utilization review jobs in Nashville, TN

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Quality Review Nurse
Brookdale - Nashville, TN
3 years of experience working for a Medicare certified home health agency with 2 years in clinical review, QA, or a management role responsible for coding and...
Sponsored by Brookdale - 4 days ago
Medical Mgmt Specialist I - Nashville, TN - #95484
WellPoint 459 reviews - Nashville, TN
Responsibilities exclude conducting any utilization management review activities which require interpretation of clinical information....
Sponsored by WellPoint - 7 days ago

Medicare Utilization 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...
8 days ago - save job - block - 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...
9 days ago - save job - block - email - more...

Preservice Review Supervisor - Brentwood, TN

UnitedHealth Group 1,552 reviews - Brentwood, TN
The Preservice Review Supervisor is responsible for a team of 12-16 Preservice Review RNs. Supervision, leadership, management, preservice review, Brentwood, TN...
7 days ago - save job - block - email - more...

Quality Review Nurse

Brookdale - Nashville, TN
3 years of experience working for a Medicare certified home health agency with 2 years in clinical review, QA, or a management role responsible for coding and...
4 days ago - save job - block - 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 ....
7 days ago - save job - block - email - more...

Nurse Consultant Utilization Review

Arthur J. Gallagher 42 reviews - Franklin, TN
Experience in Worker's Compensation or Utilization Review. Provides utilization management review of worker's compensation claims ....
Arthur J. Gallagher & Co - 6 days ago - save job - block - email - more...

Manager, Hangar Maintenance H1

Embraer 159 reviews - Nashville, TN
Participates in management’s review and assessment of proposals for major capital expenditures. Review SOP’s for accuracy within every 2 years as required by...
2 days ago - save job - block - email - more...

Medicare Medical Review RN - Casual Employment/Flex Schedule...

NCI Information Systems, Inc. 105 reviews - Nashville, TN
Advanced Knowledge of utilization review/ quality assurance procedures. As the Medicare Medical Review RN - Casual Status ( Medical Reviewer III ), your...
21 days ago - save job - block - email - more...

Ophthalmologist

Catapult Consultants - Nashville, TN
Catapult Consultants is seeking an Ophthalmologist to conduct clinical review of medical records related to cataract procedures provided by a physician(s) under...
6 days ago - save job - block - email - more...

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...
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19 days ago - save job - block - email - more...
Program Director
DISYS 56 reviews - Nashville, TN
$110,000 - $150,000 a year
Ensure project reviews and quality assurance procedures comply commitments to value, cost and timeline. Reviews status reports of Project Managers and Senior...
Sponsored by TheLadders.com - 3 days ago
EVP of Asset Management and Procurement
Gibson Brands, Inc. - Nashville, TN
Maintenance, repairs, utilization, depreciation, and financial performance of assets. Reviews bid proposals from suppliers and enter into contracts within...
Sponsored by TheLadders.com - 22 days ago
Utilization Management Data Entry Coordinator
Corizon Health 25 reviews - Brentwood, TN
Reviews and analyzes unit production and operation. Corizon Health has an exceptional opportunity for a Utilization Management Data Entry Coordinator to join...
Sponsored by CareerBuilder - 24 days ago

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Company with utilization review jobs
459 reviews
WellPoint is a health benefits company, an independent licensee of the Blue Cross and Blue Shield Association.