Average salary: $141,962 /yearly

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Search Results: 6,927 vacancies

 ...medical services and procedures in the hospital setting. Utilization review is the assessment for medical necessity, both for admission to...  ...Qualifications: * Required Education: Associates Degree in Nursing Preferred Education: Bachelors Science Nursing or higher *... 
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Relief

Community Health System

Franklin, TN
2 days ago
 ...Description & Requirements Maximus is hiring a Clinical Reviewer to support our North Dakota QRTP program. The Clinical Reviewer reviews...  ...wellness programs and enticing discount programs *This is a remote position. North Dakota residency preferred, but not required.*... 
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Permanent employment
Contract work
For contractors
Home office

Maximus

Nashville, TN
18 hours ago
 ...Experienced Document Review Attorney – Remote Great opportunity for l icensed attorneys with document review experience interested in quality focused e-Discovery. We have some projects anticipated to start soon and others in the pipeline.  Please apply to get on... 
Remote job
Hourly pay
Full time
Flexible hours

Dauntless Discovery

Nashville, TN
4 days ago
We are seeking a dedicated Utilization Review RN Case Manager to join our collaborative team...  ...perfect fit if you have: A Registered Nurse license with a minimum of 5 years of...  ...6 pm EST (with occasional late shifts) Remote Position: Work from home Occasional compensated... 
Remote job
Holiday work
Full time
Afternoon shift
Monday to Friday

Get It Recruit - Healthcare

Nashville, TN
3 days ago
 ...Provides utilization management review of worker's compensation claims . Accesses medical documentation and information provided by medical...  ...of treatment, setting and length of treatment required. Essential D Nurse, Consultant, Insurance, Healthcare, Treatment, Medical... 
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Arthur J. Gallagher & Company

Franklin, TN
1 day ago

$89 per hour

 ...: Between $89 - $269 an hour Are you a licensed Psychiatric Nurse looking to launch a private practice, or grow your existing practice...  ...and it’s up to you whether you see your patients in-person or remotely via telehealth while working from home. We accept the... 
Remote job
Full time
Private practice
Flexible hours

Headway

Nashville, TN
3 days ago
 ...Job Description Due to continued organizational growth, Liberty Healthcare Corporation is hiring Registered Nurses for new PASSR Clinical Reviewer positions. Flexible part-time and traditional full-time schedules are available. As a Reviewer with Liberty Healthcare... 
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Holiday work
Full time
Part time
Immediate start
Flexible hours

Liberty Healthcare Corporation

Nashville, TN
4 days ago
 ...analytics, technology solutions, audit, investigation, and medical review. At IntegrityM, we offer a culture of opportunity,...  ...Requirements Minimum three (3) years’ experience practicing nursing as a licensed Registered Nurse Minimum of three (3) years’... 
Remote job
Full time
Flexible hours

Integrity Management Services, Inc.

Nashville, TN
3 days ago
 ...Behavioral Health setting. As a Behavioral Health Utilization Review Clinical Specialist, you will be responsible for assessing the...  ...authorizations. Qualifications: Education: Associates Degree in Nursing (Preferred: Bachelor of Science in Nursing or higher)... 
Remote job
Full time
Flexible hours

Get It Recruit - Healthcare

Franklin, TN
12 days ago
 ...Job Description Position Type:Inspector, Assembly and Material Review Location: Nashville, TN Hourly rate: $28.00 Inspector, Assembly and Material Review Occupation Summary This occupation requires the inspection of assemblies and subassemblies... 
Suggested
Hourly pay
Day shift
Afternoon shift

Apollo Professional Solutions

Nashville, TN
2 days ago
 ...Job Description Job Description Position Summary The Utilization Review Specialist applies expertise of payer behavior and clinical guidelines to optimize utilization review (UR) outcomes. Primary Duties & Responsibilities Reviews medical records for quality... 
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Promises Behavioral Health, LLC

Brentwood, TN
2 days ago
 ...Assistance Program ~ Employee Resource Groups ~ Personal and professional development program Job Summary The Estimate Review Specialist in the Quality Assurance Department is responsible for performing quality, accurate job file audits to ensure client guidelines... 
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Holiday work

Servpro Industries, LLC

Nashville, TN
1 day ago
 ...This position will operate on a remote, freelance basis. Applicants must be located in either the US or Canada. Are you an experienced...  ...for everything PC? XDA is looking for a Computing Product Reviewer to cover relevant and up-to-date informative PC updates and... 
Remote job
Freelance

Busy Pixel Media

Nashville, TN
18 hours ago

$106 per hour

 ...Headways is a flexible service, meaning your hours are yours to set, and it’s up to you whether you see your patients in-person or remotely via telehealth while working from home. We accept the following licenses on a state by state basis: MD DO Not sure if... 
Remote job
Full time
Private practice
Work from home
Flexible hours

Headway

Antioch, TN
3 days ago
 ...work!! We are currently searching for a high caliber Clinical Review Coordinator to help facilitate the organ donation process by conducting...  ...will be a hybrid role – meaning some duties may be completed remotely and some duties will be completed in the office. COMPANY... 
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Temporary work
Local area

Tennessee Donor Services

Nashville, TN
8 days ago
 ...Oversees all functions of a virtual IOP caseload Completes peer reviews on cases with insurance Collaborates at a high level to...  ...considering applicants in CA, CO, NY, and WA for this position. #LI-Remote Our Values Connection Care deeply We care... 
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Full time

Charlie Health

Nashville, TN
12 days ago
 ...organ donation and we want professionals on our team that will embrace this important work!! DCI Donor Services is seeking a Quality Review Coordinator to join our team. The Quality Review Coordinator performs ocular and tissue donor record quality assurance review in... 
Temporary work
Local area

DCI Donor Services

Nashville, TN
a month ago
 ...Job Description Job Description Nurse Care Manager Role Summary The role of the Nurse Care Manager is responsible for assisting patients diagnosed with complex illnesses, recovering from a traumatic clinical event, or managing multiple clinical co-morbidities... 
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Lucent Health Solutions LLC

Nashville, TN
9 days ago
 ...studies and implementing ways of measuring efficiency and effectiveness of programs or policies specifically designed for the Community Review Board. *All applications are subject to public disclosure.* The Community Review Board has the power to review allegations that... 

Davidson County-Metro Nashville (TN)

Nashville, TN
18 hours ago
 ..., serving as our trusted private equity sponsor. What do we need? We are seeking a compassionate and proficient Clinical Review Nurse to join our growing team of professionals. The Clinical/Utilization Review Nurse advocates for reimbursement for services provided... 

Aspirion Health Resources LLC

Franklin, TN
a month ago