• RN-Utilization Review

    Baptist Memorial (Memphis, TN)
    …of healthcare services and treatment as prescribed by utilization review standards. The UR Nurse works with providers, insurance companies and patients to ensure ... Purpose of Position and Scope of Responsibility Job Summary The Utilization Review Nurse is responsible for evaluating the medical necessity and appropriateness… more
    Baptist Memorial (06/14/25)
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  • UR Clinical Specialist

    Community Health Systems (Franklin, TN)
    …and patient confidentiality standards. **Licenses and Certifications** + RN - Registered Nurse - State Licensure and/or Compact State Licensure required + CCM - ... Certified Case Manager preferred or + Accredited Case Manager (ACM) preferred Equal Employment Opportunity This organization does not discriminate in any way to deprive any person of employment opportunities or otherwise adversely affect the status of any… more
    Community Health Systems (07/29/25)
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  • Case Manager / PRN ( RN / RT / SW / LPN )

    Select Medical (Jackson, TN)
    …(PRN)** _Requires a current licensure in a clinical discipline either as a Nurse or a Respiratory Therapist OR Social Work SW/MSW (potential license per state ... compliance with facility-wide Utilization Management policies and procedures. + Coordinates UR compliance with Quality Management to assure all licensure and… more
    Select Medical (08/23/25)
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  • Case Manager / PRN ( RN / RT / SW / LPN )

    Select Medical (Nashville, TN)
    …(PRN)** _Requires a current licensure in a clinical discipline either as a Nurse or a Respiratory Therapist OR Social Work SW/MSW (potential license per state ... compliance with facility-wide Utilization Management policies and procedures. + Coordinates UR compliance with Quality Management to assure all licensure and… more
    Select Medical (08/23/25)
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  • Case Manager RN PRN

    HCA Healthcare (Dickson, TN)
    …TriStar Horizon Medical Center, our nurses play a vital part. We know that every nurse 's path and purpose is unique. Do you want to create your own personal career ... 30 days of employment start date + (RN) Registered Nurse license in the state of TN + Associate...years of clinical nursing experience required + Prior CM, UR and discharge planning experience preferred + BLS required… more
    HCA Healthcare (08/03/25)
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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… more
    Baptist Memorial (07/09/25)
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