2w
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Utilization Management Nurse
Nashville, Tennessee, United States
OnsiteFull Time
3+ YOEPerform prospective/concurrent/retrospective utilization reviews, analyze trends, collaborate with providers, and document reviews; RN license and 3+ years utilization management experience required.
1mo
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Utilization Review Coordinator
Franklin, Tennessee, United States
OnsiteFull Time
0+ YOEHS diploma required; Bachelor's degree preferred; 0-2 years in utilization review; 1-3 years in office/processing center preferred.
case management software
3d
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Utilization Specialist
Murfreesboro, Tennessee, United States
OnsiteFull Time
2+ YOEHigh school diploma required. Clinical experience required or 2+ years working with the facility population. Preferred healthcare degree and clinical licensure. CPR and de-escalation/restraint training required.
1w
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Manager of Utilization Review
Franklin, Tennessee, United States
OnsiteFull Time
3+ YOEManage daily utilization review operations, lead and coach coordinators, perform medical record reviews, audit quality, support denial prevention and regulatory compliance.
2w
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Space Utilization Planner
Arnold AFB, Tennessee, United States
$70k-$95k/yr OnsiteFull Time
2+ YOETechnical drafting certification, 2+ years drafting/interior design experience, ability to obtain DoD Secret clearance, U.S. citizenship required; knowledge of AutoCAD/Revit and building/ADA codes preferred.
AutoCAD, Revit
2mo
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VP of Utilization Review
Franklin, Tennessee, United States
RemoteFull Time
7+ YOEBachelor's degree required; master's preferred in nursing, Healthcare Administration, or Business Administration; clinical licensure preferred; 7+ years UR leadership experience in behavioral health; KPI/reporting experience required.
6d
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Utilization Review Nurse- Remote
Franklin, Tennessee, United States
RemoteFull Time
1+ YOEAssess medical necessity and quality of care for members; perform pre-service, concurrent, and retrospective reviews; apply clinical criteria and consult physicians; RN license required.
Interqual, MCG, CPT, ICD-10, HCPCS
2mo
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Clinical Pharmacist - Utilization Management Archimedes
Brentwood or St. Louis or Remote
HybridFull Time
3+ YOEPharmD, active state pharmacist license, 3 years clinical or managed care experience preferred, strong communication, Excel/Office proficiency, remote/hybrid options.
Microsoft Excel, Microsoft PowerPoint, Microsoft Word
1mo
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Epic Tapestry Certified - Utilization Management - Senior Consultant
Nashville or Dallas or Columbus or Atlanta
$63k-$219k/yr HybridFull Time
5+ YOE5+ years in Healthcare IT in an Epic non-clinical leader role, Epic Tapestry certification and certification in an Epic non-clinical app, bachelor's degree or equivalent, project planning, stakeholder communication, and system configuration/testing experience.
Epic Tapestry, Microsoft Excel, Gen AI
1d
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Electrician Working Foreman-Network
Nashville, Tennessee, United States
$46-$65/hr OnsiteFull Time
6+ YOEHigh school diploma, six years utility experience including four years as journeyman/cable splicer and completion of apprenticeship; drug/alcohol clean 12 months, no recent suspensions, passing safety test, able to attain CDL and distinguish colors.
1w
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Wastewater Operator
Thompsons Station, Tennessee, United States
$22-$26/hr OnsiteFull Time
Position for a full-time wastewater operator in Thompsons Station, TN. See official posting for specific certifications and qualifications.
3w
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Billing Specialist and Utilization
Nashville, Tennessee, United States
OnsiteFull Time
2+ YOE2 years college/associate or LADAC eligible; 2+ years experience in substance abuse treatment admissions/medical records; experience with insurance precertification, continued stay reviews, client assessments, billing, and TNWITS.
TNWITS
1mo
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Manager, Medical Review (Medicare - Appeals; Utilization Review; Part A; HHH)
Nashville or Charleston or Beaufort or Columbia or Sumter
HybridFull Time
5+ YOE2+ MgmtBachelor's degree, 5 years clinical and utilization review experience with 2 years supervisory; active RN licensure (state or NLC), Microsoft Office proficiency, strong communication and analytical skills.
Microsoft Office
1mo
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Partner, AI-Enabled CDI, Care Management, and Utilization Management Transformation
Boston or Chicago or New York City or Washington or Nashville or United States
$250k-$350k/yr RemoteFull Time
10+ YOEBachelor's required (advanced preferred), 10+ years in CDI/care management/utilization management or healthcare consulting, deep knowledge of DRGs/denial prevention, EHR workflows, AI-enabled solutions, and strong executive communication.
Epic, NLP, EHR
1mo
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Manager, Medical Review (Medicare - Appeals; Utilization Review; Part A; HHH)
Nashville, Tennessee, United States
HybridFull Time
5+ YOE2+ MgmtBachelor's degree required; 5 years clinical and utilization review experience including 2 years supervisory experience; active RN licensure (state or NLC); strong communication, analytical, and regulatory knowledge; Microsoft Office proficiency.
Microsoft Office
4w
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Lead Utility Engineer or Coordinator
Nashville, Tennessee, United States
$95k-$131k/yr HybridFull Time
8+ YOE8+ years utility coordination experience with TDOT or state DOT standards; knowledge of electric, gas, water, sewer, stormwater, telecom, and fiber utilities; experience identifying utility conflicts and coordinating relocations.
MicroStation/OpenRoads Designer, Civil 3D, GIS
3w
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Trackhoe Operator (Utility)
Murfreesboro, Tennessee, United States
OnsiteFull Time
Experience operating hydraulic excavators for underground utility construction, knowledge of excavation and trenching safety, ability to read utility markings and construction plans, strong communication with crews, dependable attendance.
GPS
1d
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Underground Utility Locator (SUE)
Murfreesboro, Tennessee, United States
$25-$33/hr OnsiteFull Time
5+ YOE5+ years locating underground utilities using vLoc or GPR, ability to read utility maps, valid driver's license, high school diploma, able to lift and enter manholes, successful background check and drug screen.
vLoc Series 2 Locator, ground penetrating radar
2mo
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Mechanical Engineer III - HVAC & Utilities
Nashville, Tennessee, United States
HybridFull Time
5+ YOEBachelor’s in Mechanical or Architectural Engineering; 5+ years experience; Professional Engineer; experience in HVAC/mechanical utilities; AEC experience.
Revit, AutoCAD, Bluebeam Revu, Enscape, Unifi, Dynamo, Grasshopper, Rhino, Microsoft Office, BIM
23h
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FOOD SERVICE UTILITY (FULL and PART TIME) (1556926)
Nashville, Tennessee, United States
$17-$19/hr OnsiteFull Time, Part Time
Maintains kitchen work areas, cleans equipment and utensils, transfers supplies; previous food service utility experience preferred.
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