered Nurse or Licensed Practical Nurse licensure and ability to obtain in other states Certified Case Manager (CCM) preferred Minimum...
Case Manager / Utilization Review Nurse
XSOLIS - Nashville, TN
Case Management and/or Utilization Review experience a plus. 2+ years of auditing or medical review experience....

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