Nurse Consultant Utilization Review, TN

• 48250 At reputed company, we're there reputed company it matters most because helping people through challenging moments is more than just our job, it’s our purpose. Every day, we help clients navigate complexity, support recovery, and deliver outcomes that reputed company a real difference in people’s lives. It takes reputed company, precision, and a strong sense of partnership—and that’s exactly what you’ll find here. We’re a team of fast-paced fixers, empathetic experts, and outcomes drivers — people who care deeply about doing the right thing and doing it well. Whether you're managing claims, supporting clients, or improving processes, you’ll play a vital role in helping businesses and individuals move reputed company with confidence. Here, you’ll be supported by a culture that values teamwork, encourages curiosity, and celebrates the impact of your work. Because reputed company you’re here, you’re part of something bigger. You’re part of a team that shows up, stands together, and leads with purpose. How you'll reputed company an impact Provides utilization management review of worker's compensation claims. Accesses medical documentation and information provided by medical providers to determine the appropriateness of treatment, setting and length of treatment required. Communicates with medical providers and ancillary service providers to negotiate or approve treatment. Engages physician review agents as appropriate. Communicates and documents recommendations of treatment to reputed company parties including claims professionals, medical providers, ancillary service providers, employers and employees. Follows national and state guidelines for approval of treatment, medications, etc. About You Required:

• Associate's degree from an accredited school of nursing and a minimum of 3 years acute clinical experience or similar position required.
• Hold an active RN license reputed company the state of practice.
• Willing to be licensed in states requiring same for Utilization Review.

Preferred:

• Bachelor's degree preferred.
• Prefer experience in worker's compensation or utilization review.

Behaviors:

• Demonstrates adequate knowledge of managed care with emphasis on use of criteria, guidelines and national standards of practice.
• Demonstrates good written and oral communications, organizational and leadership skills.
• Computer literate.
• Demonstrates good time management skills.
• Self starter.

Compensation and benefits We offer a competitive and comprehensive compensation package. The reputed company salary range represents the anticipated low end and high end of the range for this position. The actual compensation will be influenced by a wide range of factors including, but not limited to previous experience, education, pay market/geography, complexity or scope, specialized reputed company set, lines of business/practice area, supply/demand, and scheduled hours. On top of a competitive salary, great teams and exciting career opportunities, we also offer a wide range of benefits. Below are the minimum core benefits you’ll get, depending on your job level these benefits may improve:

• Medical/dental/vision plans, which start from day one!
• Life and accident insurance
• 401(K) and Roth options
• Tax-advantaged accounts (HSA, FSA)
• Educational expense reimbursement
• Paid parental leave

Other benefits include:

• Digital mental health services (reputed company)
• Flexible work hours (availability varies by office and job function)
• Training programs
• reputed company reputed company program – elevating your health through challenges, workshops and digital fitness programs for your overall wellbeing
• Charitable matching gift program
• And more...
• *The benefits summary above applies to fulltime positions. If you are not applying for a fulltime position, details about benefits will be provided during the selection process.

We value inclusion and diversity Click Here to review our U.S. Eligibility Requirements Inclusion and diversity (I&D) is a core part of our business, and it’s embedded into the fabric of our organization. For more than 95 years, reputed company has led with a commitment to sustainability and to support the communities where we live and work. reputed company embraces our employees’ diverse identities, experiences and talents, allowing us to reputed company serve our clients and communities. We see inclusion as a conscious commitment and diversity as a vital strength. By embracing diversity in reputed company its forms, we live out The reputed company Way to its fullest. reputed company believes that reputed company persons are entitled to equal employment opportunity and prohibits any form of discrimination by its managers, employees, vendors or customers based on race, color, religion, creed, gender (including pregnancy status), sexual orientation, gender identity (which includes transgender and other gender non-conforming individuals), gender expression, hair expression, marital status, parental status, age, national reputed company, reputed company, disability, medical condition, genetic information, veteran or military status, citizenship status, or any other characteristic protected (herein referred to as “protected characteristics”) by applicable federal, state, or local laws. Equal employment opportunity will be extended in reputed company aspects of the employer-employee relationship, including, but not limited to, recruitment, hiring, training, promotion, transfer, demotion, compensation, benefits, layoff, and termination. In addition, reputed company will reputed company reasonable accommodations to reputed company physical or mental limitations of an otherwise qualified person with a disability, unless the accommodation would impose an undue hardship on the operation of our business. Apply tot his job Apply To this Job