Utilization Review Jobs in Tennessee
1 - 8 of 8
Search Results - Utilization Review Jobs in Tennessee
American Traveler-Kingsport
Handles appeals, denials, prior authorizations, and utilization review including medical necessity determinations per evidence-based guidelines
• Knowledge of CMS, DRG, and HIPAA regulatory guidelines required
• First-time travelers are welcome to apply...
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Dane Street, LLC-Dresden (TN)
is established, and no treatment is provided. These are advisory-only opinions.
• Enhanced industry expertise, strengthening your medical practice with medical necessity and utilization review/management expertise
• Expanded credentials as an expert...
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workable.com -
GQR Healthcare-Nashville
Shift: 8 hours, days
• Employment Type: Travel
Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job
Location: Nashville, Tennessee
Start Date: August 24, 2026
Profession: Registered Nurse (RN)
Facility: Hospital
Estimated Pay...
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ICBD-Knoxville
Quality Assurance (QA), Utilization Review (UR), Assessments, Training & Development, and Research. Whether your passion is direct clinical impact, leadership, process improvement, or innovation, we provide opportunities to expand your skills and build a meaningful...
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workable.com -
1 similar job: Glastonbury
American Traveler-Memphis
with tax
• free stipend amount to be determined.
Posted job title: Travel RN
• Case Management/Utilization Review
• Case Management
About American Traveler
With over 25 years of experience, American Traveler has established a reputation for outstanding...
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Conexess Group-Nashville
required.
• Willingness to obtain an RN license in other states with a health center (compact and non-compact locations).
• A minimum of 2 years' clinical work experience required.
• A minimum of 1 year of utilization review, home health, discharge...
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appcast.io -
Optum-Nashville
and determines medical records for utilization review from branch offices
• Ensures all services are billed as provided to the proper payor source
• Provides input, guidance and feedback related to marketing activities and agency marketing plan to ensure...
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Rehabilitation Hospital of Cookeville-Algood
Ensure accuracy of discharge and payor-related information in the patient record.
• Participate in utilization review process: data collection, trend review, and resolution actions.
• Participate in case management on-call schedule as needed...
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appcast.io -
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