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Hca Utilization Review Jobs in Tennessee (NOW HIRING)

HCA Healthcare

Senior EHR Product Analyst

Lebanon, TN · On-site

Manage clinical reviews of new content by business owners and other clinical leaders. * Present ... utilization of EHR content, functionality, and workflow. * Cross-coordinate with other HCA ...

Mission Hospital

Clinical Staff Pharmacist

Chattanooga, TN · On-site

$51.25 - $57.25/hr

You will participate in Drug Utilization Review. * You will Monitor, record and communicate as ... Thomas Frist, Sr. HCA Healthcare Co-Founder If you find this opportunity compelling, we encourage ...

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Hca Utilization Review information

What is an HCA Utilization Review?

An HCA Utilization Review job involves evaluating medical services to ensure they are necessary, cost-effective, and meet quality standards. Professionals in this role review patient records, coordinate with healthcare providers, and ensure treatments align with insurance guidelines and hospital policies. They play a key role in optimizing resource utilization, preventing unnecessary procedures, and ensuring compliance with regulations. Strong analytical skills and knowledge of medical terminology are essential for success in this position.

What are the key skills and qualifications needed for an HCA Utilization Review?

To thrive as a HCA Utilization Review professional, you need a solid foundation in medical terminology, clinical assessment, and insurance guidelines, often supported by a healthcare-related degree or nursing license. Familiarity with utilization review software, electronic health records (EHR) systems, and certifications like CCM (Certified Case Manager) are highly beneficial. Excellent analytical thinking, attention to detail, and strong communication skills help you effectively evaluate patient records and collaborate with providers. These competencies are key to ensuring appropriate care utilization, supporting cost-effective treatment decisions, and maintaining regulatory compliance.

What does an HCA Utilization Review do?

In HCA Utilization Review, your day usually involves reviewing patient medical records, assessing the necessity and appropriateness of proposed treatments, and communicating decisions to physicians and case managers. You may also participate in interdisciplinary meetings, liaise with insurance providers for authorization, and document your findings in healthcare management systems. The role is collaborative, requiring you to interact with diverse medical and administrative teams to align patient care with policy guidelines. This blend of independent evaluation and team collaboration makes each day varied and impactful for patient outcomes.

What are the most commonly searched types of Hca Utilization Review jobs in Tennessee? The most popular types of Hca Utilization Review jobs in Tennessee are:
What are popular job titles related to Hca Utilization Review jobs in Tennessee? For Hca Utilization Review jobs in Tennessee, the most frequently searched job titles are:
What job categories do people searching Hca Utilization Review jobs in Tennessee look for? The top searched job categories for Hca Utilization Review jobs in Tennessee are:
What cities in Tennessee are hiring for Hca Utilization Review jobs? Cities in Tennessee with the most Hca Utilization Review job openings:
Hca Utilization Review jobs near you
Infographic showing various Hca Utilization Review job openings in Tennessee as of August 2026, with employment types broken down into 1% As Needed, 81% Full Time, 14% Part Time, and 4% Contract. Highlights an 89% Physical, 4% Hybrid, and 7% Remote job distribution.

Clinical Staff Pharmacist

HCA Florida Highlands Hospital

Chattanooga, TN • On-site

$51.25 - $57.25/hr

Other

Medical, Dental, Vision, Life, Retirement, PTO

Posted 3 days ago

New

HCA Florida Healthcare rating

6.3

Company rating: 6.3 out of 10

Based on 480 frontline employees who took The Breakroom Quiz

668th of 887 rated healthcare providers

Job description

Clinical Staff Pharmacist

Full-time Evenings with rotating weekends- 8 Hour rotating shifts

Experience the HCA Healthcare difference where colleagues are trusted, valued members of our healthcare team. Grow your career with an organization committed to delivering respectful, compassionate care, and where the unique and intrinsic worth of each individual is recognized.

Job Summary and Qualifications

The Staff Pharmacist is responsible for assisting in performing daily pharmacy tasks, including but not limited to: filling orders for medications, monitoring patient therapeutic medications, providing drug information, checking medications, IV mixtures and compounding medications, prior to distribution.

What you will do in this role:

  • Maintain strong knowledge of hospital policies and government regulations and dispenses accordingly.
  • Consult with physicians and nursing staff regarding patient reactions, errors and complaints.
  • Determine and consult on possible drug interactions.
  • Participate in Drug Utilization Review.
  • Monitor, record and communicate as appropriate utilizing computerized documentation systems.
  • Utilize knowledge of age specific needs of patient in performance of duties and responsibilities.

What qualifications you will need:

  • BS, or MS of Pharmacy Degree
  • PharmD in Pharmacy required
  • TN Registered Pharmacist required
  • Hospital Experience required
  • Clinical experience preferred

Benefits

Parkridge Medical Center, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

  • Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services
  • Wellbeing support, including free counseling and referral services
  • Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence
  • Savings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling
  • Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing
  • Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts

Learn more about Employee Benefits

Note: Eligibility for benefits may vary by location.

Parkridge Medical Center is a 270+ bed hospital. We are near downtown Chattanooga. We feature comprehensive diagnostic, medical, and surgical services. These services include cardiovascular surgery and cancer treatment. These services include intensive care, orthopedic and spine surgery, and rehabilitation. The facility includes a state of the art neurosurgery program. Patients also have access to OB-GYN services. Patients have access to a level III Neonatal Intensive Care Unit. They also have access to behavioral health treatment centers for children and adults.

"There is so much good to do in the world and so many different ways to do it." - Dr. Thomas Frist, Sr. HCA Healthcare Co-Founder

If you find this opportunity compelling, we encourage you to apply for our Clinical Staff Pharmacist opening. We promptly review all applications. Highly qualified candidates will be directly contacted by a member of our team. We are interviewing - apply today!

We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

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