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Remote Utilization Review Jobs in Spring Hill, TN

AmSurg LLC

Manager, Supply Chain

Nashville, TN · Remote

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 ...

Amsurg

Manager, Supply Chain

Nashville, TN · Remote

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 ...

AmSurg LLC

Manager, Supply Chain

Nashville, TN · Remote

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 ...

AMSURG

Manager, Supply Chain

Nashville, TN · Remote

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 ...

kgs

AWS Connect Admin

Nashville, TN · Remote

$17.50 - $24/hr

This position is Remote. We offer competitive compensation and an extraordinary benefits package ... Conduct regular platform health assessments, capacity reviews, and performance audits of the AWS ...

kgs

AWS Connect Admin

Nashville, TN · Remote

$17.50 - $24/hr

This position is Remote. We offer competitive compensation and an extraordinary benefits package ... Conduct regular platform health assessments, capacity reviews, and performance audits of the AWS ...

Belle, LLC

Senior Product Engineer

Nashville, TN · Remote

As these issues arise, a team of remote nurses coordinate care with other healthcare providers ... Mentor engineers through code review, pairing, and design discussion * Identify high-leverage ...

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All JobsUtilization Review JobsRemote Utilization Review JobsRemote Utilization Review Jobs in Spring Hill, TN

Remote Utilization Review information

See Spring Hill, TN salary details

$20

$39

$64

How much do remote utilization review jobs pay per hour?

As of Aug 21, 2026, the average hourly pay for remote utilization review in Spring Hill, TN is $39.76, according to ZipRecruiter salary data. Most workers in this role earn between $31.44 and $45.67 per hour, depending on experience, location, and employer.

What is a remote utilization review?

A Remote Utilization Review job involves assessing medical records and treatment plans to ensure they meet insurance guidelines and medical necessity criteria. Professionals in this role, often nurses or healthcare specialists, work remotely to review patient care for cost-effectiveness and compliance with policies. They collaborate with healthcare providers, insurance companies, and case managers to approve or deny services based on established guidelines. This position requires strong analytical skills, knowledge of medical policies, and attention to detail.

What does a remote utilization review do?

A typical day for a Remote Utilization Review professional involves reviewing patient medical records, evaluating the necessity of proposed treatments against established guidelines, and collaborating with healthcare providers to gather additional information when needed. You will spend much of your time analyzing documentation, submitting recommendations, and ensuring that care authorization decisions align with payer policies and clinical best practices. Communication with case managers, physicians, and insurance representatives is frequent and essential. The work is generally independent and deadline-driven but requires strong teamwork and responsiveness through virtual meetings, emails, and calls.

What are the key skills and qualifications needed to thrive in remote utilization review?

To thrive as a Remote Utilization Review professional, you need a solid foundation in clinical knowledge, critical thinking, and an active RN or LPN license, often supported by experience in case management or prior authorization. Familiarity with medical coding (ICD-10, CPT), electronic health records (EHRs), and utilization management software is typically required, along with URAC or related certifications. Excellent communication, attention to detail, and strong organizational skills help you efficiently manage cases and coordinate with providers and payers. These skills ensure accurate assessments of medical necessity, compliance with regulations, and effective remote collaboration with healthcare teams.

What are popular job titles related to Remote Utilization Review jobs in Spring Hill, TN?

For Remote Utilization Review jobs in Spring Hill, TN, the most frequently searched job titles are:

What job categories do people searching Remote Utilization Review jobs in Spring Hill, TN look for?

The top searched job categories for Remote Utilization Review jobs in Spring Hill, TN are:

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Remote Utilization Review jobs near you
Infographic showing various Remote Utilization Review job openings in Spring Hill, TN as of August 2026, with employment types broken down into 1% As Needed, 80% Full Time, 16% Part Time, 2% Contract, and 1% Nights. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution, with an average salary of $82,696 per year, or $39.8 per hour.

Physician - Part-Time (Tennessee)

Circadia Health

Nashville, TN • Remote

$200/hr

Part-time

Re-posted 25 days ago

Job description

About Circadia Health

Circadia Health is a growth-stage healthcare AI company on a mission to prevent avoidable hospitalizations and transform senior-care operations. Our Circadia Intelligence Platform combines:

  • Contactless sensing that monitors respiration and motion with medical-grade accuracy
  • Native predictive models that detect 85% of preventable adverse events several days in advance
  • Enterprise integrations that operationalize predictions directly inside EHR, care-coordination, billing, and compliance workflows

Today, our technology touches 40,000+ post-acute patients daily across skilled-nursing, home-health, and home-care networks. We are backed by leading healthcare and AI investors and headquartered in El Segundo, CA.

The Role

As a Tennessee-licensed Pulmonary/Critical Care Physician at Circadia Health, you will play a critical role in providing medical oversight and expertise for our AI enabled Nurse Practitioners (NPs) utilizing predictive algorithms and AI insight technology along with our contactless monitoring systems in skilled nursing facilities throughout the state. Your primary responsibilities will include overseeing the Nurse Practitioners evaluating the patients, ensuring compliance at healthcare facilities, and conducting comprehensive patient assessments and chart reviews with the NPs. Your contributions will be instrumental in maintaining high standards of patient care, ensuring regulatory compliance, and optimizing the utilization of our advanced remote monitoring technology.

This is a part-time, remote role supporting dedicated facility NPs.


What You'll Do

Nurse Practitioners Oversight: 

  • Provide guidance and medical supervision to the Nursing Practitioners responsible for remote monitoring of patients in TN healthcare facilities assigned (based on licensure). 

Supervision of Patient Assessments and Chart Reviews: 

  • Conduct thorough and comprehensive reviews of patient charts, analyzing vital signs data, medical histories, and treatment plans to ensure accurate, quality and compliant healthcare documentation.

Regulatory Compliance: 

  • Ensure compliance with all relevant healthcare regulations, ethical guidelines, and company policies during the monitoring process. 

  • Uphold the highest standards for medical quality, patient safety reporting, equipment, and clinician productivity and performance.

Patient Care Recommendations: 

  • Provide medical insights and recommendations to the NPs for patients requiring immediate attention or intervention.

Remote Patient Care Coordination:

  • Collaborate with the clinical team and healthcare facilities to coordinate patient care and support the delivery of effective medical interventions based on remote monitoring data.

Medical Chart Sign-Off:

  • Review and sign patient charts to ensure accurate and timely completion of medical documentation.

Quality Assurance: 

  • Oversee the quality assurance of remote monitoring processes, identifying opportunities for improvement and implementing best practices.

Telemedicine Consultations: 

  • Conduct telemedicine consultations with patients and healthcare providers as necessary to optimize patient care.

Remote Collaboration:

  • Work collaboratively with cross-functional teams, including NPs, product development, and customer support, to enhance patient care and ensure the success of the remote monitoring program.

Must-Have Qualifications
  • MD or DO degree from an accredited medical school.
  • Active Tennessee medical license.
  • Board certification in Pulmonary Disease, Critical Care Medicine, or Pulmonary/Critical Care (ABIM or equivalent).
  • Medicare eligible - must be enrolled or eligible to participate in Medicare.
  • Familiarity with Tennessee NP collaborative practice agreement requirements.
  • Strong attention to detail and ability to interpret and act on clinical data.
  • Excellent communication skills for remote collaboration with multidisciplinary teams.
Must-Have Qualifications

  • Licensed & certified Physician in TN - ANCC (or equivalent) in Adult / Family / Geriatric / Acute Care

  • Full practice authority: able to initiate and adjust plans of care, place orders, and practice independently per TN scope of practice

  • Medicare eligible: company bills on your behalf; must be eligible for Medicare participation

  • 2+ years experience with complex adult populations in SNF, LTC, or post-acute settings

  • Thrives in a startup environment: comfortable with evolving protocols, iterative workflows, and rapid growth

  • English required

Nice-to-Haves

  • Experience with telemedicine, remote patient monitoring, or SNF/post-acute physician oversight.

  • Familiarity with EHR systems, AI documentation tools, and remote monitoring technologies (e.g., Google Suite, Slack, AI transcription tools).

$180 - $200 an hour

  • Tools that help: AI documentation, in-app training, integrated workflows; company laptop + mobile tools.

  • $200/hour | Part-time: approximately 10-15 hours per month

  • Professional training & development opportunities

  • Annual company retreat

  • Fully remote, flexible scheduling

Circadia Health is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. All employment decisions are based on business needs, job requirements, and individual qualifications, without regard to race, color, religion, sex (including pregnancy, sexual orientation, or gender identity), national origin, age, disability, genetic information, veteran status, or any other status protected by law.
We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.
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