• RN Utilization Specialist

    YesCare Corp (Brentwood, TN)
    …+ Assist in completion of special projects on an as needed basis. **Key Qualifications:** + Registered Nurse ( RN ) active license + No less than 5 years' ... lives through care and expertise. **Key Responsibilities:** + The nurse will focus on what's best for the patients...practice. + Facilitate quality health care intervention recommendations. + Review and assess over/under utilization issues. +… more
    YesCare Corp (10/30/25)
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  • RN Medical Claim Review Nurse

    Molina Healthcare (Bowling Green, KY)
    … and/or coding experience, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... JOB DESCRIPTION **Job Summary** The Medical Claim Review Nurse provides support for medical...a hospital setting, including at least 1 year of utilization review , medical claims review ,… more
    Molina Healthcare (10/19/25)
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  • Assessment Specialist PRN

    HCA Healthcare (Nashville, TN)
    …treatment is reimbursed by contacting managed care organizations and completing initial utilization review . Documents in Midas as required. Involves mobile ... any other healthcare provider. We are seeking a(an) Assessment Specialist PRN to join our healthcare family. **Benefits** TriStar...patients in regard to managed care organizations + Conducts utilization review for managed care cases in… more
    HCA Healthcare (09/27/25)
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  • Expanse Clinical Educator

    HCA Healthcare (Nashville, TN)
    …or instruction of Clinical EHR application - Required + Currently licensed as a registered nurse or allied health professional in the state(s) in which he ... join an organization that invests in you as an Expanse Professional Development Specialist ? At HealthTrust, you come first. HCA Healthcare has committed up to $300… more
    HCA Healthcare (09/26/25)
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