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Healthcare Nursing

Utilization Review Nurse: Optimize Care & Payer Outcomes

Job in Franklin, Williamson County, Tennessee, 37068, USA
Listing for: Community Health Systems
Full Time position
Listed on 2026-02-01
Job specializations:
  • Healthcare
    Healthcare Nursing
Job Description & How to Apply Below
A healthcare organization based in Tennessee seeks a Clinical Utilization Review Specialist responsible for evaluating hospital services' necessity and appropriateness. The role involves conducting admission reviews, collaborating with healthcare providers, and ensuring compliance with payer requirements. Candidates should have an Associate's Degree in Nursing and 2-4 years of related clinical experience. Strong analytical, communication skills, and familiarity with utilization management are essential for success in this position.
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