Utilization Review Nurse: Care Optimization & Compliance
Listed on 2026-11-05
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Nursing
RN Nurse, Travel Nurse, Healthcare Nursing, Public Health Nurse
American Health Plans, a division of Franklin, Tennessee-based American Health Partners Inc., seeks a Utilization Review Nurse. You will assess the medical necessity and quality of care, conduct UM reviews, and collaborate with the Clinical Services Department to ensure compliant member care.
Requirements include an active RN license and 1+ year in utilization management, with knowledge of Inter Qual/MCG guidelines and Medicare rules. Remote options are not listed; location is Franklin, TN.
The Utilization Review Nurse:
Care Optimization & Compliance role at American Health Communities is now open for applications in Franklin, TN, United States.
We are currently recruiting a Utilization Review Nurse:
Care Optimization & Compliance for our team in Franklin, TN, United States.
This is a strong opportunity to take on the Utilization Review Nurse:
Care Optimization & Compliance role at American Health Communities.
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