utilization review jobs in Nashville, TN

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Utilization Review Specialist
JourneyPure - Murfreesboro, TN
Our Utilization Review Specialist works under the Director of Utilization Review and is responsible for establishing and maintaining positive and effective...
Easily apply
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Nurse Auditor
Advent Health Partners - Nashville, TN
Case Management and/or Utilization Review experience a plus. Medical Review or Auditing:. 2-5 years of auditing or medical review experience....
Easily apply
Sponsored
Case Manager PRN
In Case Management, Nursing, or Utilization Review, preferred. The....
Sponsored by HCA Inc

Medicare Medical Review RN

NCI Information Systems, Inc. - Nashville, TN
At least 2 years utilization/quality assurance review and ICD-9-CM/CPT coding experience DRG codes. As the Medicare Medical Review RN ( Medical Reviewer ), you...

Corporate UR Management Specialist

Acadia Healthcare - Franklin, TN 37067
At least 3 years’ experience in Utilization Management/Review or Case Management. The Corporate Utilization Management Specialist provides onsite and virtual...

Case Management Auditor/Educator

ARDENT HEALTH SERVICES - 57 reviews - Nashville, TN 37215 (Green Hills area)
Care, and Utilization Review. Management documentation, case management processes, utilization review. Management, TOC, and utilization review, revenue cycle...

Care Coordinator Manager (CHOICES) (Nashville)(Telecommute)

BlueCross BlueShield of Tennessee - 3,341 reviews - Nashville, TN
Ensure compliance with federal, state, and agency policies, procedures, and standards through documentation review, clinical outcomes analysis, and staff...

Nurse Case Manager

Cigna - 1,642 reviews - Nashville, TN
Provides clinical assessments, health education, and utilization management to members. Performs prospective, concurrent, and retrospective reviews for...

Medical Management Specialist I - Nashville, TN (119491)

Anthem, Inc. - 1,583 reviews - Nashville, TN
Responsibilities exclude conducting any utilization management review activities which require interpretation of clinical information....

Part Time Nurse Auditor

Sante - Nashville, TN
Case Management and/or Utilization Review experience a plus. Medical Review or Audit:. 2-5 years of auditing or medical review experience....
Easily apply

Nurse Case Manager

SEVEN CORNERS - Nashville, TN
Is one of the industry’s most experienced international travel health insurance, trip cancellation, international utilization review, and international...

Authorizations Coordinator

Centerstone - 67 reviews - Nashville, TN
Coordinates the submission of utilization reviews for reauthorization of services. The Authorizations Coordinator is an integral member of a behavioral health...

Nurse Auditor

Advent Health Partners - Nashville, TN
Case Management and/or Utilization Review experience a plus. Medical Review or Auditing:. 2-5 years of auditing or medical review experience....
Easily apply
RN Case Manager/Care Navigator
Lincoln County Health System - Tennessee
Hours on Saturday and Sunday is 7:30 a.m. - 4 p.m., Utilization review, collaboration with patients/families to facilitate process through acute episode of care...
Easily apply
Sponsored
Part Time Nurse Auditor
Sante - Nashville, TN
Case Management and/or Utilization Review experience a plus. Medical Review or Audit:. 2-5 years of auditing or medical review experience....
Easily apply
Sponsored

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