Utilization Review RN jobs in Nashville, TN

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Care Coordinator - RN - Post Acute Care - $2,500 Sign On Bon...
The Care Coordinator will conduct clinical review to determine medical necessity of Post-Acute Care services utilizing appropriate guideline/criteria for...
RN Utilization Review Manager-Remote Possible
Kelly Services - 7,514 reviews - Nashville, TN 37228
5 years of Utilization Review experience. Utilization Review, Utilization Management, Case Manager, Prior authorization, discharge planning, HEDIS, medical...
Interim/Traveling Director of Nursing (DON) - Nashville, Ten...
THM INC. - Tennessee
Licensed staff, Nursing assistants and orderlies, Print-outs of physicians’ orders, Physician visits, Re-certifications, Medication reviews, Time schedules, In...
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RN - Clinical Doc Specialist / Metro Center / FT Days

Ascension - 16 reviews - Nashville, TN
Utilization Review Committee). RN - Clinical Doc Specialist. Reviews clinical picture of the patient and assigns a working DRG....

Clinical Reviewer, PASRR (Mental Health)

Ascend, A MAXIMUS Company - Franklin, TN
RN mental health:. Conducts telephonic and document based utilization review that adheres to state directed clinical criteria for determining medical need....
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House Supervisor-Medical

Top TN Workplace--The Next Door - 3 reviews - Nashville, TN
Review new client Echarts to ensure documentation is entered appropriated and signed. Monitor client flow through TND clinic to ensure appropriate utilization...
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Clinical Reviewer PASSR

MAXIMUS - 1,467 reviews - Franklin, TN
This position is responsible for document-based and telephonic utilization reviews for contract services, determining medical necessity for contract-specific...

Case Manager

United Surgical Partners International - 43 reviews - Nashville, TN
Three years related (clinical, acute-care hospital, and/or one year of utilization review). Current TN RN License, current CPR certification, CCM preferred....

Utilization Review Nurse

Catapult Consultants, LLC - 3 reviews - Nashville, TN
2 years utilization/quality assurance review. 5 years clinical experience or equivalent experience in the medical review field....

Director of Clincial Resource, Ambulatory Surgery

Supply Chain - Nashville - Nashville, TN
Current RN license. Understanding of utilization and productivity in a variety of clinical settings. Collaborates with MM to monitors utilization,cost data and...

DIRECTOR OF NURSING

Hermitage Hall - 25 reviews - Nashville, TN 37203
Utilization review experience preferred. We are looking for a dedicated Director of Nursing (DON) for our....

Registered Nurse (RN) Quality and Utilization Risk Manager F...

Summit Medical Center - 36 reviews - Hermitage, TN 37076
That acknowledges both the value of event reporting and review of reported. TriStar Summit Medical Center....

Registered Nurse (RN) Utilization Review Full Time

Southern Hills Medical Center - 12 reviews - Nashville, TN 37211
The Utilization Review Nurse will. Utilization Review Nurse performs activities focused on assessing medical....
Clinical Reimbursement Director
Reviews Medicare charts requested for review from the Fiscal Intermediary. RN or Therapist Licensure. Complete onsite reviews in each Community of the Minimum...
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Interim/Traveling MDS Coordinator (RN)
THM INC. - Tennessee
Organizes and leads the weekly Utilization Review Meeting, discussing each patient's current status and potential discharge goals....
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