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 or United States
OnsiteFull Time
0+ YOEManage utilization review processes, secure authorizations, communicate with payers, document authorization activity, and support process improvement. H.S. diploma/GED required; 0-2 years utilization review or admissions experience.
3w
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Supervisor, Utilization Management
Alaska or Arkansas or Arizona or Colorado or Florida or Hawaii or Iowa or Idaho or Illinois or Kansas or Louisiana or Maryland or Minnesota or Missouri or Montana or Nebraska or Nevada or New Mexico or North Carolina or North Dakota or Oklahoma or Oregon or South Carolina or South Dakota or Tennessee or Texas or Utah or Virginia or District of Columbia or Washington or Wisconsin or Wyoming or Phoenix
$101k-$107k/yr RemoteFull Time
3+ YOE3+ MgmtActive RN license, 3+ years healthcare experience, 3+ years supervisory experience, 2+ years utilization review/case management, U.S. citizenship and favorable DoD background investigation required.
InterQual, Microsoft Office, Microsoft Word, Microsoft Outlook, TriWest Intranet, Internet, International Classification of Diseases, Diagnostic and Statistical Manual of Mental Disorders, Current Procedural Terminology, Healthcare Common Procedural Coding System, American Dental codes
2d
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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.
1w
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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
2w
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Utilization Review Coordinator
Mountain City, Tennessee, United States
$22-$25/hr OnsiteFull Time
1+ YOEHigh school diploma/GED, 1+ year administrative or healthcare experience, proficiency with Microsoft Excel and Word, experience with web-based portals, strong communication and customer service skills; insurance authorization knowledge preferred.
Microsoft Excel, Microsoft Word, Zoom, UKG, Workday
3mo
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Utilization Management Program Manager-RN
Arizona or Arkansas or Connecticut or Florida or Georgia or Idaho or Indiana or Iowa or Kansas or Kentucky or Louisiana or Michigan or Mississippi or Missouri or Montana or Nebraska or Nevada or New Hampshire or New Mexico or North Carolina or Oklahoma or Oregon or Pennsylvania or South Carolina or South Dakota or Tennessee or Texas or Utah or Virginia or West Virginia or Wisconsin
RemoteFull Time
5+ YOEUnencumbered Oregon RN within 90 days, 1 year clinical nursing plus 4 years health-plan utilization management, experience with managed care, data analysis, quality management, and electronic documentation.
Microsoft Office, EPIC, Clinical Care Advanced
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
3w
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Utilization Review Care Manager (RN)- Care Management
Cookeville, Tennessee, United States
OnsitePart Time
3+ YOE3+ MgmtAssociates or Bachelors in Nursing required, active state RN license, 3+ years healthcare management experience with case management/utilization review background, computer proficiency, strong clinical knowledge and ability to meet deadlines.
1mo
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Oncology Utilization Review - Remote - 1099 (contract)
Orlando or Arizona or Florida or Minnesota or North Dakota or Oregon or Tennessee or United States
RemoteContract
5+ YOEBoard-certified medical oncologist (MD or DO) with a current medical license in AZ, FL, MN, ND, OR, or TN, 5+ years clinical experience (residency counts), daytime availability, and adherence to HIPAA and company policies.
2d
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Power Utilization Engineer (CR) B - 518652
Chattanooga or Cleveland or Knoxville or Johnson City
OnsiteFull Time
Provide engineering consulting and technical services to promote efficient electrical energy use; develop proposals, evaluate customer needs, and ensure code compliance. Bachelor's in engineering required; PE desirable.
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
2w
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Utilization Management Behavioral Health Professional
Kentucky or Ohio or West Virginia or Virginia or Indiana or Illinois or Tennessee or Missouri
$65k-$89k/yr RemoteFull Time
3+ YOEMust reside in KY or contiguous counties, Bachelor's in nursing or Master's in Human Services plus professional license, 3+ years clinical experience, intermediate Microsoft Office skills.
Microsoft Teams, Microsoft Excel, Microsoft PowerPoint, Microsoft Outlook, Microsoft Word
1mo
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Facilities Utilization Unit Manager (Erwin, TN, US)
Erwin, Tennessee, United States
OnsiteFull Time
9+ YOE5+ MgmtB.S. in science/engineering preferred or extensive industrial experience; 9+ years industry experience (with B.S.) or 17 years without; 5 years supervisory experience in nuclear industry preferred; facilities, leasing, budgeting, maintenance, and staff management experience.
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
8h
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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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RN-Utilization Review
Memphis, Tennessee, United States
OnsiteFull Time
1+ YOEActive RN required, 1+ year clinical experience, diploma/associate in nursing required; BSN/MSN preferred; CCM/ACM preferred; case management experience, critical thinking, communication, and computer skills.
5d
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Water/Wastewater Plant Operator I (Plant Operations)
Kingsport, Tennessee, United States
$45k-$51k/yr OnsiteFull Time
Operate and monitor water/wastewater treatment equipment, perform routine rounds and lab tests, handle bulk chemicals, perform maintenance, and follow safety and regulatory procedures.
SCADA
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