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Part Time Remote Utilization Review Nurse Jobs in Tennessee

Urrly

Telehealth Nurse Practitioner

Nashville, TN · On-site +1

$600 - $720/day

Location/Type: Tennessee Remote (No travel) * Pay: $600-$720/day (1099 contractor, based on ... Review medical history, medications, and preventive needs * Document visits using ICD-10 and CPT II ...

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All JobsUtilization Review Nurse JobsPart Time Remote Utilization Review Nurse JobsPart Time Remote Utilization Review Nurse Jobs in Tennessee

Part Time Remote Utilization Review Nurse information

What does a part time remote utilization review nurse do?

A Part Time Remote Utilization Review Nurse evaluates medical records and treatment plans to ensure that healthcare services are medically necessary and comply with insurance guidelines. Working remotely, they review patient cases, communicate with healthcare providers, and make recommendations on the appropriateness of care. Their role helps manage healthcare costs and ensures patients receive appropriate care while adhering to regulatory and insurance standards.

What are the key skills and qualifications needed to thrive as a part time remote utilization review nurse?

To thrive as a Part Time Remote Utilization Review Nurse, you need an active RN license, strong clinical judgment, and experience in case management or utilization review. Familiarity with medical coding systems (like ICD-10 and CPT), healthcare management software, and payer guidelines is often required. Excellent written communication, attention to detail, and the ability to work independently are essential soft skills for remote success. These competencies ensure accurate review of medical records, compliance with regulations, and effective coordination with healthcare teams while working remotely.

How does a part time remote utilization review nurse typically collaborate with physicians and other healthcare professionals?

Part-time remote Utilization Review Nurses often communicate with physicians, case managers, and insurance representatives through secure digital platforms, emails, and scheduled virtual meetings. They review patient records and coordinate care authorizations, frequently clarifying clinical information or policy requirements with providers. Balancing asynchronous communication and timely responses is essential, as collaboration impacts both patient outcomes and reimbursement processes. Building strong professional relationships and maintaining clear documentation are key to effective teamwork in this remote setting.

What is the difference between Part Time Remote Utilization Review Nurse vs Part Time Remote Case Manager?

AspectPart Time Remote Utilization Review NursePart Time Remote Case Manager
CredentialsRN license, certifications in utilization review (e.g., CUC, URAC)RN or social work license, case management certification (e.g., CCM)
Work EnvironmentRemote, reviewing medical records and authorizationsRemote, coordinating care and discharge planning
Employer & IndustryInsurance companies, healthcare providers, third-party administratorsInsurance companies, healthcare organizations, managed care firms

The Part Time Remote Utilization Review Nurse primarily evaluates medical necessity for insurance approvals, focusing on documentation review. In contrast, the Part Time Remote Case Manager manages patient care plans, coordinating services and discharge planning. Both roles are remote, require healthcare credentials, and are common in the insurance and healthcare industries, but they differ in daily responsibilities and focus areas.

What are popular job titles related to Part Time Remote Utilization Review Nurse jobs in Tennessee?

For Part Time Remote Utilization Review Nurse jobs in Tennessee, the most frequently searched job titles are:

What job categories do people searching Part Time Remote Utilization Review Nurse jobs in Tennessee look for?

The top searched job categories for Part Time Remote Utilization Review Nurse jobs in Tennessee are:

What cities in Tennessee are hiring for Part Time Remote Utilization Review Nurse jobs?

Cities in Tennessee with the most Part Time Remote Utilization Review Nurse job openings:

Part Time Remote Utilization Review Nurse jobs near you
Infographic showing various Part Time Remote Utilization Review Nurse job openings in Tennessee as of August 2026, with employment types broken down into 1% As Needed, 86% Full Time, 10% Part Time, 2% Contract, and 1% Nights. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution.

Physician - Part-Time (Tennessee)

Circadia Health

Nashville, TN • Remote

$200/hr

Part-time

Re-posted 27 days ago

Job description

About Circadia Health

Circadia Health is a growth-stage healthcare AI company on a mission to prevent avoidable hospitalizations and transform senior-care operations. Our Circadia Intelligence Platform combines:

  • Contactless sensing that monitors respiration and motion with medical-grade accuracy
  • Native predictive models that detect 85% of preventable adverse events several days in advance
  • Enterprise integrations that operationalize predictions directly inside EHR, care-coordination, billing, and compliance workflows

Today, our technology touches 40,000+ post-acute patients daily across skilled-nursing, home-health, and home-care networks. We are backed by leading healthcare and AI investors and headquartered in El Segundo, CA.

The Role

As a Tennessee-licensed Pulmonary/Critical Care Physician at Circadia Health, you will play a critical role in providing medical oversight and expertise for our AI enabled Nurse Practitioners (NPs) utilizing predictive algorithms and AI insight technology along with our contactless monitoring systems in skilled nursing facilities throughout the state. Your primary responsibilities will include overseeing the Nurse Practitioners evaluating the patients, ensuring compliance at healthcare facilities, and conducting comprehensive patient assessments and chart reviews with the NPs. Your contributions will be instrumental in maintaining high standards of patient care, ensuring regulatory compliance, and optimizing the utilization of our advanced remote monitoring technology.

This is a part-time, remote role supporting dedicated facility NPs.


What You'll Do

Nurse Practitioners Oversight: 

  • Provide guidance and medical supervision to the Nursing Practitioners responsible for remote monitoring of patients in TN healthcare facilities assigned (based on licensure). 

Supervision of Patient Assessments and Chart Reviews: 

  • Conduct thorough and comprehensive reviews of patient charts, analyzing vital signs data, medical histories, and treatment plans to ensure accurate, quality and compliant healthcare documentation.

Regulatory Compliance: 

  • Ensure compliance with all relevant healthcare regulations, ethical guidelines, and company policies during the monitoring process. 

  • Uphold the highest standards for medical quality, patient safety reporting, equipment, and clinician productivity and performance.

Patient Care Recommendations: 

  • Provide medical insights and recommendations to the NPs for patients requiring immediate attention or intervention.

Remote Patient Care Coordination:

  • Collaborate with the clinical team and healthcare facilities to coordinate patient care and support the delivery of effective medical interventions based on remote monitoring data.

Medical Chart Sign-Off:

  • Review and sign patient charts to ensure accurate and timely completion of medical documentation.

Quality Assurance: 

  • Oversee the quality assurance of remote monitoring processes, identifying opportunities for improvement and implementing best practices.

Telemedicine Consultations: 

  • Conduct telemedicine consultations with patients and healthcare providers as necessary to optimize patient care.

Remote Collaboration:

  • Work collaboratively with cross-functional teams, including NPs, product development, and customer support, to enhance patient care and ensure the success of the remote monitoring program.

Must-Have Qualifications
  • MD or DO degree from an accredited medical school.
  • Active Tennessee medical license.
  • Board certification in Pulmonary Disease, Critical Care Medicine, or Pulmonary/Critical Care (ABIM or equivalent).
  • Medicare eligible - must be enrolled or eligible to participate in Medicare.
  • Familiarity with Tennessee NP collaborative practice agreement requirements.
  • Strong attention to detail and ability to interpret and act on clinical data.
  • Excellent communication skills for remote collaboration with multidisciplinary teams.
Must-Have Qualifications

  • Licensed & certified Physician in TN - ANCC (or equivalent) in Adult / Family / Geriatric / Acute Care

  • Full practice authority: able to initiate and adjust plans of care, place orders, and practice independently per TN scope of practice

  • Medicare eligible: company bills on your behalf; must be eligible for Medicare participation

  • 2+ years experience with complex adult populations in SNF, LTC, or post-acute settings

  • Thrives in a startup environment: comfortable with evolving protocols, iterative workflows, and rapid growth

  • English required

Nice-to-Haves

  • Experience with telemedicine, remote patient monitoring, or SNF/post-acute physician oversight.

  • Familiarity with EHR systems, AI documentation tools, and remote monitoring technologies (e.g., Google Suite, Slack, AI transcription tools).

$180 - $200 an hour

  • Tools that help: AI documentation, in-app training, integrated workflows; company laptop + mobile tools.

  • $200/hour | Part-time: approximately 10-15 hours per month

  • Professional training & development opportunities

  • Annual company retreat

  • Fully remote, flexible scheduling

Circadia Health is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. All employment decisions are based on business needs, job requirements, and individual qualifications, without regard to race, color, religion, sex (including pregnancy, sexual orientation, or gender identity), national origin, age, disability, genetic information, veteran status, or any other status protected by law.
We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.
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