Utilization Review Assistant

Utilization Review Nurse Responsible for utilization review work for emergency admissions and continued stay reviews. Responsibilities: Review and evaluate electronic medical records of emergency department admissions and screen for medical necessity using InterQual or MCG criteria. Apply evidence-based clinical guidelines and criteria to assess and ensure...

Job Title: Clinical Director Company Name: EvidenceCare Location: Nashville, TN Position Type: Full Time Position Location: Hybrid (Nashville-based) Travel: Up to 50% Pay: Salary Reports to: Clinical Delivery Executive, AdmissionCare Company Overview EvidenceCare is a fast-paced, fun-filled early-stage company scaling their market share with innovative...

Clinical DirectorCompany Name: EvidenceCareLocation: Nashville, TNPosition Type: Full TimePosition Location: Hybrid (Nashville-based)Travel: Up to 50%Pay: SalaryReports to: Clinical Delivery Executive, AdmissionCareCompany Overview: EvidenceCare is a fast-paced, fun-filled early-stage company scaling their market share with innovative healthcare products....

OASIS REVIEWER–HOME HEALTHPOSITIONSUMMARY:TheOASIS Revieweris responsible foranalyzing the data integrity and consistency of OASIS documentation and assessment processes.Workingunder the direct supervision of theCoding and OASIS Managerof Synergy Shared Services (SSS)andcollaboratingwithagencieswithin thescope of work,this rolewillbe vital in ensuring the...

A facility in Nashville, TN is seeking its next amazing RN (Registered Nurse) to work in Case Management (Utilization Review).

A facility in Nashville, TN is seeking its next amazing RN (Registered Nurse) to work in Case Management (Utilization Review). Nurses and allied healthcare professionals are in high demand nationwide, and our team of industry-leading, traveler-favorite recruiters can get you where you want to go — personally and professionally. Wherever you may roam,...

Summary ABOUT WILLIAMSON HEALTH | Williamson Health is a regional healthcare system based in Williamson County, Tennessee, with more than 2,300 employees across more than 30 locations and more than 860 physicians and advanced care practitioners offering exceptional healthcare across 60-plus specialties and subspecialties close to home. The flagship facility,...

Summary ABOUT WILLIAMSON HEALTH | Williamson Health is a regional healthcare system based in Williamson County, Tennessee, with more than 2,300 employees across more than 30 locations and more than 860 physicians and advanced care practitioners offering exceptional healthcare across 60-plus specialties and subspecialties close to home. The flagship facility,...

Summary ABOUT WILLIAMSON HEALTH | Williamson Health is a regional healthcare system based in Williamson County, Tennessee, with more than 2,300 employees across more than 30 locations and more than 860 physicians and advanced care practitioners offering exceptional healthcare across 60-plus specialties and subspecialties close to home. The flagship facility,...

Nurse Reviewer I This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations may be considered if...