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Remote Utilization Review Rn Jobs in Chattanooga, TN

Location: Flexible, can be US remote The individual in this position is responsible for ... Perform a broad scope of work during reviews of ACA's largest and most complicated clients, and to ...

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Remote Utilization Review Rn information

See Chattanooga, TN salary details

$19

$38

$62

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

As of Jul 15, 2026, the average hourly pay for remote utilization review rn in Chattanooga, TN is $38.50, according to ZipRecruiter salary data. Most workers in this role earn between $30.43 and $44.23 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a Remote Utilization Review RN, and why are they important?

To excel as a Remote Utilization Review RN, you need a valid RN license, strong clinical judgment, and knowledge of utilization management principles. Familiarity with electronic medical records (EMR), utilization management software, and guidelines such as InterQual or MCG is typically required. Outstanding attention to detail, critical thinking, and effective communication skills help you collaborate with healthcare teams and advocate for appropriate patient care. These competencies are crucial for ensuring medical necessity, regulatory compliance, and optimal resource use in a remote setting.

What is a Remote Utilization Review RN?

A Remote Utilization Review RN is a registered nurse who evaluates the necessity, appropriateness, and efficiency of healthcare services provided to patients, typically working from a remote location. They review medical records, apply clinical guidelines, and collaborate with healthcare providers to ensure patients receive the right care at the right time. Their work helps manage healthcare costs and improves patient outcomes by preventing unnecessary treatments or hospital stays. Remote Utilization Review RNs often work for insurance companies, hospitals, or healthcare organizations, and use secure digital platforms to conduct their reviews.

What is the difference between Remote Utilization Review Rn vs Remote Case Manager Rn?

AspectRemote Utilization Review RnRemote Case Manager Rn
CertificationsRN license, Utilization Review certification (e.g., URAC)RN license, Case Management certification (e.g., CCM)
Work EnvironmentReviewing medical records, insurance policies, telehealth platformsCoordinating patient care, discharge planning, telehealth
Employer & IndustryInsurance companies, healthcare organizationsHospitals, insurance providers, healthcare agencies

Remote Utilization Review Rns primarily focus on evaluating medical necessity for insurance coverage, while Remote Case Manager Rns coordinate patient care and discharge planning. Both roles require RN licensure and involve telehealth work, but they serve different functions within healthcare and insurance industries.

What are some common challenges Remote Utilization Review RNs face when working from home, and how can they be addressed?

Remote Utilization Review RNs often encounter challenges such as maintaining clear communication with interdisciplinary teams, managing time efficiently, and staying updated on changing payer guidelines. To address these challenges, it's important to establish consistent check-ins with team members via video or chat platforms, use digital tools to organize and prioritize caseloads, and participate in ongoing training sessions provided by employers. Adhering to a structured daily routine and leveraging available technology can help ensure productivity and high-quality reviews while working remotely.
What are popular job titles related to Remote Utilization Review Rn jobs in Chattanooga, TN? For Remote Utilization Review Rn jobs in Chattanooga, TN, the most frequently searched job titles are:
What cities near Chattanooga, TN are hiring for Remote Utilization Review Rn jobs? Cities near Chattanooga, TN with the most Remote Utilization Review Rn job openings:
Infographic showing various Remote Utilization Review Rn job openings in Chattanooga, TN as of July 2026, with employment types broken down into 85% Full Time, 12% Part Time, and 3% Contract. Highlights an 40% Physical, 2% Hybrid, and 58% Remote job distribution, with an average salary of $80,078 per year, or $38.5 per hour.
Senior Principal Consultant

Senior Principal Consultant

ACA Group

Chattanooga, TN • On-site, Remote

Other

Medical, Dental, Retirement, PTO

Re-posted 4 days ago


Job description

Location: Flexible, can be US remote

The individual in this position is responsible for participating in mock regulatory examinations and compliance program reviews, assisting with policy and procedure reviews, drafting reports and manuals that promote compliance with regulatory requirements, and providing compliance assistance and advice to clients including those that advise private funds (i.e. hedge funds, private equity, real estate, private credit, credit, venture capital, infrastructure, etc.) and/or registered products (ETFs and/or mutual funds). The individual can take a leading role on complex projects. The individual in this position is also responsible for the development of client relationships and development and oversight of ACA junior staff. 

The individual should also be open to serving as an outsourced chief compliance officer ("oCCO") to clients.  As an oCCO, the individual will be the named CCO for such clients and will be responsible for ensuring that the compliance program is carried out in accordance with regulatory requirements and best practices.  

What you'll do: 

  • Lead or assist all aspects of mock regulatory examinations and compliance program reviews (e.g., preparing document requests, reviewing documents, conducting interviews, and drafting reports), including overseeing and reviewing the work of project team members.  

  • Perform a broad scope of work during reviews of ACA's largest and most complicated clients, and to guide, coordinate and consolidate the work of colleagues during these reviews.  

  • Provide regulatory consulting services to clients as needed (e.g., creating drafts of and submitting regulatory filings, conducting forensic testing, reviewing policies, procedures, and marketing materials and other compliance documents, answering compliance-related questions from clients, as well as identifying compliance-related issues and proposing resolutions).  

  • Manage assigned client relationships and projects proactively and profitably, including providing expert advice and delivering a superior client experience. Liaising with other internal departments as necessary (finance, sales, legal) where you are the designated account owner, including responding to clients' questions and needs in a timely manner and ensuring that colleagues contributing to shared accounts do the same.  

  • Identify, manage and/or support ACA special projects and internal initiatives (e.g., drafting articles for industry publications, participate in sales, conduct or oversee research on compliance issues, prepare, oversee the preparation of, and/or deliver internal or client training and/or presentations). 

  • Formally supervise, train, evaluate, oversee, and provide feedback to colleagues in a supervisory and project manager capacity.  

  • Perform ad-hoc work/special projects as necessary to support ACA on various client and internal initiatives. 

To qualify for the role you must have: 

  • Bachelor's degree. 

  • 8 years of industry experience. Alternatively, at least 6 years of experience that includes some combination of the following: (i) an examiner or attorney with the U.S. SEC, NFA, CFTC, FINRA, or another regulatory authority or (ii) a compliance analyst or consultant with ACA or a consulting organization comparable to ACA. 

  • Advanced knowledge of relevant federal securities laws and associated rules and regulatory positions thereunder (e.g., Investment Advisers Act of 1940, Investment Company Act of 1940, Securities Exchange Act of 1934, Commodity Exchange Act of 1936, Commodity Futures Trading Commission Act of 1974.) 

  • Executive presence - a professional who interacts effortlessly with regulators and high-profile clients. 

Ideally, you'll also have: 

  • Major or concentration in compliance, law, business, accounting, finance, and/or economics preferred. 

  • Supervisory experience. 

Skills and attributes for success: 

  • Demonstrated professional integrity. 

  • Dependable, flexible, and adaptable to new ACA initiatives and changing client needs. 

  • Ability to exercise discretion and make independent judgments on matters of significance. 

  • Ability to work in a fast-paced individual and small team environment. 

  • Ability to establish and maintain effective working relationships with colleagues and clients. 

  • Highly motivated and goal-oriented; proactive in one's own education and career progression; volunteers for and shows initiative on both internal and external projects and tasks. 

  • Dedicated to upholding ACA's high-quality standards and customer service focus. 

  • Strong organizational and problem-solving skills with attention to detail. 

  • Strong oral and written communication skills. 

  • Proficient with Microsoft Office applications and comfortable working in a tech-enabled environment.  Understanding of web-based technology applications and willingness to provide input in enhancements and new solutions. 

  • Willing to travel. 

Supervisory Duties Summary 

  • Supervise, train, evaluate, oversee, and provide feedback to junior colleagues. 

What working at ACA offers: 

We offer a competitive compensation package where you'll be rewarded based on your performance and recognized for the value you bring to our business. Our Total Rewards package includes medical and dental coverage, 401(k) plans, and a wide range of paid time off options as well as a flexible work environment.You'll also be granted time off for designated ACA Paid Holidays, Summer Fridays, Personal/Family Care, and other leaves of absence when needed to support your physical, financial, and emotional well-being. We also offer unique benefits such as Student Debt Forgiveness and Pet Insurance.  

About ACA: 

ACA Group is the leading governance, risk, and compliance (GRC) advisor in financial services. We empower our clients to reimagine GRC and protect and grow their business. Our innovative approach integrates consulting, managed services, and our ComplianceAlpha technology platform with the specialized expertise of former regulators and practitioners and our deep understanding of the global regulatory landscape. 

What we commit to: 

ACA is firmly committed to a policy of nondiscrimination, which applies to recruiting, hiring, placement, promotions, training, discipline, terminations, layoffs, transfers, leaves of absence, compensation, and all other terms and conditions of employment. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability or protected veteran status, or any other legally protected basis, in accordance with applicable law. 

The cash compensation range we have provided has been benchmarked against similar organizations of comparable size, sector, and age. Our offers of employment consider a variety of factors, including but not limited to, unique skill sets, specific expertise or certifications and business/organizational needs. It is not typical for us to hire talent at the top of the range for a role, in part because it's so important to us to allow all ACA employees the opportunity to develop over time, and to feel rewarded for doing so. Our listed range is a reasonable estimate of the total yearly compensation. 

Salary Range: $180K-$200K plus bonus