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Apprentice Utilization Management Nurse Jobs in Tennessee

Covenant Health

RN UTILIZATION MGMT I

Knoxville, TN · On-site

Registered Nurse Utilization Management Full Time, 80 Hours Per Pay Period, Day Shift Covenant Health Overview: Covenant Health is the region's top-performing healthcare network with 10 hospitals ...

Covenant Health

RN UTILIZATION MGMT I

Knoxville, TN · On-site

Overview Registered Nurse Utilization Management Full Time, 80 Hours Per Pay Period, Day Shift Covenant Health Overview: Covenant Health is the region's top-performing healthcare network with 10 ...

Elevance Health

Med Mgmt Nurse

Nashville, TN

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Utilization Review experience is preferred. * Knowledge of the medical management processes and the ... Nurse Please be advised that Elevance Health only accepts resumes for compensation from agencies ...

Elevance Health

Med Mgmt Nurse

Nashville, TN

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Medical Management Nurse Hours: Monday - Friday 930am-6pm This role enables associates to work ... Utilization Review experience is preferred. * Knowledge of the medical management processes and the ...

Elevance Health

Med Mgmt Nurse

Nashville, TN · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Medical Management Nurse Hours: Monday - Friday 930am-6pm This role enables associates to work ... Utilization Review experience is preferred. * Knowledge of the medical management processes and the ...

Veracity Solutions

Director Case Management

Memphis, TN · On-site

... nursing leadership, social work teams, and executive leadership Oversight of utilization management, care coordination, and transition planning operations Focus on operational efficiency, compliance ...

New

Sedgwick

RN Utilization Review

Memphis, TN · On-site

$63K - $65K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... Utilization Review As a nurse at Sedgwick, you can build a meaningful and rewarding career while ... Apply your RN clinical knowledge and experience to assist in the management of complex medical ...

Sedgwick

RN Utilization Review

Knoxville, TN · On-site

$63K - $65K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... Utilization Review As a nurse at Sedgwick, you can build a meaningful and rewarding career while ... Apply your RN clinical knowledge and experience to assist in the management of complex medical ...

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All JobsApprentice Utilization Management Nurse JobsApprentice Utilization Management Nurse Jobs in Tennessee

Apprentice Utilization Management Nurse information

See Tennessee salary details

$35.4K

$81.2K

$147.9K

How much do apprentice utilization management nurse jobs pay per year?

As of Aug 17, 2026, the average yearly pay for apprentice utilization management nurse in Tennessee is $81,216.00, according to ZipRecruiter salary data. Most workers in this role earn between $58,500.00 and $94,800.00 per year, depending on experience, location, and employer.

What is the difference between Apprentice Utilization Management Nurse vs Utilization Management Nurse?

AspectApprentice Utilization Management NurseUtilization Management Nurse
CredentialsLicensed RN, in training or early certification stageLicensed RN with certification in utilization review
Work EnvironmentSupervised training setting, often in healthcare or insurance companiesIndependent review in healthcare or insurance organizations
Job ResponsibilitiesAssisting with case reviews, learning utilization review processesConducting case assessments, making coverage decisions

The Apprentice Utilization Management Nurse is in training, focusing on learning review procedures under supervision, while the Utilization Management Nurse is fully qualified, responsible for independent case evaluations and decision-making. The apprentice role is a stepping stone toward becoming a licensed Utilization Management Nurse.

What are the key skills and qualifications needed to thrive as an apprentice utilization management nurse, and why are they important?

To thrive as an Apprentice Utilization Management Nurse, you need a foundational understanding of nursing principles, strong analytical skills, and typically an RN license or progression toward one. Familiarity with utilization management software, electronic health records (EHR), and knowledge of insurance guidelines such as Medicare or Medicaid are often required. Attention to detail, critical thinking, and effective communication are essential soft skills for collaborating with healthcare teams and conveying clinical information. These competencies ensure accurate patient care reviews, compliance with regulations, and effective support in healthcare cost management.

What are some common challenges faced by apprentice utilization management nurses, and how can they be addressed?

Apprentice Utilization Management Nurses often encounter challenges such as learning to interpret complex medical records, understanding insurance policies, and adhering to strict regulatory guidelines. Balancing patient advocacy with cost-effective care decisions can also be demanding. These challenges can be addressed by actively participating in mentorship programs, seeking regular feedback from experienced colleagues, and utilizing ongoing training resources provided by employers. Developing strong communication and organizational skills will also help manage the workload and foster effective collaboration with physicians, case managers, and insurance representatives.

What is an apprentice utilization management nurse?

An Apprentice Utilization Management Nurse is a nursing professional in training who assists with the review and evaluation of healthcare services to ensure they are medically necessary and cost-effective. They work under the supervision of experienced utilization management nurses and follow established guidelines to assess patient care plans, medical records, and insurance policies. Their role is crucial in helping healthcare organizations maintain quality care while managing costs, and they may interact with physicians, patients, and insurance companies to clarify or justify treatment decisions. As apprentices, they are gaining hands-on experience to develop their skills and knowledge in utilization management.

What are the most commonly searched types of Utilization Management Nurse jobs in Tennessee?

The most popular types of Utilization Management Nurse jobs in Tennessee are:

What cities in Tennessee are hiring for Apprentice Utilization Management Nurse jobs?

Cities in Tennessee with the most Apprentice Utilization Management Nurse job openings:

Apprentice Utilization Management Nurse jobs near you

Utilization Management Nurse

ArchWell Health

Nashville, TN • On-site

Other

Re-posted 7 days ago

ArchWell Health rating

8.0

Company rating: 8.0 out of 10

Based on 20 frontline employees who took The Breakroom Quiz

3rd of 242 rated social care providers

Job description

Utilization Management Nurse

Reporting to the Director of Utilization Management, the Utilization Management Nurse is responsible for ensuring that patients receive appropriate, cost-effective care by reviewing and evaluating medical services, treatments, and procedures. This role identifies trends for opportunities to educate and collaborate with healthcare providers, patients, and specialists to optimize resource utilization and improve patient outcomes.

Duties/Responsibilities
  • Conducts prospective, concurrent, and retrospective utilization reviews for medical necessity to ensure treatment and services are appropriate and necessary by reviewing medical records and treatment plans.
  • Works collaboratively with healthcare providers and Medical Directors to provide guidance on approvals or requests for health plan determination reviews as applicable utilizing CMS clinical guidelines and insurance policies.
  • Maintains accurate and detailed records of reviews, interventions, and communications to ensure adherence to health plan requirements and organizational policies.
  • Analyze utilization trends to ensure progress towards organizational goals
  • Educates healthcare providers and patients regarding appropriate levels of care and service criteria and guidelines.
  • Collaborates with Network and specialists to identify opportunities to educate on value-based care, resolve specialty gaps by markets, improve cost-effectiveness and coordination of care to meet patient needs.
Required Skills/Abilities
  • Strong knowledge of utilization management functions in value-based care, including data analysis, claims review, reimbursement practices, and medical records reviews.
  • Thorough, in-depth knowledge of evidence-based practice, legal rules and regulations and best practices in healthcare
  • Ability to effectively leverage business and organizational knowledge within and across functional areas
  • Must possess a high degree of emotional intelligence and integrity, driven and focused work ethic
  • Continuous desire to learn and embrace new methods; ability to adapt and be resilient.
  • Self-starter with the ability to think creatively and work effectively
  • Ability to build a relationship and work effectively with various seniorities and diverse populations.
  • Excellent critical reasoning, decision-making, and problem-solving skills to make informed decisions and ensure effective resource utilization while maintaining quality patient care.
  • Willingness and ability to travel, up to 20%
Education and Experience
  • AA/AS degree in Nursing required; BA/BS degree in Nursing (BSN) or Healthcare Administration preferred
  • A valid, active Registered Nurse (RN) license in state(s) of employment required
  • A minimum of 3 years', current direct utilization management required
  • Work in an acute care facility, community-based clinic, public health department or specialization with the senior population preferred
  • Proficient PC skills
  • Fluency in Spanish or other languages spoken by people in the communities we serve is desirable, but not required

ArchWell Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to their race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other protected classification.

What ArchWell Health employees say

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Hours and flexibility

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About ArchWell Health

Sourced by ZipRecruiter

At ArchWell Health, we help our members lead healthier lives through superior senior primary care and stronger patient-to-doctor relationships. You’ll find plenty of reasons to love being an ArchWell Health member. You’ll also discover that they add up to something huge—a healthier and happier you.

Industry

Outpatient health care

Company size

11 - 50 Employees

Headquarters location

Nashville, TN, US

Year founded

2020

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