• Utilization Management Nurse…

    Humana (Nashville, TN)
    …community and help us put health first** Full-Time, Remote Telephonic opportunity The Utilization Management Nurse 2 utilizes clinical nursing skills to ... communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work...appropriate courses of action. As a Utilization Management RN working on the OneHome/ Home Solutions… more
    Humana (09/12/25)
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  • RN, Manager, Utilization Management…

    Humana (Nashville, TN)
    …a part of our caring community and help us put health first** The Manager, Utilization Management Nursing (LTSS Utilization Management Leader) utilizes ... communication of medical services and/or benefit administration determinations. The Manager, Utilization Management Nursing works within specific guidelines and… more
    Humana (09/28/25)
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  • SNF Utilization Management RN…

    Humana (Nashville, TN)
    **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are… more
    Humana (09/12/25)
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  • Disease Management Nurse - Remote

    Sharecare (Nashville, TN)
    …appropriate resource utilization and desired clinical outcomes. The Disease Management Nurse is also responsible during their interactions with participants ... learn more, visit www.sharecare.com . **Job Summary:** The Disease Management Nurse has the responsibility for supporting...minimum. + This position will be based in a home office which must satisfy all HIPAA requirements. Sharecare… more
    Sharecare (09/13/25)
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  • Case Manager, Registered Nurse

    CVS Health (TN)
    …Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers flexible medical management ... day. **Position Summary** **This is a remote work from home role anywhere in the US with virtual training.**...or Specialty Pharmacy. **Preferred Qualifications** + 1+ years' Case Management experience or discharge planning, nurse navigator… more
    CVS Health (10/02/25)
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  • Clinical UM Nurse 2

    CenterWell (Nashville, TN)
    **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 uses clinical knowledge, communication skills, and ... experience in a high volume and fast paced environment + Previous experience in utilization management + Education: BSN or Bachelor's degree in a related field… more
    CenterWell (09/26/25)
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  • Infusion Referral Nurse - REMOTE

    Prime Therapeutics (Nashville, TN)
    …of post-degree clinical experience. + Experience in managed care, specialty drugs, care management and utilization review. + Meets Credentialing criteria. + At ... drives every decision we make. **Job Posting Title** Infusion Referral Nurse - REMOTE **Job Description** Under supervision, is responsible for performing referral… more
    Prime Therapeutics (10/04/25)
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  • Consultant, Nurse Disability I

    Lincoln Financial (Nashville, TN)
    …and/or proficiency with Disability Management (STD/LTD) knowledge, Workers Compensation, Utilization Review and/or nurse case management preferred skills ... **Alternate Locations:** Work from Home **Work Arrangement:** Remote : Work at ...We are excited to bring on a highly motivated Nurse Disability Consultant to our clinical organization. This position… more
    Lincoln Financial (10/01/25)
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  • Registered Nurse , Remote Triage, evenings…

    ChenMed (Memphis, TN)
    …expanding and we need great people to join our team. The Registered Nurse , Remote Triage, is responsible for providing telephonic triage directional patient care ... client counseling, patient advocacy, health education and referral and resource management to ChenMed patients and their families. Providing on-call coverage, the… more
    ChenMed (09/17/25)
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  • Hospice Registered Nurse RN Full Time 5K…

    Aveanna Healthcare (Franklin, TN)
    …Salary: $37.00 - $43.00 per hour Position Details Position Overview TheHospice Registered Nurse Full-Time is responsible for pain management , symptom control in ... Hospice Registered Nurse RN Full Time 5K Sign on Bonus...of the patient/family during regularly scheduled and after hour home visits; Documents: assessment, identified problems, nursing interventions, goals,… more
    Aveanna Healthcare (09/18/25)
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