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Healthcare Administration

RN Clinical Review Lead - Utilization & Appeals

Job in Chattanooga, Hamilton County, Tennessee, 37450, USA
Listing for: BlueCross BlueShield of Tennessee
Full Time position
Listed on 2026-03-02
Job specializations:
  • Healthcare
    Healthcare Administration
Salary/Wage Range or Industry Benchmark: 80000 - 100000 USD Yearly USD 80000.00 100000.00 YEAR
Job Description & How to Apply Below
A major health insurer in Chattanooga is hiring a Clinical Review Manager to conduct thorough clinical reviews and support utilization management activities. The position requires an RN license in Tennessee and 3 years of clinical experience. Key responsibilities include reviewing medical service requests, coordinating care, and assisting in administrative processes. The ideal candidate should possess strong communication skills, be adaptable, and have proficiency in Microsoft Office.

This is a full-time role with a Monday-Friday schedule.
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