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Insurance Utilization Review Jobs in Tennessee (NOW HIRING)

UHS

UM Coordinator - Full-time days

Memphis, TN

Serves as liaison for patients and hospital with insurance companies. Negotiates and advocates for patient length of stay and level of care. Oversees utilization review activities with other ...

Genex

Onsite Telephonic Case Manager (RN)

Memphis, TN · On-site

... utilization review process including, but not limited to, Third-Party Payers, Insurance Companies and Providers. • Perform Utilization Review activities prospectively, concurrently or ...

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Insurance Utilization Review information

See Tennessee salary details

$19

$38

$62

How much do insurance utilization review jobs pay per hour?

As of Aug 9, 2026, the average hourly pay for insurance utilization review in Tennessee is $38.38, according to ZipRecruiter salary data. Most workers in this role earn between $30.34 and $44.09 per hour, depending on experience, location, and employer.

What are the most common challenges faced by insurance utilization review professionals?

One common challenge in Insurance Utilization Review is balancing the need for cost-effective care with the clinical needs of patients, which often requires careful analysis and decision-making. Professionals in this role frequently navigate complex medical records, strict policy guidelines, and collaborate with healthcare providers who may advocate strongly for particular treatments. Managing challenging conversations while maintaining professionalism and ensuring timely determinations are also a regular part of the role. Developing expertise in these areas can make the job both demanding and rewarding, while building a strong foundation for career growth within healthcare administration.

What are the key skills and qualifications needed to thrive in insurance utilization review?

To thrive in Insurance Utilization Review, you generally need a strong background in healthcare or nursing, an understanding of medical terminology, and analytical thinking skills, often supported by an RN license or relevant clinical experience. Familiarity with utilization management software, coding systems like ICD-10, and knowledge of regulatory requirements (such as Medicare or Medicaid) are important. Strong communication, attention to detail, and problem-solving abilities help professionals excel when interacting with providers and insurers. These skills are essential to ensure appropriate care is authorized while maintaining regulatory compliance and cost-effectiveness.

What is an insurance utilization review?

An Insurance Utilization Review job involves evaluating medical treatments and services to determine if they are necessary, appropriate, and covered by a patient's insurance plan. Professionals in this role review medical records, treatment plans, and insurance policies to ensure compliance with guidelines and cost-effectiveness. They work closely with healthcare providers, insurance companies, and patients to facilitate approvals or appeals. The goal is to balance quality patient care with cost containment in the healthcare system.

What are the most commonly searched types of Insurance Utilization Review jobs in Tennessee? The most popular types of Insurance Utilization Review jobs in Tennessee are:
What are popular job titles related to Insurance Utilization Review jobs in Tennessee? For Insurance Utilization Review jobs in Tennessee, the most frequently searched job titles are:
What job categories do people searching Insurance Utilization Review jobs in Tennessee look for? The top searched job categories for Insurance Utilization Review jobs in Tennessee are:
What cities in Tennessee are hiring for Insurance Utilization Review jobs? Cities in Tennessee with the most Insurance Utilization Review job openings:
Insurance Utilization Review jobs near you
Infographic showing various Insurance Utilization Review job openings in Tennessee as of August 2026, with employment types broken down into 100% Full Time. Highlights an 67% In-person, and 33% Remote job distribution, with an average salary of $79,822 per year, or $38.4 per hour.

Travel Nurse RN - Case Manager, Utilization Review - $2,250 per week

AMN Healthcare Revenue Cycle

Nashville, TN • On-site

$2.2K/wk

Other

Medical, Dental, Vision, Life, Retirement

Posted 7 days ago

Job description

AMN Healthcare Revenue Cycle is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Nashville, Tennessee.

Job Description & Requirements
  • Specialty: Utilization Review
  • Discipline: RN
  • Start Date: 08/24/2026
  • Duration: 13 weeks
  • 36 hours per week
  • Shift: 12 hours
  • Employment Type: Travel

Job Description & Requirements
RN Case Manager
StartDate: 8/24/2026 Pay Rate: $1800.00 - $2700.00

POSITION SUMMARY – RN Case Manager

POSITION DUTIES – Coordinate patient care from admission through discharge, ensuring that treatments, services, and resources align with each patient’s medical needs and recovery goals. Collaborate closely with physicians, nurses, and external providers to remove barriers to care, streamline transitions, and support safe, efficient discharge planning.

MINIMUM REQUIRED QUALIFICATIONS –

  • TN/compact RN license
  • BLS
  • 2 years case management experience in an acute hospital setting
  • Acute hospital experience during the past year with no more than a 90-day break
  • Midas & Meditech experience
  • Previous travel experience as an acute care case manager

LENGTH OF ASSIGNMENT – 16 weeks

SHIFT / HOURS PER WEEK – 8a-4:30p, weekdays & weekends

SYSTEMS – Midas, Meditech, Navihealth

START DATE – ASAP


Facility Location
Filled with Southern charm, scenic beauty, boot-scootin’ dance halls and country music at every turn, “Music City, USA” is always a fascinating destination. Traveling health care professionals who take an assignment in Nashville have the opportunity to enjoy the city’s lively music scene, historic attractions, local craft markets and festive clubs.
Job Benefits
Becoming an AMN Healthcare professional gives you the incredible opportunity to gain critical career experience, work with new people, and earn a highly competitive salary—but the perks don't stop there. There are many additional benefits to enjoy, including:
  • Medical, dental and vision benefits
  • Earned time off and paid holidays
  • Paid continuing education time
  • 401(K) retirement planning
  • Short-term disability, life insurance, paid jury duty
  • Access to the largest network of facilities and providers in the country
  • Industry experienced workforce management team
  • Licensure and certification reimbursement

About the Company
At AMN Healthcare, we strive to be recognized as the most trusted, innovative, and influential force in helping healthcare organizations provide quality patient care that continually evolves to make healthcare more human, more effective, and more achievable.

AMN Healthcare Revenue Cycle Job ID #3547857. Pay package is based on 12 hour shifts and 36 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: RN Case Manager

About AMN Healthcare Revenue Cycle

AMN Healthcare is a leading force in the healthcare industry, committed to being the most trusted, innovative, and influential partner for healthcare organizations. With a focus on providing quality patient care, AMN Healthcare offers holistic solutions that reduce costs, streamline processes, and improve efficiencies. The company boasts over 30 years of experience and takes pride in staffing leading healthcare facilities with the nation's best travelers. As an industry leader, AMN Healthcare offers a diverse team dedicated to supporting healthcare workers and facilities, ensuring a personalized and supportive experience for both clients and candidates.

Why Vivian Health?

Be sure to apply via Vivian Health to increase your chances of landing your perfect job. Just complete your Vivian Health profileonce, and get access to thousands of opportunities across the country. Then keep up to date with your job application process and conversations with our easy to use app.

Benefits
  • Medical benefits
  • Dental benefits
  • Company provided housing options
  • Continuing Education

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