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
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.
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.
4w
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UR COORDINATOR (RN OR MSW)
Hopkinsville, Kentucky, United States
OnsiteFull Time
2+ YOEMaster's in social work or active RN license in Kentucky; 2 years psychiatric experience with knowledge of psychotropic medications; experience with utilization review, authorizations, and payer communication.
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
1d
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Underground Utility Locator (SUE)
Nashville, Tennessee, United States
$25-$33/hr FieldFull Time
5+ YOE5+ years locating underground utilities using vLoc Series 2 or ground penetrating radar; read utility maps; valid driver's license; HS diploma/GED; able to lift, enter manholes, travel and work outdoors; background check and drug screen required.
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
1d
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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.
4w
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Utility Foreman
Franklin, Tennessee, United States
$80k-$100k/yr OnsiteFull Time
2+ YOE2+ years heavy construction experience preferred; must manage crews, schedules, budgets, safety, and inspections. Requires knowledge of trenching, excavations, utility systems, and ability to operate heavy equipment.
Microsoft Office, transit, pipe laser, level
1mo
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Utility Locator
Hopkinsville, Kentucky, United States
$19/hr FieldFull Time
0+ YOEAbility to safely locate and mark underground utilities, work outdoors, lift up to 75 lbs, pass a drug screen, hold a valid driver's license and safe driving record, and use ticket/claims technology.
DailyPay
19h
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007445-Utility Person
Russellville, Kentucky, United States
$20/hr OnsiteFull Time
Safely operate haul trucks and mobile equipment, perform utility and housekeeping tasks, conduct pre-operational inspections, follow safety and environmental policies, pass physical, drug screen, and background check.