Utilization Review Jobs in Memphis, TN

Formulary Strategy & Utilization Review PharmacistShape the drug benefit landscapeanalyze and optimize medication use.Key Responsibilities:Review prescribing trends and propose cost-saving alternatives.Maintain evidence-based formularies across multiple payers.Conduct retrospectiv More...

Established in 1994 NiteLines USA has successfully delivered contract support services to more than 144 government institutions and Medical treatment facilities across the country. Were a dynamic and growing health care organization offering a wide range of employment opportunities. W More...

Location:Lt. Col. Luke Weathers Jr. VA Medical Center(Includes affiliated Community-Based Outpatient Clinics CBOCs)Schedule:Monday Friday 7:30 AM 4:00 PM(Full-Time On-Site)Period of Performance:Base Year: October 1 2025 September 30 2026Option Year 1: October 1 2026 September 3 More...

Clinical Documentation Integrity SpecialistVeterans EngineeringLocation:Lt. Col. Luke Weathers Jr. VA Medical Center(Includes affiliated Community-Based Outpatient Clinics CBOCs)Schedule:Monday Friday 7:30 AM 4:00 PM(Full-Time On-Site)Period of Performance:Base Year: October 1 20 More...

Southwest Tennessee Community College is a comprehensive multicultural public openaccess college. Southwest has five campuses/centers from which it offers over 100 programs and over 20 technical certificate programs.We foster student success transform lives and increase the educationa More...

Manage the daily operations of inpatient outpatient and physician business office functions. Integrate with financial services to ensure the proper presentation of the financial condition of the facility.ESSENTIAL FUNCTIONS: Monitor and report on key metrics such as cash collections d More...

OverviewCritical Illness Recovery HospitalDirector of Case ManagementPosition Will Begin In August 2025$15000 Sign On BonusClinical license as a registered nurse or respiratory therapist or masters in social work and minimum three (3) years of medical case management or similar experi More...

We are actively recruiting for an CAL RNs to join our rapidly growing Population Health team.  The primary role of the Care Manager will be to provide our patients with on-demand telephone-based care management services through a 24/7 Nurse Advice Line (i.e. telephone triage). &# More...

Clinical professional is responsible for facilitating admissions clinical intake assessments and utilization review processes to assure continuity for the most appropriate level of care for patients and their benefit/resource utilization.ESSENTIAL FUNCTIONS:Key Responsibilities: Respo More...

The Global program coordinator is responsible for overseeing areas with combined research and/or clinical functions OR oversees multiple areas with various broad functional groups or with a global focus. Directs and oversees all administrative and operational aspects. Develops and imp More...

Join Our Team!We are seeking a highly motivated and detail-oriented Program Coordinator with a strong background in clinical research to support the Division of Quality of Life and Palliative Carewithin the Oncology Department. The successful candidate will play a critical role in co More...

We are seeking a Program Coordinator to join our team. This role is responsible for coordinating program management activities by performing tasks related to data tracking analysis and implementation of results that meet the goals/objectives of the department.The ideal candidate will More...

We are actively recruiting for an CAL RNs to join our rapidly growing Population Health team.  The primary role of the Care Manager will be to provide our patients with ondemand telephonebased care management services through a 24/7 Nurse Advice Line (i.e. telephone triage). &#xa More...

OverviewCritical Illness Recovery HospitalDirector of Case ManagementPosition Will Begin In August 2025Clinical license as a registered nurse or respiratory therapist or masters in social work and minimum three (3) years of medical case management or similar experience.Previous case m More...

Regional Manager Quality Review for ID/DDGeorgia remote@Orchard LLC is supporting a notforprofit corporation that partners with public and private sectors to create highquality safe and efficient delivery of health care and human services programs. Our client has multiple lines of bu More...

Join our Team!St. Jude Childrens Research Hospital is seeking a talented highly motivated scientific Program Coordinator to join the Center of Excellence for Innate Immunity and Inflammation (CoEIII) under the direction of Dr. ThirumalaDevi Kanneganti. This is your chance to be part o More...

At Amazon we believe that every day is still day one. We are working to be the most customercentric company on earth. To get there we need exceptionally talented bright and driven people. If youd like to help the Disability Leave Services (DLS) team build a bestinclass professional s More...

The Utilization Review Case Manager requires effective communication and coordination with the Director of Utilization Review insurance companies and treatment team to obtain the maximum benefits for our clients.  The Utilization Review Case Manager will submit accurate utilizati More...

License and Certification: Must be qualified to independently complete an assessment within the scope of practice of his/her discipline (for example RN SW OT PT ST and Rehabilitation Counseling). If licensure is required for his/her discipline within his/her state individual must hol More...