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Remote Utilization Management Nurse Jobs in Springfield, TN

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 ...

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 ...

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 ...

Track remediation actions and monitor progress toward resolution Tool Utilization & Data Management ... Limited Geography Remote - This is a remote position but located within a specific geography, must ...

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Track remediation actions and monitor progress toward resolution Tool Utilization & Data Management ... Limited Geography Remote - This is a remote position but located within a specific geography, must ...

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Remote Utilization Management Nurse information

See Springfield, TN salary details

$20

$39

$65

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

As of Sep 12, 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.

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:

Manager, Supply Chain

Nashville, TN • Remote

AMSURG
Health Care and Social Assistance • 10K+ employees

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 12 days ago


AmSurg rating

6.2

Company rating: 6.2 out of 10

Based on 24 frontline employees who took The Breakroom Quiz


Job description

Manager, Supply Chain

Remote

Company Overview: AMSURG is an independent leader in ambulatory surgery center services, operating a network of more than 250 surgery centers nationwide. In partnership with physicians and health systems, the organization delivers high-quality care for patients across a diverse spectrum of medical specialties, including gastroenterology, ophthalmology and orthopedics. To learn more about AMSURG, visit www.amsurg.com.

POSITION SUMMARY:

The Manager, Supply Chain on our team is responsible for the execution of an inventory management and purchasing strategy for assigned facilities, with the ultimate goal of reducing supply and inventory costs while improving services for our surgery center partners. 

Work Schedule: This is a Remote First role.

ESSENTIAL RESPONSIBILITIES:

  • Initial set-up and operational enrollment of centers with our GPO partner
  • Initial set-up and operational enrollment of centers in all applicable corporate purchasing programs/contracts
  • Obtain and maintain current records of pharmacy licenses & DEAs to satisfy vendor contract requirements
  • Implement system for monitoring compliance of each GPO and corporate contract
  • Troubleshoot problems between centers and vendors and present possible solutions to Senior Director, Supply Chain and Operations Lead
  • Produce monthly vendor utilization reports for each corporate contract by center
  • Perform various cost and/or usage analyses (as directed by Senior Director, Supply Chain) using MOR data and vendor utilization data, i.e., determine spend on a product, “Brand A”, vs. Same product, “Brand B”, determine savings potential and present findings and recommendations to Senior Director, Supply Chain
  • Communicate with assigned centers at a minimum on a monthly basis to inquire and assist with any materials management and/or purchasing needs
  • Participate in Materials Management educational training sessions for center directors
  • Maintain current vendor directory and databases
  • Maintain current GPO contract portfolio and notify operations teams when contracts are modified
  • Monitor corporate purchasing contracts for product additions/deletions and notify operations teams of changes that would require additional follow-up at center level
  • Review proposed contracts/agreements for accuracy and compliance to GPO or corporate agreement Terms and Conditions
  • Assist with corporate contract renewals when needed
  • Assist centers in sourcing and purchasing capital equipment
  • Complete other tasks and duties as assigned by supervisor
  • Regular and reliable attendance is required
  • Up to 10% travel as needed

KNOWLEDGE AND SKILLS:

To perform this job successfully, an individual must be able to perform each essential responsibility satisfactorily.  The requirements listed below are representative of the knowledge, skills and/or abilities required.

Education/Experience:

  • Bachelor’s Degree from a four-year accredited College or University.
  • Minimum of four (4) years progressive experience in a supply chain or materials management position in a healthcare setting.
  • Advanced skills in word processing and spreadsheet programs, preferably in Microsoft Word/Excel.
  • Experience with Group Purchasing Organizations (GPO) preferred.

75% Tactical/25% Strategic Impact:

Ability to execute solutions across affected sites that address short- to medium-term needs of a center's functional areas and related areas through close collaboration with center and VP or Director Supply Chain leadership and other core business departments in an effort to provide both with tactical solutions that support and promote alignment with department and corporate strategic objectives.

Other Qualifications:

Experience leading conversion of physician preference items to drive contract compliance. Strong customer orientation.  Strong relationship management skills.  Must be able to handle multiple, simultaneous tasks effectively and efficiently while maintaining a professional, courteous manner and work well with others.  Strong verbal and written communication skills with equally strong attention to detail and organizational skills.  High integrity, including maintenance of confidential information.  Must be able to exercise good judgment and positively influence others, including handling confrontations with poise and efficiency.  Based on business need, the ability to work a flexible schedule including some evenings. Must pass a background check and drug screen.

Employment at AMSURG: Living Our Values Every Day
At AMSURG, our values define who we are and how we serve our patients, partners, and each other. As a national leader in ambulatory surgery, we are committed to a culture of excellence, integrity, teamwork and caring deeply. Our values guide every decision, ensuring we continue to elevate healthcare and provide the highest quality care.
These guiding principles are the foundation of our culture and a guide to how we collaborate, innovate, and make a difference every day.

  • Care Deeply for those around us.
  • Cultivate Integrity to build trust.
  • Champion Excellence for continuous improvement
  • Celebrate Teamwork every step to the way.

Benefits:

To ensure we retain and invest in great people, AMSURG provides its employees with the benefits, recognition, training, and opportunities needed for professional growth. Our wide range of health and welfare benefits allow you to choose the right coverage for you and your family. AMSURG offers a variety of health and welfare benefit options to help protect your health and promote your wellbeing. Benefits offered include but are not limited to: Paid Time Off, Medical, Dental, Vision, Life, Disability, Healthcare FSA, Dependent Care FSA, Limited Healthcare FSA, FSAs for Transportation and Parking & HSAs, and a matching 401(K) Plan.

Paid Time Off:

AMSURG offers paid time off, 9 observed holidays, and paid family leave. You accrue Paid Time Off (PTO) each pay period and depending on your position and can earn a minimum of 20 days and up to 25 days per calendar year.

EOE Statement:

AMSURG is an Equal Opportunity Employer (EOE). Qualified applicants are considered for employment without regard to age (40 or older), race, color, religion, gender, sex, national origin, pregnancy, sexual orientation, disability, genetic information or any other status protected under applicable federal, state, or local laws. We strive to also provide a disability inclusive application and interview process. If you are a candidate with a disability and require reasonable accommodation in order to submit an application, please contact us at: careers@amsurg.com. Please include your full name, the role you’re applying for and the accommodation necessary to assist you with the recruiting process. 

#LI-REMOTE

#LI-CH1


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