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Remote Utilization Review Rn Jobs in Clarksville, TN

CopilotIQ

Intake Nurse

Nashville, TN · Remote

Order remote monitoring devices for member * Ability to perform high quality, high volume calls ... Board of Registered Nurses. * A minimum of 2 years hands on nursing experience is required ...

Urrly

Telehealth Nurse Practitioner

Nashville, TN · On-site +1

$600 - $720/day

Location/Type: Tennessee Remote (No travel) * Pay: $600-$720/day (1099 contractor, based on ... Review medical history, medications, and preventive needs * Document visits using ICD-10 and CPT II ...

Scribe-X

Remote Medical Scribe

Nashville, TN · Remote

$14 - $17/hr

Anyone looking to begin a career in medicine (MD, DO, PA, NP, or RN) should consider becoming a ... Review completed charts with the provider between patients or at the completion of shift * Update ...

Charlie Health

Patient Finance Specialist

Nashville, TN · Remote

$17.50 - $23.25/hr

... Billing, Utilization Review, Outreach and Clinical * Support client-related requests from the ... LI-Remote Based on the nature of this role, you will need to complete several state background ...

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Showing results 21-40

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 22, 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 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 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 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 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 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 August 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.

Tennessee Psychiatric-Mental Health Nurse Practitioner (PMHNP)

Accountable

Nashville, TN • On-site, Remote

Contractor

Medical

Posted 10 days ago

Job description

TENNESSEE REMOTE PSYCHIATRIC-MENTAL HEALTH NURSE PRACTITIONER (PMHNP)
Initiating Visit & Supervising Practitioner : Principal Illness Navigation, Peer Support (PIN-PS)
Independent Contractor (1099) | Telehealth/ Remote position | You Are Accountable
ABOUT THE ROLE
You Are Accountable operates behavioral health programs built around Principal Illness Navigation - Peer Support (PIN-PS), a Medicare care-navigation benefit in which certified peer support specialists walk alongside patients living with serious behavioral health conditions. Every patient's navigation episode must begin with a qualifying initiating visit furnished by a billing practitioner, and the ongoing peer navigation is billed incident to that practitioner's services under general supervision. That practitioner is you.
This is a flexible, telehealth-based contractor role with meaningful clinical leverage: you conduct the psychiatric evaluation that opens each patient's episode, set the plan of care the peer team supports, and remain available as the supervising clinician while peer specialists deliver month-to-month navigation. You control your own schedule, and compensation scales directly with the work you personally perform.
WHAT YOU'LL DO
  • Conduct initiating visits (e.g., psychiatric diagnostic evaluations, CPT 90791, or E/M visits) via telehealth for patients entering PIN-PS programs, establishing the diagnosis, medical necessity, and plan of care the navigation services will support.
  • Document each visit in our EHR within 48 hours to clean, billable standards, including patient consent to navigation services where required.
  • Serve as the billing practitioner of record for enrolled patients and provide general supervision of the certified peer support specialists furnishing navigation incident to your services.
  • Furnish follow-up visits for your enrolled patients where clinically indicated and mutually agreed.
  • Cooperate with quality, audit, and payer-compliance activities relating to your patients.

WHAT WE'RE LOOKING FOR
  • Active, unrestricted APRN/NP licensure in one or more of: Texas, Florida, North Carolina, Tennessee, Pennsylvania, New Jersey, or New York (multi-state licensure a plus). State credential titles vary (APRN, CRNP, APN, NP) - all are welcome.
  • National board certification as a Psychiatric-Mental Health Nurse Practitioner (PMHNP-BC).
  • Any physician collaboration, supervision, or protocol arrangement required by your state (e.g., prescriptive authority agreement in TX; collaborative agreement in PA; joint protocol in NJ; practice agreement or NP Modernization Act qualification in NY; supervisory protocol in FL) - we can discuss support here. We also have physicians that we work with that can provide this.
  • Active NPI; eligibility to enroll with and reassign benefits to our professional entities for Medicare and Medicaid; never excluded from any federal or state health care program.
  • Comfort with telehealth care for adults with serious behavioral health conditions, and an appreciation for peer support as part of the care team.

COMPENSATION
  • Professional services: 80% of net collections for each service you personally furnish, paid within 30 days after the month we receive payment from the funding source, with full per-service reporting.
  • Supervision stipend: $5.00 per supervised patient per month for each month billable navigation services are furnished to that patient under your supervision.
  • Malpractice coverage: professional liability coverage for your services under this engagement provided at our expense ($1M per claim / $3M aggregate).

ENGAGEMENT DETAILS
1099 independent contractor; you keep full independent clinical judgment and set your own schedule around agreed availability. The role is non-exclusive - most of our practitioners maintain other practices. Because each patient's navigation episode depends on continuity with their billing practitioner, the agreement includes a 12-month notice period for termination without cause, which ends early automatically once your enrolled patients have been transitioned to a successor practitioner with continuity of care maintained; after giving notice you are never obligated to take on new patients.
You Are Accountable is an equal opportunity organization. All engagements are subject to credentialing, exclusion screening, and payer enrollment.

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