• Nurse Reviewer I

    Elevance Health (Nashville, TN)
    ** Nurse Reviewer I** **Virtual:** This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing ... rotating weekends.** **New Grads are encouraged to apply!** The ** Nurse Reviewer I** will be responsible for...that are routine having limited or no previous medical review experience requiring guidance by more senior colleagues and/or… more
    Elevance Health (11/04/25)
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  • Clinical Reviewer , Nurse (Medical…

    Evolent (Nashville, TN)
    …for the mission. Stay for the culture. **What You'll Be Doing:** The Nurse Reviewer is responsible for performing precertification and prior approvals. Tasks ... cost effective care delivery. **What You'll Be Doing:** + Performs utilization review of outpatient procedures and ancillary services. + Fulfills on call… more
    Evolent (10/21/25)
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  • Revenue Utilization Review (RUR) Assistant…

    Veterans Affairs, Veterans Health Administration (Smyrna, TN)
    …and the integration of VHA and industry best standards. The Revenue Utilization Review (RUR) Assistant Nurse Manager is accountable to the CPAC Director ... of the United States. Responsibilities As the Revenue Utilization Review (RUR) Assistant Nurse Manager is accountable to the Consolidated Patient Account Center… more
    Veterans Affairs, Veterans Health Administration (11/04/25)
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  • RN Utilization Specialist/ Review

    YesCare Corp (Brentwood, TN)
    …that is transforming lives through care and expertise. **Key Responsibilities:** + The nurse will focus on what's best for the patients within assigned contracts and ... involved in the implementation of a comprehensive outpatient/inpatient review process utilizing criteria based review standards and standards of best practice… more
    YesCare Corp (10/30/25)
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  • Manager, Fraud & Waste Investigation…

    Humana (Nashville, TN)
    …and help us put health first** The Manager, Fraud and Waste Investigator: Nurse Audit/ Review performs clinical audit/validation processes to ensure that medical ... is complete, compliant and accurate to support optimal reimbursement. The Manager, Nurse Audit/ Review works within specific guidelines and procedures; applies… more
    Humana (11/04/25)
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  • Senior Nurse Pract-Onc

    Covenant Health Inc. (Knoxville, TN)
    …infusion centers throughout our region. Position Summary: The Senior Oncology Nurse Practitioner is a highly specialized APRN focused on providing comprehensive ... (TOG) patients in both the inpatient and outpatient setting. The Oncology Nurse Practitioner (ONP) will provide care to hematology-oncology patients in collaboration… more
    Covenant Health Inc. (10/31/25)
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  • Quality Nurse Coordinator

    HCA Healthcare (Nashville, TN)
    …charitable organizations. Apply today! **Job Summary and Qualifications** The Quality Nurse Coordinator coordinates and facilitates Quality/Peer Review Committee ... growth, we encourage you to apply for our Quality Nurse Coordinator opening. We promptly review all...our Quality Nurse Coordinator opening. We promptly review all applications. Highly qualified candidates will be contacted… more
    HCA Healthcare (09/27/25)
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  • Certified Registered Nurse Anesthetist

    Veterans Affairs, Veterans Health Administration (Nashville, TN)
    …determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply. ... Pay Schedule CA92 VA offers a comprehensive total rewards package: VA Nurse Total Rewards Pay: Competitive salary, regular salary increases, potential for… more
    Veterans Affairs, Veterans Health Administration (10/25/25)
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  • Med Surg Nurse PRN

    HCA Healthcare (Springfield, TN)
    …important to you, we encourage you to apply for our Acute Care Registered Nurse opening. Our team will promptly review your application. Highly qualified ... positions. Join our Team as an Acute Care Registered Nurse and access programs to assist with every stage...certifications and job skills. Apply today for our Registered Nurse opening and continue to learn! Job Summary and… more
    HCA Healthcare (10/31/25)
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  • Assistant Nurse Manager (7A)

    Veterans Affairs, Veterans Health Administration (Murfreesboro, TN)
    …after complete review of the EDRP application. Responsibilities The Assistant Nurse Manager (ANM) supports the Nurse Manager (NM) with supervisory duties ... mission. VA offers a comprehensive total rewards package: VA Nurse Total Rewards Pay: Competitive salary, regular salary increases,...Nursing may have opportunity to become registered as a nurse with a state licensing board prior to completion… more
    Veterans Affairs, Veterans Health Administration (10/30/25)
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