Auth jobs in Nashville

HCSC

A health care service corporation in Nashville is seeking a qualified LPN to handle pre-authorization reviews as dictated by medical contracts and regulations. Applicants should possess at least 3 years of clinical experience and a valid, unrestricted clinical license in the state of operations. The

Jobot

A fast-growing software company is seeking a Permanent Team Lead & Sr. .NET Engineer to lead a remote team in developing high-quality applications. The ideal candidate will have over 5 years of .NET development experience, strong skills in AWS and SQL, and at least 1 year of leadership experience. R

A fast-growing software company is seeking a Permanent Team Lead & Sr. .NET Engineer to lead a remote team in developing high-quality applications. The ideal candidate will have over 5 years of .NET development experience, strong skills in AWS and SQL, and at least 1 year of leadership experience. R

Summary Performs medical reviews using clinical/medical information provided by physicians/providers and established criteria/protocol sets or clinical guidelines. Documents decisions using indicated protocol sets or clinical guidelines. Provides support and review of medical claims and utilization

Summary Performs medical reviews using clinical/medical information provided by physicians/providers and established criteria/protocol sets or clinical guidelines. Documents decisions using indicated protocol sets or clinical guidelines. Provides support and review of medical claims and utilization

Blue Cross Blue Shield

$47,268 - $90,552 /year

# **Summary** Performs medical reviews using clinical/medical information provided by physicians/providers and established criteria/protocol sets or clinical guidelines. Documents decisions using indicated protocol sets or clinical guidelines. Provides support and review of medical claims and utiliz

BlueCross BlueShield of South Carolina

$47,268 - $68,904 /year

*Summary** Performs medical reviews using clinical/medical information provided by physicians/providers and established criteria/protocol sets or clinical guidelines. Documents decisions using indicated protocol sets or clinical guidelines. Provides support and review of medical claims and utilizati

CGS Administrators

$47,268 - $90,552 /year

Summary Performs medical reviews using clinical/medical information provided by physicians/providers and established criteria/protocol sets or clinical guidelines. Documents decisions using indicated protocol sets or clinical guidelines. Provides support and review of medical claims and utilization