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Utilization Management Assistant Jobs in Tennessee

genex

Onsite Telephonic Case Manager (RN)

Memphis, TN · On-site

Provision of comprehensive Utilization Management, incorporating the strategies of cost containment ... May assist in training/orientation of new staff as requested. Monitors functions assigned to non ...

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Utilization Management Assistant information

See Tennessee salary details

$26.3K

$43.9K

$63.1K

How much do utilization management assistant jobs pay per year?

As of Aug 23, 2026, the average yearly pay for utilization management assistant in Tennessee is $43,925.00, according to ZipRecruiter salary data. Most workers in this role earn between $38,100.00 and $44,000.00 per year, depending on experience, location, and employer.

What is a utilization management assistant?

A Utilization Management Assistant is a healthcare administrative professional who supports the utilization management team by handling clerical tasks, coordinating communications, and organizing patient documentation. They often help ensure that medical services are used efficiently and that insurance requirements are met by gathering information, processing authorizations, and maintaining records. This role is essential in facilitating collaboration between healthcare providers, insurance companies, and patients, ultimately helping to optimize the quality and cost-effectiveness of patient care.

What are the key skills and qualifications needed to thrive as a utilization management assistant?

To thrive as a Utilization Management Assistant, you need a solid understanding of healthcare processes, medical terminology, and administrative procedures, often supported by a high school diploma or associate's degree. Familiarity with electronic health records (EHR) systems, insurance verification tools, and Microsoft Office Suite is typically required. Strong organizational skills, attention to detail, and effective communication are crucial soft skills for managing documentation and collaborating with clinical teams. These skills ensure accurate data handling, efficient workflow, and compliance with healthcare regulations, all of which are vital for successful utilization management operations.

What are some common challenges utilization management assistants face when working with insurance pre-authorizations?

Utilization Management Assistants often encounter challenges such as navigating complex insurance requirements, meeting tight deadlines for pre-authorization requests, and communicating effectively with both healthcare providers and insurance representatives. Staying organized and detail-oriented is essential to ensure all documentation is accurate and submitted promptly. Additionally, adapting to frequent changes in insurance policies and maintaining strong problem-solving skills are key to overcoming these obstacles.

Is utilization management assistant a good job?

Utilization Management Assistants support healthcare organizations by reviewing medical records and authorizations to ensure appropriate care and cost management. The role typically requires attention to detail, knowledge of healthcare policies, and proficiency with electronic health records systems. It can offer stable employment with opportunities for advancement in healthcare administration.

What are the most commonly searched types of Utilization Management jobs in Tennessee?

The most popular types of Utilization Management jobs in Tennessee are:

Utilization Management Assistant jobs near you
Infographic showing various Utilization Management Assistant job openings in Tennessee as of August 2026, with employment types broken down into 1% As Needed, 87% Full Time, 10% Part Time, and 2% Contract. Highlights an 84% Physical, 3% Hybrid, and 13% Remote job distribution, with an average salary of $43,925 per year, or $21.1 per hour.

Nurse Practitioner/Physician Assistant - Hospitalist, PRN

Prisma Health

Maryville, TN • On-site

$94K - $122K/yr

Part-time

Posted 24 days ago

Prisma Health rating

7.1

Company rating: 7.1 out of 10

Based on 350 frontline employees who took The Breakroom Quiz

382nd of 893 rated healthcare providers

Job description

Inspire health. Serve with compassion. Be the difference.
Job Summary
Provides primary health care to a specific patient population within the guidelines of written protocols. Follows established nursing standards, procedures, and practices.
Accountabilities
  • Engages in the diagnosis and treatment of disease, defects or injuries and recommend or prescribe treatments for the relief or cure of physical, mental or functional ailments or defects.
  • Performs all charting, summaries, correspondence and assorted paperwork that is required for purposes of documenting care and billing.
  • Participates in physician educational programs provided by Employer relative to capitated medicine and its implications on physician practice patterns.
  • Participates in responding to requests for proposals for managed care contracts.
  • Participates in:

Establishment of quality assurance programs
Establishment of utilization management programs
Selection of management information systems
Development of patient education services
Development of patient satisfaction surveys
  • Assists in the development of operational and capital budgets.
  • Participates in operational assessments in search of revenue enhancement, expense reductions, consolidation efficiencies and billing opportunities.
  • General Job Expectations:

Maintain courteous and cooperative working relationships with all levels of management and employees, physicians, patients, guarantors and the general public.
  • Participates in activities that would further the public's image of the Employer.

Supervisory/Management Responsibility
This is a non-management job that will report to a supervisor, manager, director, or executive.
Minimum Requirements
Master's Degree in Nursing; Nurse Practitioner Degree Emphasis or Program Certificate equivalent.
Required Certifications/Registrations/Licenses
  • Official Recognition as a Nurse Practitioner in the state the team member is working
  • Prescriptive Authority for the state in which the team member is working
  • Controlled Substance license for the state in which the team member is working. Federal DEA license

Work Shift
Variable (United States of America)
Location
Blount Memorial Hospital
Facility
8104 BH POB Maryville
Department
81041000 BMPG Hospitalists
Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.

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