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Remote Utilization Management Nurse Jobs in Springfield, TN

PharmD Live

Spanish Speaking LPN - Tennessee

Nashville, TN · Remote

$24.75 - $33.75/hr

We are looking for a bilingual Care Coordinator (RN/LPN) fluent in Spanish and English to play a key role in managing patients enrolled in Remote Patient Monitoring (RPM) and Chronic Care Management ...

PharmD Live

Spanish Speaking LPN - Tennessee

Nashville, TN · Remote

$26.25 - $35.75/hr

We are looking for a bilingual Care Coordinator (RN/LPN) fluent in Spanish and English to play a key role in managing patients enrolled in Remote Patient Monitoring (RPM) and Chronic Care Management ...

CopilotIQ

Intake Nurse

Nashville, TN · Remote

Order remote monitoring devices for member * Ability to perform high quality, high volume calls ... Strong time management skills and self-motivation. * Must be a quick learner in a fast paced ...

TeleMate Health

Physician Assistant (PA-C)

Old Hickory, TN · Remote

$100K - $135K/yr

Physician Assistant (PA) - Chronic Care Management & Remote Patient Monitoring Position Summary ... Collaborate closely with care managers, nurses, providers, specialists, pharmacists, and other ...

TeleMate Health

Physician Assistant (PA-C)

Lakewood, TN · Remote

$100K - $135K/yr

Physician Assistant (PA) - Chronic Care Management & Remote Patient Monitoring Position Summary At ... Collaborate closely with care managers, nurses, providers, specialists, pharmacists, and other ...

TeleMate Health

Physician Assistant (PA-C)

Lakewood, TN · Remote

$100K - $135K/yr

Physician Assistant (PA) - Chronic Care Management & Remote Patient Monitoring Position Summary At ... Collaborate closely with care managers, nurses, providers, specialists, pharmacists, and other ...

Cushman & Wakefield

Occupancy Planner

Nashville, TN · On-site +1

East Coast remote eligible for the right candidate. Key Responsibilities * Manage and own a ... Monitor space utilization against approved plans, workplace standards, and occupancy targets.

Cushman & Wakefield

Occupancy Planner

Nashville, TN · On-site +1

East Coast remote eligible for the right candidate. Key Responsibilities * Manage and own a ... Monitor space utilization against approved plans, workplace standards, and occupancy targets.

Cushman & Wakefield

Occupancy Planner

Nashville, TN · On-site +1

East Coast remote eligible for the right candidate. Key Responsibilities * Manage and own a ... Monitor space utilization against approved plans, workplace standards, and occupancy targets.

Cushman & Wakefield

Occupancy Planner

Nashville, TN · On-site +1

East Coast remote eligible for the right candidate. Key Responsibilities * Manage and own a ... Monitor space utilization against approved plans, workplace standards, and occupancy targets.

Amsurg

Manager, Supply Chain

Nashville, TN · Remote

Manager, Supply Chain Remote Company Overview: AMSURG is an independent leader in ambulatory ... Produce monthly vendor utilization reports for each corporate contract by center * Perform various ...

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Remote Utilization Management Nurse information

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$39

$65

How much do remote utilization management nurse jobs pay per hour?

As of Sep 11, 2026, the average hourly pay for remote utilization management nurse in Springfield, TN is $39.93, according to ZipRecruiter salary data. Most workers in this role earn between $31.54 and $45.87 per hour, depending on experience, location, and employer.

What is a remote utilization management nurse?

A Remote Utilization Management Nurse is a registered nurse who works from a remote location, such as their home, to review patient medical records and determine the necessity, appropriateness, and efficiency of healthcare services. They collaborate with healthcare providers and insurance companies to ensure that patients receive appropriate care while managing costs. Their main responsibilities include reviewing clinical documentation, conducting pre-authorization reviews, and ensuring compliance with healthcare regulations and insurance guidelines.

What does a remote utilization management nurse do?

As a remote utilization management nurse, you work from home to perform a variety of duties and responsibilities, such as corresponding with and interviewing physicians, modifying patient treatment plans, analyzing investigation information, and auditing patient records. As a UM nurse, you may also deal with other clinical tasks, referrals, authorizations, and reviews. You usually work for insurance companies and healthcare providers to help to determine if patients should receive authorization for needed treatments or for those that they already receive. In some cases, you may monitor processes to ensure that hospital patients are getting what they need during their stay.

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

To thrive as a Remote Utilization Management Nurse, you need a valid RN license, clinical experience (often in acute care), and a solid understanding of utilization review and healthcare regulations. Familiarity with case management software, electronic medical records (EMRs), and tools like InterQual or Milliman Care Guidelines is typically required. Strong analytical skills, attention to detail, and effective written and verbal communication are essential soft skills for successful remote collaboration and decision-making. These skills ensure accurate assessments, compliance with standards, and the delivery of cost-effective, quality patient care from a remote setting.

What are some common challenges faced by remote utilization management nurses, and how can they be addressed?

Remote Utilization Management Nurses often face challenges such as maintaining effective communication with interdisciplinary teams, staying updated on changing insurance guidelines, and managing a high volume of case reviews. To address these issues, it's helpful to establish regular virtual check-ins with team members, utilize digital tools for efficient documentation, and participate in ongoing training on payer requirements. Developing strong organizational skills and proactively seeking clarification on complex cases can also contribute to success in this role.

What is the difference between Remote Utilization Management Nurse vs Remote Case Manager?

AspectRemote Utilization Management NurseRemote Case Manager
CredentialsRN license, certifications like CCM or ANCCRN license, certifications like CCM or similar
Work EnvironmentHealthcare organizations, insurance companies, telehealthInsurance companies, healthcare providers, telehealth
Job FocusReviewing medical necessity, authorizations, and utilizationCoordinating patient care, discharge planning, resource management

Both roles require RN licensure and similar certifications, often working remotely within healthcare or insurance settings. The main difference lies in focus: Utilization Management Nurses primarily review medical necessity and authorization requests, while Case Managers coordinate patient care and discharge planning. Understanding these distinctions helps job seekers identify the role that best matches their skills and career goals.

More about Remote Utilization Management Nurse jobs

What are popular job titles related to Remote Utilization Management Nurse jobs in Springfield, TN?

For Remote Utilization Management Nurse jobs in Springfield, TN, the most frequently searched job titles are:

What cities near Springfield, TN are hiring for Remote Utilization Management Nurse jobs?

Cities near Springfield, TN with the most Remote Utilization Management Nurse job openings:

Remote Utilization Management Nurse jobs near you

Spanish Speaking LPN - Tennessee

Nashville, TN • Remote

PharmD Live
Health Care and Social Assistance • 11 - 50 employees
Learn more about PharmD Liveexternal

$24.75 - $33.75/hr

Full-time

Re-posted 25 days ago

Job description

Job Title: Spanish & English speaking LPN - Tennessee

Location: Fully Remote
Schedule: Flexible - create your own hours
Requirement: Must hold an active Tennessee RN or LPN license


Position Overview:
We are looking for a bilingual Care Coordinator (RN/LPN) fluent in Spanish and English to play a key role in managing patients enrolled in Remote Patient Monitoring (RPM) and Chronic Care Management (CCM) programs. This role emphasizes patient engagement, data review, and coordination of care to reduce preventable complications and hospitalizations.


Core Responsibilities:

  • Serve as the primary point of contact for patients enrolled in RPM and CCM programs.
  • Review transmitted patient health data daily, identify red flags, and escalate issues to the clinical team.
  • Provide culturally competent health education in Spanish and English, empowering patients to manage chronic conditions effectively.
  • Partner with physicians, pharmacists, and interdisciplinary teams to optimize patient outcomes.
  • Coordinate follow-ups, specialist referrals, and care transitions.
  • Document interactions thoroughly in the EHR, ensuring accuracy and compliance with CMS regulations.
  • Support program enrollment and assist with patient onboarding for RPM devices.


Qualifications:

  • Active Tennessee RN or LPN license.
  • Fully bilingual in Spanish and English (oral and written).
  • 2+ years of experience in care coordination, telehealth, or chronic disease management.
  • Strong skills in patient education, clinical judgment, and data interpretation.
  • Proficient in EHR systems and comfortable with telehealth technology.
  • Organized, compassionate, and able to thrive in a remote, HIPAA-compliant workspace.

Apply