Utilization Review Jobs in Memphis, TN

Available Hours: Shifts are on the weekend Fri-Sun. Timeframe - Between 1:00pm-9:00pm EST. Bi-Weekly Minimum of 16 weekend hours. Monthly Required Hours: 32 weekend HoursWe are actively recruiting for an After Hours Care Manager to join our rapidly growing Population Health team.&#xa0 More...

OverviewUnder the direction of the Site Manager of the Clinical Documentation Integrity (CDI) program the Clinical Documentation Specialist (CDS) strives to achieve accurate and complete documentation in the inpatient medical record to support precise ICD-10-CM and ICD-10-PCS coding a More...

The Virtual Clinic Nurse Practitioner OR Physician Assistant will be responsible for providing direct patient care in Privias Virtual Clinic. Day-to-day this role will be treating patients virtually through a HIPAA-compliant telehealthplatform and will support efforts in developing cl More...

DescriptionPosition Summary: Provide operational leadership toindividual contributors and hourly workforce to ensure the execution of daily tasks and activities including driver deliveries loading/unloading of trailers cross docking and customer service operations in a manner consiste More...

The Faculty Affairs Program Coordinator is responsible for coordinating Faculty Affairs program activities by performing tasks related to department policies and procedures projects budgets and other activities essential to the success of the Faculty Affairs Office and its assigned pr More...

As a registered nurse with an Illinois nursing license you will work remotely to enhance the quality of member management maximize both satisfaction and cost effectiveness and assist in navigating the health care system as a collaborative health partner in their health care team. As a More...

Available Hours: Shifts are on the weekend Fri-Sun. Timeframe - Between 1:00pm-9:00pm EST. Bi-Weekly Minimum of 10 weekend hours. Monthly Required Hours: 20 weekend HoursWe are actively recruiting for an After Hours Care Manager to join our rapidly growing Population Health team.&#xa0 More...

OverviewUnder the direction of the Site Manager of the Clinical Documentation Integrity (CDI) program the Clinical Documentation Specialist (CDS) strives to achieve accurate and complete documentation in the inpatient medical record to support precise ICD-10-CM and ICD-10-PCS coding a More...

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...