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Remote Insurance Utilization Review Jobs in Bolivar, TN

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Remote Insurance Utilization Review information

See Bolivar, TN salary details

$19

$37

$61

How much do remote insurance utilization review jobs pay per hour?

As of Sep 8, 2026, the average hourly pay for remote insurance utilization review in Bolivar, TN is $37.87, according to ZipRecruiter salary data. Most workers in this role earn between $29.90 and $43.51 per hour, depending on experience, location, and employer.

What is a remote insurance utilization review?

Remote insurance utilization review jobs involve evaluating medical records and treatment plans to determine whether healthcare services are medically necessary and covered by a patient’s insurance plan. Professionals in these roles, often nurses or other healthcare specialists, work from home and communicate with healthcare providers, insurance companies, and patients. Their main goal is to ensure that patients receive appropriate care while also helping insurance companies manage costs and comply with regulations.

What skills and qualifications are needed for a remote insurance utilization review specialist?

To thrive as a Remote Insurance Utilization Review Specialist, you need a strong understanding of medical terminology, clinical guidelines, and insurance policies—usually supported by a nursing or health-related degree and relevant licensure. Familiarity with electronic medical record (EMR) systems, insurance claims platforms, and utilization review software is essential. Strong analytical skills, attention to detail, and effective written communication are crucial soft skills for this role. These competencies ensure accurate case evaluations, compliance with regulations, and clear communication between healthcare providers and insurers.

How does a remote insurance utilization review professional collaborate with healthcare providers and insurance companies?

Remote insurance utilization review professionals regularly interact with healthcare providers to gather patient information, clarify treatment plans, and ensure that clinical documentation supports insurance requirements. They also communicate with insurance companies to advocate for patient care, provide necessary justifications, and resolve coverage issues. While the work is done remotely, collaboration typically occurs via secure email, phone calls, and virtual meetings, requiring strong communication and organizational skills to ensure timely and accurate exchange of information.

What is the difference between Remote Insurance Utilization Review vs Remote Claims Reviewer?

AspectRemote Insurance Utilization ReviewRemote Claims Reviewer
CredentialsTypically requires nursing or healthcare-related certifications, such as RN or licensed healthcare professionalUsually requires insurance or claims processing knowledge, sometimes with certifications like CPC or CPC-H
Work EnvironmentRemote, healthcare or insurance company settings, reviewing medical necessity and appropriateness of servicesRemote, insurance companies or third-party administrators, reviewing claims for accuracy and compliance
Industry UsageCommonly used in healthcare insurance to evaluate medical necessityUsed across insurance sectors to process and validate claims

Remote Insurance Utilization Review focuses on assessing the medical necessity of services, often requiring healthcare credentials. Remote Claims Reviewers handle claims processing and validation, emphasizing insurance knowledge. Both roles are remote and industry-specific but differ in their primary responsibilities and required qualifications.

What cities near Bolivar, TN are hiring for Remote Insurance Utilization Review jobs?

Cities near Bolivar, TN with the most Remote Insurance Utilization Review job openings:

Collaborating Psychiatrist / Supervising Physician (MD or DO) -- Remote | Telehealth | Part-Time | Te

Legion Health

Jackson, TN • Remote

$50K - $150K/yr

Part-time

Posted 20 days ago


Job description

[We show compassion to heal minds.]

 
About Legion Health

Legion Health is a technology-forward psychiatry company delivering world-class outpatient mental health care while expanding access for patients through insurance.

We are seeking exceptional Collaborating Psychiatrists (MD or DO) across the United States to collaborate with and supervise psychiatric mental health nurse practitioners through secure telehealth workflows.

Our innovative model combines the stability of a traditional hospital position with the flexibility of a private practice. We prioritize our clinicians' well-being and professional growth, offering a competitive compensation package and fostering a vibrant, collaborative culture.

Quality and patient experience are paramount to us. This means recruiting exceptional providers, championing evidence-based protocols, and displaying compassion in every patient interaction. Our exceptional psychiatrists operate with clinical autonomy, supported by experienced peers.

Our vision is to pioneer a new era of medicine by delivering world-class psychiatry. We believe in a future where every person can access the compassionate, high-quality care they need.

 
About the Role

Legion Health is seeking clinically excellent, patient-centered psychiatrists to collaborate with and supervise PMHNPs through secure telehealth workflows. This nationwide, remote, part-time contractor opportunity combines predictable flexibility with meaningful clinical responsibility and the support of a modern clinical organization.

Legion recruits and vets the PMHNPs and manages the operational infrastructure, while you provide responsive clinical guidance, chart review, mentorship, and independent prescribing decisions when legally permitted and clinically appropriate.

 
Benefits

Legion’s model is built to give clinicians more time for patients, fewer administrative distractions, and the support of a high-caliber psychiatric community.

  • Flexibility: Set your own schedule for optimal work-life balance.

  • Work from Home: Collaborate with PMHNPs through secure telehealth and clinical systems.

  • Significant Administrative Support: You focus on patient care, and we’ll handle scheduling, insurance verification, billing, prior authorizations, pharmacy coordination, etc.

  • Commitment to Responsible Prescribing and High-Quality Care: We have rigorous, evidence-based protocols and provide objective diagnostic tools to ensure responsible and ethical prescriptions of controlled substances.

  • Legal Protection: We provide full malpractice insurance coverage.

  • PMHNP acquisition: Legion recruits and vets the PMHNPs you support.

  • Clinical autonomy: Exercise independent medical judgment within clear, evidence-based protocols.

  • Licensure and DEA Coverage: We’ll reimburse you for all fees associated with getting licensed in other states as required by Legion.

  • Credentialing Support: We handle all aspects and costs of credentialing with a large number of insurance plans, including commercial, ACA, and government, ensuring your legal and effective authorization within insurance networks.

  • Community of Clinical Excellence: You will work alongside the most talented psychiatrists and PMHNPs in the world. Our current providers have trained at some of the country’s most prestigious institutions.

  • Monthly Pay: We pay our providers every month for immediate financial benefit and planning ease.

  • Culture of Excellence through Innovation: Actively participate in ushering in a new era of mental health care through superior clinical care and technology.

  • Resources: We provide premium subscriptions to resources such as UpToDate and Carlat.

  • Exclusive Events: Engage with your colleagues through exclusive in-person and virtual events.

 
✅ Responsibilities
  • Collaborate with experienced PMHNPs treating low- and medium-acuity psychiatry patients using evidence-based approaches.

  • Conduct chart reviews and provide timely guidance on diagnoses, treatment plans, medication management, and clinical escalations.

  • Review and authorize prescriptions, including controlled substances when legally permitted and clinically appropriate.

  • Be available during agreed working hours and at the end of PMHNP shifts when required by applicable state rules.

  • Mentor clinicians and reinforce Legion's clinical standards, documentation expectations, and responsible-prescribing protocols.

  • Help Legion expand access to high-quality psychiatric care across the United States.

 
Qualifications
  • An active, unrestricted license to practice medicine in at least one U.S. jurisdiction.

  • Strong clinical assessment, diagnostic, and medication-management skills.

  • Excellent communication and interpersonal skills.

  • Comfort providing care remotely and using electronic health record systems.

  • Commitment to patient-centered, compassionate, evidence-based care.

 
Role Logistics
  • Location: Fully remote within the United States.

  • Schedule: Part-time

  • Compensation: $50K-150K per year, depending on the number and workload of PMHNPs supervised

 
Clinical Advisory Board

Legion’s Clinical Advisory Board brings together nationally recognized psychiatrists, physician executives, telepsychiatry pioneers, and primary-care leaders. Working closely with Legion’s medical leadership, they help shape our clinical quality standards, evidence-based care protocols, prescribing safeguards, risk-management practices, and continuous quality-improvement efforts as the company scales.

Members of our clinical advisory board include:

  • Madhukar Trivedi, M.D. — Psychiatrist; Professor of Psychiatry and Distinguished Chair in Mental Health at UT Southwestern

  • Alexander Ruvalcaba, M.D. — Psychiatrist; Physician Executive at MultiCare Behavioral Health Network

  • Jon Kole, M.D. — Psychiatrist; Senior Medical Director at Headspace

  • Liberty Eberly, D.O. — Psychiatrist; Co-Founder and Former Chief Medical Officer at innovaTel Telepsychiatry

  • John Lusins, M.D. — Psychiatrist; Founder and President at South Texas Mental Health Associates

  • Jacqueline Champlain, M.D. — Family Medicine Physician; Lead Physician at WellMed and Fellow of the American Academy of Family Physicians

 
✨ Bring Your Best Clinical Work to Legion

If you are a thoughtful, evidence-based psychiatrist who wants the flexibility of remote practice, meaningful clinical autonomy, robust operational support, and a community committed to excellent psychiatric care, we would be excited to learn more about you.

 
Equal Employment Opportunity

Legion Health is proud to be an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees, contractors, and applicants without regard to race, color, religion, sex, sexual orientation, gender identity or expression, national origin, age, disability, veteran status, genetic information, or any other protected characteristic under applicable law. We encourage applicants from all backgrounds to apply.

Compensation Range: $50K - $150K