212 utilization jobs at 105 companies in Smyrna, TN
1w
Save
Mark Applied
Hide
Utilization Specialist
Burns, Tennessee, United States
OnsiteFull Time
2+ YOEClinical experience or 2+ years working with the facility population; high school diploma; preferred health/social work degrees; preferred clinical licensure; CPR and de-escalation/restraint training; ability to conduct utilization reviews and appeals.
1mo
Save
Mark Applied
Hide
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.
2mo
Save
Mark Applied
Hide
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
2w
Save
Mark Applied
Hide
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
Save
Mark Applied
Hide
Epic Tapestry Utilization Management
Boston or Chicago or New York City or Washington or Nashville
$85-$95/hr RemoteContract, Temporary
Design, configure, implement, and support Epic Tapestry Utilization Management workflows; ensure regulatory compliance; perform testing and documentation; partner with clinical and operational teams.
Epic, Epic Tapestry, Tapestry Care Link, SmartTools, SmartText
3w
Save
Mark Applied
Hide
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.
5d
Save
Mark Applied
Hide
Acquisition Utilization Specialist
Murfreesboro, Tennessee, United States
$75k-$97k/yr OnsiteFull Time
1+ YOERequires one year of specialized experience equivalent to GS-09, or qualifying doctoral-level education. Experience with healthcare procurement, contracts, acquisition packages, negotiations, contract administration, and expenditure monitoring.
Defense Travel System (DTS), Microsoft Word, Microsoft Excel
2mo
Save
Mark Applied
Hide
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.
2w
Save
Mark Applied
Hide
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
Save
Mark Applied
Hide
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
Save
Mark Applied
Hide
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
2w
Save
Mark Applied
Hide
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.
5d
Save
Mark Applied
Hide
WATER SERVICES SENIOR MAINTENANCE TECHNICIAN
Brentwood, Tennessee, United States
$26/hr OnsiteFull Time
3+ YOEHigh school diploma/GED, 3–5 years of water and wastewater experience, Tennessee Class II water distribution or sewer collections license, cross-connections certification, driver's license, and CDL within one year.
SCADA, electronic monitoring and documentation systems
1w
Save
Mark Applied
Hide
Wastewater Plant Operator
McMinnville, Tennessee, United States
$23-$25/hr OnsiteFull Time
High school degree required; must obtain Grade IV water treatment certification within five years. Operates wastewater treatment systems, conducts tests, maintains equipment, and completes regulatory reports.
computer equipment
1d
Save
Mark Applied
Hide
Gas Locate Technician
Nashville, Tennessee, United States
$20/hr FieldFull Time
No prior locating experience required; must have a driver's license, safe driving record, technology proficiency, communication skills, and ability to work outdoors, travel locally, lift up to 75 lbs, and work overtime, weekends, and on-call shifts.
DailyPay
1mo
Save
Mark Applied
Hide
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
Save
Mark Applied
Hide
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
Save
Mark Applied
Hide
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
1mo
Save
Mark Applied
Hide
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
1w
Save
Mark Applied
Hide
Utility Plan Review Technician
Franklin, Tennessee, United States
$78k-$85k/yr OnsiteFull Time
4+ YOEAssociate's degree or equivalent and 4+ years utility-related experience; valid driver\u0019s license; knowledge of water/wastewater practices, CAD, SCADA, and utility regulations.
AutoCAD, MicroStation, Microsoft Word, Microsoft Excel, Microsoft Outlook, Adobe, Bluebeam, SCADA