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Utilization Review Rn Jobs in Chattanooga, TN (NOW HIRING)

RN Director of Nursing

Chattanooga, TN · On-site

$84K - $92K/yr

Maintains budget by ensuring productivity of employees and utilization of services * Functions as ... For further information, please review the Know Your Rights notice from the Department of Labor.

Registered Nurse Travel RN PRN Pay: $30.00 / hr. - $45.00 / hr. Depending on Experience and ... For further information, please review the Know Your Rights notice from the Department of Labor.

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Utilization Review Rn information

See Chattanooga, TN salary details

$19

$38

$62

How much do utilization review rn jobs pay per hour?

As of Aug 21, 2026, the average hourly pay for utilization review rn in Chattanooga, TN is $38.50, according to ZipRecruiter salary data. Most workers in this role earn between $30.43 and $44.23 per hour, depending on experience, location, and employer.

What is a utilization review RN?

A Utilization Review RN is a registered nurse who evaluates the necessity, appropriateness, and efficiency of healthcare services and treatments provided to patients. They review medical records, collaborate with healthcare teams, and ensure that patient care meets established guidelines and payer requirements. Their role helps control costs, optimize care, and support compliance with healthcare regulations. Utilization Review RNs often work in hospitals, insurance companies, or managed care organizations.

How does a utilization review RN collaborate with physicians and other healthcare professionals during the patient care review process?

A Utilization Review RN works closely with physicians, case managers, and other healthcare team members to ensure that patients receive appropriate care while adhering to regulatory and insurance guidelines. This collaboration often involves discussing clinical findings, clarifying documentation, and negotiating care plans to meet both patient needs and payer requirements. Effective communication and teamwork are essential, as Utilization Review RNs frequently serve as liaisons between clinical staff and insurance representatives to facilitate timely authorizations and prevent unnecessary delays in patient care.

What are the key skills and qualifications needed to thrive as a utilization review RN, and why are they important?

To thrive as a Utilization Review RN, you need a current RN license, strong clinical assessment skills, and knowledge of healthcare regulations and insurance guidelines. Familiarity with utilization management software, electronic health records (EHRs), and relevant certifications like CCM or ACM is often required. Excellent critical thinking, communication, and negotiation skills help you advocate for appropriate patient care while collaborating with providers and payers. These skills ensure cost-effective, quality care and compliance with regulatory standards in healthcare delivery.

What is the difference between Utilization Review Rn vs Case Manager?

AspectUtilization Review RnCase Manager
CredentialsRN license, certifications in utilization reviewRN license, certifications in case management
Work EnvironmentHospitals, insurance companies, healthcare facilitiesHospitals, community agencies, insurance companies
Primary FocusReviewing medical necessity and appropriateness of careCoordinating patient care and discharge planning

Utilization Review Rns primarily focus on evaluating the necessity of medical treatments, while Case Managers coordinate patient care and discharge planning. Both roles require RN licensure and certifications, but their daily responsibilities and work environments differ slightly, with Utilization Review Rns concentrating on review processes and Case Managers on patient advocacy and care coordination.

How to get into utilization review as a registered nurse?

To become a utilization review RN, you typically need a valid registered nurse license and experience in clinical settings. Additional certifications such as the Certified Professional in Healthcare Quality (CPHQ) or case management certification can enhance job prospects, and familiarity with electronic health records (EHR) systems is often required.

What are the most commonly searched types of Utilization Review Rn jobs in Chattanooga, TN?

The most popular types of Utilization Review Rn jobs in Chattanooga, TN are:

What cities near Chattanooga, TN are hiring for Utilization Review Rn jobs?

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

Infographic showing various Utilization Review Rn job openings in Chattanooga, TN as of August 2026, with employment types broken down into 1% As Needed, 81% Full Time, 14% Part Time, 3% Contract, and 1% Nights. Highlights an 90% Physical, 3% Hybrid, and 7% Remote job distribution, with an average salary of $80,078 per year, or $38.5 per hour.

Case Manager Registered Nurse

Parkridge Medical Center

Chattanooga, TN • On-site

Other

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 12 days ago


Job description

Do you have the career opportunities as a(an) Case Manager Registered Nurse you want with your current employer? We have an exciting opportunity for you to join Parkridge Medical Center which is part of the nation's leading provider of healthcare services, HCA Healthcare.

Job Summary and Qualifications

Under the supervision of the Nurse Manager, the Case Manager performs the primary function of an RN in assessing, planning, implementing and evaluating the care of patients in the department.  


  What you will do in this role:  


  • You will utilize good problem solving abilities, making sure that problems are resolved, calling on other knowledgeable parties as necessary.  


  • You will evaluate collected data and prepare reports assessing accuracy, completeness, timeliness, progress, adverse trends and appropriate recommendations or conclusions.  


  • You will maintain confidentiality by following hospital rules and reminding others when necessary. (HIPPA)  


  • You will actively participate in continuous quality improvement activities by making suggestions for improvement and helping to make positive changes to include quality control, quality assurance, safety and inspection control practices.   


  • You will actively participate in the team spirit of the department, helping to accomplish the department mission, and lending a helping hand to other members of the team as appropriate.  


What qualifications you will need:   


  • Graduate of an Accredited RN program  


  • Registered Nurse (RN) license required or RN Compact State Licensure in the State of Residence  


  • Case Management Certification (CCM) or American Case Management Association (ACMA) certification preferred  


  • 3-5 years acute care experience and Case Management or Utilization Management preferred  

Benefits

Parkridge Medical Center, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

  • Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services
  • Wellbeing support, including free counseling and referral services
  • Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence
  • Savings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling
  • Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing
  • Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts

Learn more about Employee Benefits

Note: Eligibility for benefits may vary by location.

Parkridge Medical Center is a 270+ bed hospital. We are near downtown Chattanooga. We feature comprehensive diagnostic, medical, and surgical services. These services include cardiovascular surgery and cancer treatment. These services include intensive care, orthopedic and spine surgery, and rehabilitation. The facility includes a state of the art neurosurgery program. Patients also have access to OB-GYN services. Patients have access to a level III Neonatal Intensive Care Unit. They also have access to (NICU) and behavioral health treatment centers for children and adults.

"Bricks and mortar do not make a hospital. People do."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder

If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our Case Manager Registered Nurse opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews. Unlock the possibilities and apply today!

We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.