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Remote Utilization Review Rn Jobs in Knoxville, TN

Monitor and analyze project performance, schedules, risks, resource utilization, and financial ... Support development and review of project execution plans (PEPs), project documentation, and ...

Pharmacovigilance Expert

Knoxville, TN ยท Remote

$70 - $80/hr

Remote micro1 is engaging Pharmacovigilance Experts to contribute their advanced drug safety ... Author and review evaluation tasks based on DSURs, PSURs/PBRERs, and associated safety data and ...

Remote micro1 is engaging Pharmacovigilance Experts to contribute their advanced drug safety ... Author and review evaluation tasks based on DSURs, PSURs/PBRERs, and associated safety data and ...

NCLEX Tutor

Knoxville, TN ยท Remote

$25 - $40/hr

Adapts instruction using NCLEX review resources, practice question banks, and clinical scenario analysis to support nursing graduates preparing for first-time licensure as registered nurses or ...

... remote, responsible for a territory in and around Nashville, covering Kentucky and Central ... Conduct annual customer business reviews of top accounts and assist in managing escalated accounts ...

Showing results 21-37

Remote Utilization Review Rn information

See Knoxville, TN salary details

$20

$40

$65

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

As of Aug 21, 2026, the average hourly pay for remote utilization review rn in Knoxville, TN is $40.35, according to ZipRecruiter salary data. Most workers in this role earn between $31.88 and $46.35 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 cities near Knoxville, TN are hiring for Remote Utilization Review Rn jobs?

Cities near Knoxville, TN with the most Remote Utilization Review Rn job openings:

Infographic showing various Remote Utilization Review Rn job openings in Knoxville, TN as of August 2026, with employment types broken down into 67% Full Time, and 33% Part Time. Highlights an 100% Remote job distribution, with an average salary of $83,934 per year, or $40.4 per hour.

Board Certified Behavior Analyst

Carry On Therapy

Knoxville, TN โ€ข Remote

$65 - $80/hr

Full-time

Posted 7 days ago


Job description

About Carry On Therapy

Carry On Therapy provides ABA services that are centered around real life and families. We take time to understand routines, strengths, and goals so services feel practical and supportive rather than overwhelming. We value collaboration, ethical practice, and creating an environment where both clients and clinicians feel supported.

Position Overview

Carry On Therapy is seeking a Remote Board Certified Behavior Analyst (BCBA) to join our team and provide clinical oversight and ABA services to clients throughout Tennessee. This position is ideal for someone who values meaningful, individualized care and enjoys collaborating with families, RBTs, and a supportive clinical team.

Responsibilities

  • Conduct Functional Behavior Assessments (FBAs) and skill-based assessments

  • Develop individualized treatment plans and Behavior Intervention Plans (BIPs)

  • Supervise and support Registered Behavior Technicians (RBTs)

  • Review client data and make data-based clinical decisions

  • Provide parent and caregiver training and collaboration

  • Ensure services meet BACB ethical guidelines and company policies

  • Maintain accurate documentation and clinical records

What We Offer

  • Flexible scheduling to support work-life balance

  • Strong clinical collaboration and mentorship

  • Opportunities for professional growth and leadership

  • A supportive and team-focused environment

Compensation & Schedule

  • Pay Range: $65 – $80 per hour

  • Schedule: Full-Time or Part-Time available

  • Shifts: Flexible based on availability

  • Location: Remote – serving clients throughout Tennessee

Qualifications

  • Active BCBA certification required

  • Master’s degree in ABA, Psychology, Special Education, or related field

  • Active Tennessee licensure (LBA/LBS) required

  • Tennessee Medicaid ID required

  • Strong communication, collaboration, and clinical judgment skills

  • Passion for supporting children and families in meaningful ways