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1-10 of 13

utilization review nurse jobs near Franklin, TN

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...

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...

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...

Kindred Healthcare - Nashville, TN

Case Manager, Case Management, CM, Utilization Review, CCMC, RN, Registered Nurse, Hospital, Healthcare, Long Term Acute Care, Transitional Care Hospitals....

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....

AVA Search Group, LLC - United States

Participates in quality assurance and utilization review. Family Nurse Practitioner. MSN, Family Nurse Practitioner....

Adecco USA - Nashville, TN

Perform document-based and telephonic utilization reviews for contracted services; Professionally develops and documents a clinical rationale supporting the...