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Assistant Remote Utilization Review Jobs in Tennessee

$40K - $50K/yr

At Wing, we give growing businesses access to the top tier of global remote talent supercharged by ... These tools assist our recruitment team but do not replace human judgment. Final hiring decisions ...

Remote Tax Manager

Nashville, TN ยท On-site +1

$135K - $195K/yr

Prepare and review: * Individual (1040), business (1120S, 1065), and basic corporate returns ... * Assist with year-end planning and projections * Ensure compliance with federal and state tax ...

Showing results 21-40

Assistant Remote Utilization Review information

What is the difference between Assistant Remote Utilization Review vs Utilization Review Nurse?

AspectAssistant Remote Utilization ReviewUtilization Review Nurse
CredentialsTypically requires a nursing license, certification in case management or utilization reviewRegistered Nurse (RN) license, often with additional certifications in case management or utilization review
Work EnvironmentRemote, administrative setting, telehealth or telecommutingRemote or hospital/clinic settings, primarily telehealth or administrative
Employer & IndustryHealth insurance companies, managed care organizations, healthcare providersHospitals, insurance companies, healthcare organizations

Both roles involve reviewing patient cases to determine appropriate care and resource utilization. The Assistant Remote Utilization Review typically supports the process with administrative tasks and basic review, while the Utilization Review Nurse performs more in-depth clinical assessments. Both require nursing credentials and often work remotely within healthcare or insurance industries.

What are the most commonly searched types of Remote Utilization Review jobs in Tennessee? The most popular types of Remote Utilization Review jobs in Tennessee are:
What cities in Tennessee are hiring for Assistant Remote Utilization Review jobs? Cities in Tennessee with the most Assistant Remote Utilization Review job openings:

Clinical Consulting Pharmacist - Remote (must reside in PA or TN)

StateServ Medical LLC

Memphis, TN โ€ข Remote

$55.28 - $57.69/hr

Full-time

Posted 19 days ago


Job description

Dragonfly Health - A great place to land

Dragonfly Health is the leading care-at-home data, technology and service platform, and the industry’s first scale durable medical equipment (DME) and pharmacy solution. Built on a 20-year history, Dragonfly Health uses advanced technology and robust analytics to manage DME and pharmaceutical services as part of a single, efficient solution for caregivers, patients, and their families. We serve over 145,000 patients every day in all 50 states.

Here, you are an integral part of a team that is transforming the future of hospice and post-acute healthcare. This is where innovation, collaboration and compassion thrive, allowing us to carry out our work at the highest level to serve our patients at a time in their life when they need us most.

We offer a dynamic and inclusive workplace where you'll have the unique opportunity to shape the future of healthcare alongside a passionate and talented team. We believe in empowering our employees to grow both personally and professionally, providing ample opportunities for career advancement, continuous learning, and skill development.

Dragonfly Health is our name for a reason.

The dragonfly is symbolic of the transformational impact we’re making on the industry, our people, and the lives we touch. We are a guiding force for what’s ahead, delivering more than equipment and medications, but also comfort and peace of mind. We are agile and adaptable, able to quickly and easily pivot from one point to the next, ready for whatever situation or patient need that arises.

Whatever it takes. Wherever it takes us. What we offer
  • Competitive Pay $55.28-57.69/hour + $5,000 sign-on bonus with shift differential (12% 6PM to 12:00AM and 15% 12:01AM-6AM)
  • Comprehensive Benefits Package (Health, Dental, Vision, PTO, Sick Time, 401k w/match, etc.)
  • Growth Opportunity and Career Advancement
  • Agile and Adaptable team culture
  • Innovative and revolutionary technology solutions
  • A higher calling to provide quality patient care

See how Dragonfly Health is transforming the world of hospice and post-acute care.

What you will do
  • Provide clinical review and consultation on medication requests, prior authorizations, and benefit determinations.
  • Evaluate therapy appropriateness, dosing, and safety based on evidence-based guidelines.
  • Collaborate with providers to clarify prescriptions and recommend alternatives when appropriate.
  • Support complex case reviews and appeals with accurate clinical documentation.
  • Identify opportunities to improve medication adherence, safety, and cost-effectiveness.
  • Educate internal teams on formulary management, utilization review, and pharmacy policy updates.
What we look for
  • R.Ph required; PharmD preferred
  • Full, current, and unrestricted pharmacist license in PA, TN
  • Ability to obtain additional state licensure based on business needs
  • 1+ year of pharmacy experience preferred (retail, hospital, or managed care)
  • Working knowledge of formulary management, clinical guidelines, and pharmacy benefit structures
  • Strong communication, analytical, and consultative skills
  • Ability to exercise sound clinical judgment and work independently
  • Commitment to evidence-based practice and continuous learning
Why Clinical Consulting Pharmacists are important

Every medication decision we make affects someone’s health, safety, and quality of life. As a Clinical Consulting Pharmacist, you ensure our members receive clinically appropriate, cost-effective therapies — helping balance patient care with responsible resource management. Your expertise directly advances our mission of improving health outcomes through compassionate, evidence-based pharmacy care.

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