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Part Time Utilization Review Jobs in Tennessee (NOW HIRING)

Honorhealth

$39.25 - $51.50/hr

Participates in departmental and interdepartmental staff meetings, in-services, utilization review programs, committees, and student preceptor and/or mentor programs Education * Master's Degree or ...

Encompass Health Corporation

Controller

Memphis, TN · On-site

Affordable medical, dental, and vision plans for both full-time and part-time employees and their ... utilization review. * Relevant experience in budgeting, both capital planning and operations.

Encompass Health Corporation

Case Manager

Chattanooga, TN · On-site

$18.25 - $23.50/hr

Affordable medical, dental, and vision plans for both full-time and part-time employees and their ... Participate in utilization review process: data collection, trend review, and resolution actions.

Encompass Health Corporation

Case Manager

Knoxville, TN · On-site

$19 - $24.50/hr

Affordable medical, dental, and vision plans for both full-time and part-time employees and their ... Participate in utilization review process: data collection, trend review, and resolution actions.

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

Part Time Utilization Review information

See Tennessee salary details

$19

$38

$62

How much do part time utilization review jobs pay per hour?

As of Jul 17, 2026, the average hourly pay for part time 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.

How to make an extra 2000 a month as a nurse?

A part time utilization review nurse can increase income by taking on additional shifts, working overtime, or handling cases outside regular hours. Developing specialized skills or certifications, such as in case management or insurance review, can also qualify for higher-paying opportunities or freelance work, helping to reach the extra income goal.

How to get a utilization review job?

To obtain a utilization review position, candidates typically need a background in healthcare, such as nursing, health administration, or related fields, along with knowledge of insurance and medical billing. Relevant certifications like the Certified Professional Utilization Review (CPUR) or Certified Case Manager (CCM) can improve job prospects, and strong analytical and communication skills are essential. Experience with medical records and utilization review software is also beneficial.

What is a Part Time Utilization Review job?

A Part Time Utilization Review job involves evaluating healthcare services provided to patients in order to ensure they are medically necessary and cost-effective. Professionals in this role review patient records, treatment plans, and insurance information to make recommendations about the appropriateness of care. Working part-time, they may collaborate with healthcare providers, insurance companies, and patients to optimize healthcare outcomes while managing costs. This position is often found in hospitals, insurance companies, or healthcare management organizations, and typically requires a background in nursing or healthcare administration.

What are some common challenges faced in a part-time utilization review role and how can I effectively manage them?

Part-time utilization review professionals often face challenges such as managing fluctuating caseloads within limited hours and staying up-to-date with rapidly changing healthcare regulations. Balancing efficiency and thoroughness is crucial, especially when reviewing complex cases or communicating with providers on tight timelines. Effective time management, strong organizational skills, and clear communication with your team are key to overcoming these challenges. Many employers provide flexible schedules and supportive technology platforms, which can help streamline your workflow and maintain high-quality reviews.

Is utilization review a stressful job?

Utilization review is a role that involves evaluating healthcare services for appropriateness and coverage, which can be stressful due to strict deadlines, high accuracy requirements, and the need to handle complex cases. The level of stress varies depending on the work environment, workload, and individual coping skills, but it generally requires attention to detail and strong communication skills. Some professionals find the job manageable with proper time management and support systems in place.

What is the difference between Part Time Utilization Review vs Part Time Case Management?

AspectPart Time Utilization ReviewPart Time Case Management
CredentialsTypically requires healthcare-related certifications (e.g., RN, LPN, or medical reviewer credentials)Often requires social work, nursing, or healthcare certifications, with some overlap
Work EnvironmentHealthcare facilities, insurance companies, or third-party review organizationsHospitals, insurance companies, or community health agencies
Employer & Industry UsageUsed mainly in insurance and healthcare to evaluate medical necessityUsed in healthcare to coordinate patient care and services

Part Time Utilization Review focuses on assessing the medical necessity of services, while Part Time Case Management involves coordinating patient care and services. Both roles require healthcare credentials and are common in insurance and healthcare settings, but they serve different functions within patient care and resource management.

What are the key skills and qualifications needed to thrive as a Part Time Utilization Review Nurse, and why are they important?

To thrive as a Part Time Utilization Review Nurse, you need a current RN license, strong clinical assessment skills, and experience in case management or utilization review. Familiarity with healthcare management systems, InterQual or MCG guidelines, and insurance authorization processes is typically required. Excellent analytical thinking, attention to detail, and effective communication help in collaborating with healthcare providers and payers. These skills ensure appropriate resource use, regulatory compliance, and optimal patient outcomes in a part-time capacity.

What jobs pay 4000 a week without a degree?

Part Time Utilization Review roles typically do not pay $4,000 a week; such high earnings usually require full-time positions or specialized skills. Jobs that can reach this level without a degree often include sales, real estate, or certain freelance consulting roles, but they generally demand experience, certifications, or a strong network. Most high-paying roles without a degree involve sales, entrepreneurship, or skilled trades with commission or performance-based pay structures.
What are the most commonly searched types of Utilization Review jobs in Tennessee? The most popular types of Utilization Review jobs in Tennessee are:
What are popular job titles related to Part Time Utilization Review jobs in Tennessee? For Part Time Utilization Review jobs in Tennessee, the most frequently searched job titles are:
What job categories do people searching Part Time Utilization Review jobs in Tennessee look for? The top searched job categories for Part Time Utilization Review jobs in Tennessee are:
What cities in Tennessee are hiring for Part Time Utilization Review jobs? Cities in Tennessee with the most Part Time Utilization Review job openings:
Part Time Utilization Review jobs near you
Infographic showing various Part Time Utilization Review job openings in Tennessee as of July 2026, with employment types broken down into 100% Part Time. Highlights an 100% In-person job distribution, with an average salary of $79,822 per year, or $38.4 per hour.

Utilization Specialist - Part Time

Ascension St. Thomas Behavioral Health Hospital

Nashville, TN

Part-time

Posted 16 days ago

Job description

Overview

PURPOSE STATEMENT: 

Proactively monitor utilization of services for patients to optimize reimbursement for the facility.  

Responsibilities

ESSENTIAL FUNCTIONS: 

  • Act as liaison between managed care organizations and the facility professional clinical staff. 
  • Conduct reviews, in accordance with certification requirements, of insurance plans or other managed care organizations (MCOs) and coordinate the flow of communication concerning reimbursement requirements. 
  • Monitor patient length of stay and extensions and inform clinical and medical staff on issues that may impact length of stay.  
  • Gather and develop statistical and narrative information to report on utilization, non-certified days (including identified causes and appeal information), discharges and quality of services, as required by the facility leadership or corporate office. 
  • Conduct quality reviews for medical necessity and services provided.   
  • Facilitate peer review calls between facility and external organizations.  
  • Initiate and complete the formal appeal process for denied admissions or continued stay.  
  • Assist the admissions department with pre-certifications of care.  
  • Provide ongoing support and training for staff on documentation or charting requirements, continued stay criteria and medical necessity updates. 

OTHER FUNCTIONS:  

  • Perform other functions and tasks as assigned. 
Qualifications

EDUCATION/EXPERIENCE/SKILL REQUIREMENTS: 

  • Required Education: High school diploma or equivalent. 
  • Preferred Education: Associate's, Bachelor's, or Master's degree in Social Work, Behavioral or Mental Health, Nursing, or a related health field. 
  • Experience: Clinical experience is required, or two or more years' experience working with the facility's population. Previous experience in utilization management is preferred 

LICENSES/DESIGNATIONS/CERTIFICATIONS:  

  • Preferred Licensure: LPN, RN, LMSW, LCSW, LPC, LPC-I within the state where the facility provides services; or current clinical professional license or certification, as required, within the state where the facility provides services. 
  • CPR and de-escalation and restraint certification required (training available upon hire and offered by facility.   
  • First aid may be required based on state or facility requirements. 

 

ADDITIONAL REGULATORY REQUIREMENTS: 

While this job description is intended to be an accurate reflection of the requirements of the job, management reserves the right to add or remove duties from particular jobs when circumstances  (e.g. emergencies, changes in workload, rush jobs or technological developments) dictate. 

We are committed to providing equal  employment opportunities to all applicants for employment regardless of an individual's characteristics protected by applicable state, federal and local laws.

ASCST

Employment Type: PART_TIME

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