• Utilization Review…

    Community Health Systems (Franklin, TN)
    **Job Summary** The Utilization Review Coordinator ensures efficient and effective management of utilization review processes, including denials and ... timely authorizations for hospital admissions and extended stays. The Utilization Review Coordinator monitors and documents all authorization activities,… more
    Community Health Systems (11/22/25)
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  • Coordinator , Intake Utilization…

    Evolent (Nashville, TN)
    …Evolent for the mission. Stay for the culture. **What You'll Be Doing:** The ** Coordinator , Intake Utilization Management** at Evolent will serve as a point of ... requirements, and client contractual agreements. **Collaboration Opportunities** : The Coordinator , Intake Utilization Management reports directly to the… more
    Evolent (01/06/26)
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  • SNF Utilization Management RN - Compact Rqd

    Humana (Nashville, TN)
    … or discharge planner in an acute care setting + Previous experience in utilization management/ utilization review for a health plan or acute care ... part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination,… more
    Humana (12/12/25)
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  • Equipment Inventory Coordinator

    HCA Healthcare (Nashville, TN)
    …opportunity compelling, we encourage you to apply for our Equipment Inventory Coordinator opening. We promptly review all applications. Highly qualified ... vary by location._** We are seeking a(an) Equipment Inventory Coordinator for our team to ensure that we continue...of equipment in the facilities and reporting of facility utilization /need. **In this role you will be responsible for:**… more
    HCA Healthcare (12/30/25)
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  • MDS Coordinator

    Manchester Center for Rehabilitation and Healing (Manchester, TN)
    …trends on a monthly basis + Responsible for timely and accurate completion of Utilization Review and Triple Check + Serves on, participates in, and attends ... MDS Coordinator Manchester Center for Rehabilitation and Healing is...and Healing is looking for talented and motivated MDS Coordinator to join our dynamic team. The position is… more
    Manchester Center for Rehabilitation and Healing (12/20/25)
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  • MDS Coordinator -Certified

    Covenant Health Inc. (Knoxville, TN)
    Overview Certified MDS Coordinator , Registered Nurse, Transitional Care PRN/OCC, Variable Hours, Day Shift Fort Sanders Regional Overview: Fort Sanders Regional ... in a manner that accurately captures the RUG (Resource Utilization Group) category. + Will provide a schedule of...as needed based on timeliness of completion. The MDS Coordinator is expected to report any issues with timely… more
    Covenant Health Inc. (11/12/25)
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  • MDS Coordinator

    Green Hills Center for Rehabilitation and Healing (Nashville, TN)
    …trends on a monthly basis + Responsible for timely and accurate completion of Utilization Review and Triple Check + Serves on, participates in, and attends ... MDS Coordinator The Green Hills Center for Rehabilitation and...Healing is looking for a talented and hard-working MDS Coordinator to join our ever-growing team. We are seeking… more
    Green Hills Center for Rehabilitation and Healing (12/19/25)
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  • Coordinator , Category - General…

    Pilot Company (Knoxville, TN)
    …in-store programs and services) 6. Support and coach Category Managers with the utilization of the inventory management system and associated processes 7. Review ... and approve appearance level change requests related to placement or inventory levels made by field operations 8. Run database queries and distribute weekly and monthly inventory management system performance reports 9. Set up new store order entry access in… more
    Pilot Company (01/09/26)
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  • RN Coord Trauma PI PRN WFH

    HCA Healthcare (Nashville, TN)
    …and continue to learn! **Job Summary and Qualifications** The Trauma Program Coordinator , under the direction of the Trauma Program Director, shares 24-hour ... of the Trauma program with the Trauma Medical Director. The Trauma Program Coordinator , in collaboration with the Medical Director, is responsible for assuring all… more
    HCA Healthcare (12/13/25)
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  • Case Manager, Registered Nurse - Fully Remote

    CVS Health (Nashville, TN)
    …with transferring patients to lower levels of care. + 1+ years' experience in Utilization Review . + CCM and/or other URAC recognized accreditation preferred. + ... AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical management services that support… more
    CVS Health (01/03/26)
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