utilization review jobs in Nashville, TN

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Telephonic Transplant RN Case Manager - Work from home in TN
UnitedHealth Group 1,371 reviews - Brentwood, TN
and conduct clinical reviews of members. In addition... Case Manager (CCM) Experience in utilization and/or concurrent review Careers with Optum. Here's the...
Sponsored by UnitedHealth Group - 14 days ago
Preservice Review Nurse RN (Telecommuting in Brentwood, TN)
UnitedHealth Group 1,371 reviews - Brentwood, TN
pdf This Preservice Review Nurse is a Telecommuting... Responsibilities include: Perform utilization and concurrent review using Milliman criteria Conduct...
Sponsored by UnitedHealth Group - 2 days ago

Case Coordinator

Cigna 635 reviews - Nashville, TN
Strong interpersonal skills with capacity to project warmth & empathy. Current licensure as a Licensed Practical Nurse (LPN) or Licensed Vocational Nurse (LVN)...
4 days ago - save job - email - more...

Prior Authorization RN- Telecommute in Tennessee

UnitedHealth Group 1,371 reviews - Brentwood, TN
A current, unrestricted RN license in Tennessee. Access to high speed internet (company provided). MUST be PC proficiency, to include MS Word, Excel and Outlook...
18 hours ago - save job - email - more...

RN Utilization Review Nurse - Nashville, TN

Cigna 635 reviews - Nashville, TN
Updates as needed. Prepares IRE case file when requests are received for Tech CM appeals. (for example - tiering exception appeals/continuation of SNF.)....
6 days ago - save job - email - more...

Telephonic Transplant RN Case Manager - Work from home in TN

UnitedHealth Group 1,371 reviews - Brentwood, TN
Permanent residence in the state of TN with an active, unrestricted RN license. 3+ years of experience in a hospital, acute care, or direct care setting....
14 days ago - save job - email - more...

LOGISTICS COORDINATOR

Louisiana-Pacific Corporation (LP building Product... 5 reviews - Nashville, TN
Or any equivalent combination of experience and training that demonstrates the ability to perform the key responsibilities of this position....
Louisiana-Pacific Corporation - 1 day ago - save job - email - more...

Utilization Review Specialist

Acadia - Corporate - Franklin, TN
Assist the Corporate UR Director in maximizing reimbursements at the facilities by reducing denials. Provides guidance to facility staff on preventing and...
Miracle Workers - 2 hours ago - save job - email - more...

RN Onsite Review Nurse - Memphis, TN

Humana 604 reviews - Brentwood, TN
Humana is seeking a Clinical RN Advisor for Onsite Review who will collaborate with other health care givers in reviewing actual and proposed medical care and...
28 days ago - save job - email - more...

CHOICES Care Coordinator Manager (Middle Grand Region - Nash...

BlueCross BlueShield of Tennessee 28 reviews - Nashville, TN
Management of supervisory level personnel and care coordination staff. Participate in hiring and conducting ongoing training of the care coordination team....
11 days ago - save job - email - more...

Nurse Consultant Utilization Review

Gallagher Bassett Services, Inc. - Franklin, TN
Must have unrestricted work authorization to work in the United States. Follows national and state guidelines for approval of treatment , medications, etc....
30+ days ago - save job - email - more...

Medical Review Nurse

NCI Information Systems, Inc. 96 reviews - Nashville, TN
Ability to read Medicare claims, both paper and electronic, and a basic knowledge of the Medicare claims systems....
15 days ago - save job - email - more...
TriStar Centennial Medical Center - Registered Nurse (RN) -...
USr Healthcare - Nashville, TN
Nurse (RN) - Utilization Review - PRN Our 657 bed... Review - PRN. Responsibilities: * The Utilization Review Nurse performs medical necessity reviews on all...
Sponsored by NurseJobsNationwide.com - 21 days ago
TriStar Skyline Medical Center -Case Manager (RN) - FT Days
HCA-Tristar Health - Nashville, TN
Current Tennessee RN licensure. Three years of Case Management and/or Utilization Review/Discharge planning experience preferred. Computer application skills...
Sponsored by CareerBuilder - 18 days ago
Telephonic Utilization Review RN - office based
UnitedHealth Group 1,371 reviews - Nashville, TN
telephonic utilization and concurrent review using Milliman criteria Conduct clinical chart reviews... discharge planning, utilization or case management...
Sponsored by CareerBuilder - 12 days ago
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Company with utilization review jobs
1,371 reviews
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