Search Results: 11,975 vacancies

 ...Provides utilization management review of worker's compensation claims . Accesses medical documentation and information provided by medical providers to determine the appropriateness of treatment, setting and length of treatment required. Essential D Nurse, Consultant,... 
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Arthur J. Gallagher & Company

Franklin, TN
1 day 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
17 days ago
 ...services to families for over 30 years. We are looking for Utilization Review Director to join our team of dedicated professionals. Come...  ...in a residential or acute care setting. Knowledge of managed care organizations. Demonstrates understanding of third party... 
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Local area
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Shift Day

Nashville, TN
1 day ago
 ...Job Description Job Description Utilization Review Nurse Case Manager (Oncology) Full-time, Remote Role Summary: The Utilization Review RN Case Manager shall work in a collaborative fashion to promote the provision of quality care and cost-effective outcomes... 
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Holiday work
Full time
Remote job
Shift work
Monday to Friday

Lucent Health Solutions LLC

Nashville, TN
19 days ago
 ...Anticipated End Date: 2024-05-13 Position Title: Utilization Management Representative III Job Description: Utilization Management...  ...coordinating cases for precertification and prior authorization review. How you will make an impact: Responsible for... 
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Local area
Remote job

Elevance Health

Nashville, TN
1 day ago
 ...of this position is to ensure that the utilization process is thorough, organized and streamlined...  ...virtual IOP caseload Completes peer reviews on cases with insurance Collaborates...  ...to problem solve on complex cases with Manager Completes pre-certs and continued... 
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Full time
Remote job

Charlie Health

Nashville, TN
27 days ago
 ...0 years. Website:   We are currently looking for a Utilization Review Coordinator to join our team of dedicated professionals. This...  ...in a residential or acute care setting. Knowledge of managed care organizations. Demonstrates understanding of third party... 
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Local area
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Shift Day

Nashville, TN
a month ago
 ...JOB TITLE: Technical Support Manager - Utilities FLSA STATUS: Exempt DEPARTMENT: Enterprise Solutions Technical Support REPORTS TO...  ...3 Verticals business practices and/or client contracts. * Review Client issue entries for timeliness of corrections. Escalate... 
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Remote job

i3 Verticals, Inc.

Nashville, TN
1 day ago
 ...seeking a compassionate and proficient Clinical Review Nurse to join our growing team of professionals. The Clinical/Utilization Review Nurse advocates for reimbursement for...  ...arguments. Support Operations and Client Management by providing feedback on medical trends,... 
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Aspirion Health Resources LLC

Franklin, TN
more than 2 months ago
We are seeking a dedicated Utilization Review RN Case Manager to join our collaborative team. In this role, you will play a vital part in ensuring the delivery of high-quality care while promoting cost-effective outcomes and the overall well-being of our plan participants... 
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Holiday work
Full time
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Afternoon shift
Monday to Friday

Get It Recruit - Healthcare

Nashville, TN
17 days ago
Utilization management plays a vital role in ensuring the necessity, appropriateness, and efficiency of medical services and procedures within...  ...Behavioral Health setting. As a Behavioral Health Utilization Review Clinical Specialist, you will be responsible for assessing... 
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Full time
Remote job
Flexible hours

Get It Recruit - Healthcare

Franklin, TN
3 days ago
Job Description Operates a variety of company vehicles to collect product from satellite tanks, railcars, and/or customer/company locations, service parts washers, collect used oil filters, and provide additional industrial services, as needed. Oversees the appearance...
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Holiday work
Work visa
Afternoon shift

Clean Harbors

Madison, TN
10 days ago
 ...Negligible Job Shift Day Description Job Summary: The Utility Technician is an entry level role. They will work closely with...  ...as needed All other job duties as assigned by Service Manager, Rental Foreman, or Shop Supervisor Qualifications Job... 
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Full time
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BRAMCO GROUP

La Vergne, TN
3 days ago
 ...stations, facility modification and new construction. From Senior Management to the "boots on the ground", Team Construction, LLC is...  ...and efficient manner. •Prepare ground trenches for pipes and utility lines; dig spread and level dirt and gravel using pick, rake,... 
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Contract work
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Artera

Nashville, TN
1 day ago
 ...+ Lead, coach and advise a small project team in addition to managing their performance (depending upon the structure of a project)...  ...Need + Minimum of 4 years of experience working with Oracle Utilities Industry Solutions (Customer Experience, Customer Operations,... 
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Work experience placement
Local area

Accenture

Nashville, TN
4 days ago
 ...that invests in you as a Denial Coding Review Specialist? At Parallon, you come first....  ...processes/trends and escalate as appropriate* Utilize effective documentation standards that...  ...full-service revenue cycle management, or total patient account resolution, for... 
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Hca

Nashville, TN
4 hours ago
 ...provides advancement opportunities and promotes a healthy work-life balance. Apply now! Responsibilities: In the role of Kitchen Utility Worker you will help serve meals and clear/wash dishes from residents tables following Holiday procedures. Prepare, wash and... 
Holiday work
Full time
Part time
Immediate start

Holiday by Atria - Greenwood Terrace

Nashville, TN
4 hours ago
 ...+ Maintain cleanliness and housekeeping for a safe working environment **Required Qualifications** + Previous maintenance or utility experience + Familiarity with computer systems + Ability to wear all required PPE (including respirator) + Basic Math including... 
Holiday work
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Relocation
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Cargill

Nashville, TN
2 days ago
 ...About Us Integrity Management Services, Inc. (IntegrityM) is an award-winning, women-owned small business specializing in assisting...  ...analytics, technology solutions, audit, investigation, and medical review. At IntegrityM, we offer a culture of opportunity,... 
Full time
Remote job
Flexible hours

Integrity Management Services, Inc.

Nashville, TN
3 days ago
Pine Bluff Materials in Nashville Tennessee is currently recruiting utility/equipment operators. Chosen candidates will report to Nashville in a daily basis to the Pine Bluff Materials Visco Location in Nashville TN. Job Description Utility/Equipment Operator Must... 
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Pine Bluff Materials, Co.

Nashville, TN
2 days ago