utilization review nurse jobs near Franklin, TN
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Case Mgr Lead (FT/Days)
Skyline Medical Center - Nashville, TN
Participates in preparation for Utilization Review meeting. This may involve assisting with projects, review and/or developing policies, and conducting periodic...
Blakeford at Green Hills - Nashville, TN
Registered Nurse (RN). Review resident care plans for appropriate resident goals, problems, approaches and revisions based on nursing needs....
Advent Health Partners - Nashville, TN
Case Management and/or Utilization Review experience a plus. Medical Review or Auditing:. The Nurse Auditor will perform medical necessity reviews of clinical...
Registered Nurse (RN) - YKHC, Bethel, AK
ANTHC Tribal Health Recruiting - United States
Registered Nurse Case Manager, Out-Patient Department Position Summary:. This position is accountable for assessing, planning, coordinating, monitoring and...
Clinical Nurse - Utilization Management (TO MG05)
Matrix Providers, Inc. - United States
Refers all first-level review failures to the SGH or other POC for further review and dispositio. This Clinical Nurse will use MTF-specific Quality Improvement...
Case Manager Full Time Kindred Hospital Nashville, TN 37218
Kindred Healthcare - Nashville, TN
Case Manager, Case Management, CM, Utilization Review, CCMC, RN, Registered Nurse, Hospital, Healthcare, Long Term Acute Care, Transitional Care Hospitals....
Onsite NICU Case Manager RN - Nashville, TN
UnitedHealth Group - Nashville, TN
Experience in utilization review, concurrent review and/or risk management. RN, registered nurse, case management experience, Nashville, Chattanooga, Memphis,...
Guardian Angel Home Health - United States
Home Health Registered Nurse. Participates in quarterly utilization review and chart audits (peer and self) for OBQI/OBQM as requested by Agency....
Family Nurse Practitioner
AVA Search Group, LLC - United States
Participates in quality assurance and utilization review. Family Nurse Practitioner. MSN, Family Nurse Practitioner....
Behavioral Health Nurse (LPN) - 101083
Adecco USA - Nashville, TN
Perform document-based and telephonic utilization reviews for contracted services; Professionally develops and documents a clinical rationale supporting the...