• UR Clinical Specialist

    Community Health Systems (Franklin, TN)
    …The Clinical Utilization Review Specialist is responsible for evaluating the necessity, appropriateness, and efficiency of hospital services to ensure compliance with ... utilization management policies. This role conducts admission and continued stay reviews, supports denials and appeals activities, and collaborates with healthcare providers to facilitate efficient patient care. The Clinical Utilization Review Specialist… more
    Community Health Systems (07/29/25)
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  • Physician Advisor Coordinator

    HCA Healthcare (Nashville, TN)
    …and contractual agreements + Possess current knowledge of CMS, Corporate and Division UR requirements and billing procedures + Monitor P2P's and observation (OBS) vs ... inpatient (IP) cases + Monitor and update MIDAS with pertinent information + Prepare monthly P2P reports from multiple data sources + Maintain P2P impact report for the Physician Advisors **What qualifications you will need:** + College degree preferred +… more
    HCA Healthcare (08/30/25)
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  • Case Manager / PRN ( RN / RT / SW / LPN )

    Select Medical (Jackson, TN)
    …compliance with facility-wide Utilization Management policies and procedures. + Coordinates UR compliance with Quality Management to assure all licensure and ... accrediting requirements are fulfilled. + Maintains fiscal responsibilities. Assures the department is identifying and negotiating the fullest possible reimbursement to maximize insurance benefit coverage for the patient. Reviews insurance verification forms… more
    Select Medical (08/23/25)
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  • Case Manager / PRN ( RN / RT / SW / LPN )

    Select Medical (Nashville, TN)
    …compliance with facility-wide Utilization Management policies and procedures. + Coordinates UR compliance with Quality Management to assure all licensure and ... accrediting requirements are fulfilled. + Maintains fiscal responsibilities. Assures the department is identifying and negotiating the fullest possible reimbursement to maximize insurance benefit coverage for the patient. Reviews insurance verification forms… more
    Select Medical (08/23/25)
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  • ETP Analyst - Wealth Management, Birmingham AL;

    Regions Bank (Nashville, TN)
    …be currently authorized to work in the United States on a full-time basis. \# UR **Position Type** Full time **Compensation Details** Pay ranges are job specific and ... are provided as a point-of-market reference for compensation decisions. Other factors which directly impact pay for individual associates include: experience, skills, knowledge, contribution, job location and, most importantly, performance in the job role. As… more
    Regions Bank (08/20/25)
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  • ETP Intern - Wealth Management, Multiple Locations

    Regions Bank (Nashville, TN)
    …or a related business major **Preferences** + Preferred minimum 3.0 GPA \ \# UR **Position Type** Full time **Incentive Pay Plans:** This job is not incentive ... eligible. **Position Type** Full time **Benefits Information** Regions offers a benefits package that is flexible, comprehensive and recognizes that "one size does not fit all" for benefits-eligible associates.… more
    Regions Bank (08/19/25)
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  • Case Manager RN PRN

    HCA Healthcare (Dickson, TN)
    …Associate Degree + 3+ years of clinical nursing experience required + Prior CM, UR and discharge planning experience preferred + BLS required within 30 days TriStar ... Horizon Medical Center is an accredited, 150+ bed regional medical center. We offer a full array of services. These include cardiology and diagnostic imaging. These include emergency, inpatient rehabilitation. Also including oncology, orthopedics, and women's… more
    HCA Healthcare (08/03/25)
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  • Maintenance Technician

    United Rentals (La Vergne, TN)
    …screens, painting, filters/dampers, replacing skin, trim, tagging of equipment, removal/install of UR decals and equipment numbers + Hooking mobile office to power ... a reasonable accommodation at any point of the application process, please email ###@ ur .com for assistance. At United Rentals, we proudly hire active duty members,… more
    United Rentals (07/16/25)
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  • Coordinator-Authorization

    Baptist Memorial (Memphis, TN)
    …escalations, and communication and coordination between payer, business office and UR Team Job Responsibilities + Completes payer notification + Communicates ... incorrect payer with patient access + Communicate with Utilization Review Nurse + Works assigned queues in the electronic medical record + Documents next review dates in the electronic medical record + Documents and updates authorized or denied information on… more
    Baptist Memorial (07/09/25)
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  • Enabling Technology Program Director

    St John's Community Services (Jackson, TN)
    …regardless of circumstances, has the right and opportunity to live their best life is o ur mission, and our mission is what drives us and is at the heart of our ... services and programs. What are we looking for? We are looking to add anEnabling Technology Program Director(ETPD) to our team. As the ETPD, you will monitorand evaluate all aspects of assigned program operations to ensure the quality of service for all… more
    St John's Community Services (06/28/25)
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