ZipRecruiter

Log In

2

Remote Utilization Review Rn Jobs in Clarksville, TN

Ourhrconnect

RN Appeals Analyst

Nashville, TN · Remote

... fully remote. What You'll Do: * Documents the basis of the appeal or retrospective review in an ... Required Work Experience: 2 years clinical experience plus 1 year utilization/medical review ...

Ourhrconnect

RN Appeals Analyst

Nashville, TN · Remote

... fully remote. What You'll Do: * Documents the basis of the appeal or retrospective review in an ... Required Work Experience: 2 years clinical experience plus 1 year utilization/medical review ...

PharmD Live

Spanish Speaking LPN Tennessee

Nashville, TN · Remote

$26.25 - $35.75/hr

... Remote Schedule: Flexible create your own hours Requirement: Must hold an active Tennessee RN or LP ... This role emphasizes patient engagement, data review, and coordination of care to reduce ...

PharmD Live

Spanish Speaking LPN - Tennessee

Nashville, TN · Remote

$24.75 - $33.75/hr

... Remote Schedule: Flexible - create your own hours Requirement: Must hold an active Tennessee RN or ... This role emphasizes patient engagement, data review, and coordination of care to reduce ...

Varsity Tutors

NCLEX-RN Tutor

Nashville, TN · Remote

$18 - $40/hr

Adapts instruction using UWorld, Kaplan, or ATI practice question banks, content review materials, and test-taking strategy workshops to support BSN and ADN graduates preparing for registered nurse ...

Urrly

Telehealth Nurse Practitioner (Remote)

Nashville, TN · Remote

$600 - $720/hr

Telehealth Nurse Practitioner * Location/Type: Tennessee Remote (No travel) * Pay: $600$720/day ... Review medical history, medications, and preventive needs * Document visits using ICD-10 and CPT II ...

next page

Showing results 1-20

All JobsUtilization Review Rn JobsRemote Utilization Review Rn JobsRemote Utilization Review Rn Jobs in Clarksville, TN

Remote Utilization Review Rn information

See Clarksville, TN salary details

$18

$36

$59

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

As of Aug 5, 2026, the average hourly pay for remote utilization review rn in Clarksville, TN is $36.76, according to ZipRecruiter salary data. Most workers in this role earn between $29.04 and $42.21 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a remote utilization review RN?

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 Clarksville, TN? For Remote Utilization Review Rn jobs in Clarksville, TN, the most frequently searched job titles are:
What job categories do people searching Remote Utilization Review Rn jobs in Clarksville, TN look for? The top searched job categories for Remote Utilization Review Rn jobs in Clarksville, TN are:
What cities near Clarksville, TN are hiring for Remote Utilization Review Rn jobs? Cities near Clarksville, TN with the most Remote Utilization Review Rn job openings:
Remote Utilization Review Rn jobs near you
Infographic showing various Remote Utilization Review Rn job openings in Clarksville, TN as of July 2026, with employment types broken down into 50% Full Time, and 50% Contract. Highlights an 100% Remote job distribution, with an average salary of $76,462 per year, or $36.8 per hour.

Hybrid Nurse Practitioner - In-Home Wound Care & RN Clinical Supervision

Esperta Health

Nashville, TN • Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 13 days ago

Job description

What Makes This Role Unique

Few roles offer the chance to shape how an entire team delivers care. As a Nurse Practitioner with Esperta Health, you'll elevate the standard of care across a growing patient population by mentoring and supervising a dedicated team of field RNs all while doing the advanced wound care work you love, hands-on with patients. You'll work within a collaborative, physician-led model where your voice matters and your expertise makes a real difference, helping patients heal where they're most comfortable-their own homes. If you've been looking for a role where leadership, mentorship, and clinical excellence come together with purpose, this is it.

Position Overview

We are seeking an experienced, highly skilled Nurse Practitioner (NP) to join our in-home, physician-led wound care practice in a unique hybrid leadership and clinical role. This position combines remote clinical supervision of a team of Registered Nurses (50%) with in-field patient care (50%).

This is not a traditional NP role. This position is designed for a clinician who excels in advanced wound care, thrives in team leadership, and is passionate about elevating care delivery in the home setting through mentorship, oversight, and hands-on collaboration.

The NP will report directly to the State Medical Director and serve as the primary clinical resource, supervisor, and partner to the RN field team.

Key Responsibilities

Remote Clinical Supervision (50%)

  • Provide real-time clinical oversight and support to a team of RNs managing complex wound care patients in the home
  • Review RN documentation, wound assessments, and care plans for accuracy and clinical appropriateness
  • Conduct virtual case reviews and clinical consultations with RNs
  • Guide escalation of care, treatment modifications, and advanced wound interventions
  • Ensure adherence to clinical protocols, standards of care, and physician-directed treatment plans
  • Support quality assurance, compliance, and clinical best practices across the RN team
  • Participate in care coordination with physicians and interdisciplinary team members
  • Mentor, coach, and develop RN clinical competency in advanced wound care

Field-Based Patient Care (50%)

  • Conduct in-home patient visits individually or alongside RNs for complex or high-acuity wound cases
  • Perform advanced wound assessments, debridement (as appropriate), and treatment planning
  • Collaborate directly with RNs during visits to model best practices and elevate bedside skill
  • Initiate, modify, and oversee wound care plans in collaboration with supervising physicians
  • Identify opportunities for improved outcomes, healing timelines, and care efficiency
  • Support new RN onboarding and field training during joint visits

Requirements

Ideal Candidate Profile
  • A wound care expert who other nurses naturally look to for guidance
  • A clinical leader who enjoys teaching and elevating team performance
  • Comfortable switching between tele-supervision and hands-on care seamlessly
  • Highly organized with strong clinical judgment
  • Passionate about improving outcomes in the home setting
  • Collaborative, communicative, and confident in working closely with physicians
Required Qualifications
  • Active, unrestricted Nurse Practitioner license in the state
  • Board certification as an NP
  • Minimum 3 years of full-time, hands-on wound care experience (required)
  • Experience performing advanced wound assessments and treatment planning
  • Strong understanding of chronic wounds, pressure injuries, diabetic ulcers, vascular wounds, and surgical wounds
  • Prior experience working in home health, mobile care, or community-based care preferred
  • Demonstrated experience mentoring, supervising, or leading RNs or clinical teams
  • Excellent documentation review and clinical audit skills
  • Comfortable using telehealth and remote communication tools
  • Valid driver's license and willingness to travel locally for patient visits

Benefits

  • Mileage Reimbursement
  • Health Care Plan (Medical, Dental & Vision)
  • Retirement Plan (401k)
  • Life Insurance
  • Paid Time Off
  • Short Term & Long Term Disability
  • Training & Development

Apply