The UM Coordinator reviews cases for appropriateness of admission, continued stay, and discharge ... Must possess a current RN license or Master's Degree in Behavioral Health field (e.g. Counseling ...
The UM Coordinator reviews cases for appropriateness of admission, continued stay, and discharge ... Must possess a current RN license or Master's Degree in Behavioral Health field (e.g. Counseling ...
The UM Coordinator reviews cases for appropriateness of admission, continued stay, and discharge ... Must possess a current RN license or Master's Degree in Behavioral Health field (e.g. Counseling ...
The UM Coordinator reviews cases for appropriateness of admission, continued stay, and discharge ... Must possess a current RN license or Master's Degree in Behavioral Health field (e.g. Counseling ...
Registered Nurse (RN) Case Manager Director
Pulaski, TN · On-site
$70 - $90/hr
Two years recent related clinical experience preferred in Utilization Review, Quality Improvement, and Case Management. * Licenses: Must have a current Tennessee or compact state RN license.
New
Registered Nurse (RN) Case Manager Director
Pulaski, TN · On-site
$70 - $90/hr
Two years recent related clinical experience preferred in Utilization Review, Quality Improvement, and Case Management. * Licenses: Must have a current Tennessee or compact state RN license.
New
CDI Specialist
Franklin, TN · Remote
$33.50 - $45/hr
Required: * Active, unrestricted Registered Nurse (RN) license Preferred Certifications ... The CDI Specialist will work collaboratively with HIM, Coding, Case Management, Utilization Review ...
CDI Specialist
Franklin, TN · Remote
$33.50 - $45/hr
Required: * Active, unrestricted Registered Nurse (RN) license Preferred Certifications ... The CDI Specialist will work collaboratively with HIM, Coding, Case Management, Utilization Review ...
Registered Nurse - Nashville Tennesee
Nashville, TN · On-site
$40 - $45/hr
Their innovative in-home care model integrates nephrology, case management, utilization review, and ... If you are a passionate RN who wants to be part of a forward-thinking care model that prioritizes ...
Registered Nurse - Nashville Tennesee
Nashville, TN · On-site
$40 - $45/hr
Their innovative in-home care model integrates nephrology, case management, utilization review, and ... If you are a passionate RN who wants to be part of a forward-thinking care model that prioritizes ...
Hospice Registered Nurse RN Full Time
Franklin, TN · On-site
$40 - $43/hr
Hospice Registered Nurse RN Full Time ApplyRefer a FriendBack Job Details Requisition #: 216976 ... Participates in quality improvement, utilization review, and infection control activities as ...
Hospice Registered Nurse RN Full Time
Franklin, TN · On-site
$40 - $43/hr
Hospice Registered Nurse RN Full Time ApplyRefer a FriendBack Job Details Requisition #: 216976 ... Participates in quality improvement, utilization review, and infection control activities as ...
Hospice Registered Nurse RN Full Time
Franklin, TN · On-site
$40 - $43/hr
Participates in quality improvement, utilization review, and infection control activities as ... Requirements: * An active RN License in the state of application * Valid CPR * Valid Drivers ...
Hospice Registered Nurse RN Full Time
Franklin, TN · On-site
$40 - $43/hr
Participates in quality improvement, utilization review, and infection control activities as ... Requirements: * An active RN License in the state of application * Valid CPR * Valid Drivers ...
Registered Nurse (RN) Case Manager Director Job Type: Full-Time | Day Your experience matters ... Two years recent related clinical experience preferred in Utilization Review, Quality Improvement ...
Registered Nurse (RN) Case Manager Director Job Type: Full-Time | Day Your experience matters ... Two years recent related clinical experience preferred in Utilization Review, Quality Improvement ...
Registered Nurse (RN) Case Manager Director Job Type: Full-Time | Day Your experience matters ... Two years recent related clinical experience preferred in Utilization Review, Quality Improvement ...
Registered Nurse (RN) Case Manager Director Job Type: Full-Time | Day Your experience matters ... Two years recent related clinical experience preferred in Utilization Review, Quality Improvement ...
Registered Nurse (RN) Case Manager Director Job Type: Full-Time | Day Your experience matters ... Two years recent related clinical experience preferred in Utilization Review, Quality Improvement ...
Registered Nurse (RN) Case Manager Director Job Type: Full-Time | Day Your experience matters ... Two years recent related clinical experience preferred in Utilization Review, Quality Improvement ...
Hospice Registered Nurse RN Full Time
Franklin, TN · On-site
$40 - $43/hr
Participates in quality improvement, utilization review, and infection control activities as ... Requirements: * An active RN License in the state of application * Valid CPR * Valid Drivers ...
Hospice Registered Nurse RN Full Time
Franklin, TN · On-site
$40 - $43/hr
Participates in quality improvement, utilization review, and infection control activities as ... Requirements: * An active RN License in the state of application * Valid CPR * Valid Drivers ...
Participates in quality improvement, utilization review, and infection control activities as ... Requirements: * An active RN License in the state of application * Valid CPR * Valid Drivers ...
Participates in quality improvement, utilization review, and infection control activities as ... Requirements: * An active RN License in the state of application * Valid CPR * Valid Drivers ...
Inpatient Care Management Nurse - Remote
Nashville, TN · Remote
$60K - $107K/yr
Compact RN license * 2 years of acute inpatient case management experience/utilization review * 1 years of experience in Utilization Review, either within an Acute Inpatient Hospital setting or ...
Inpatient Care Management Nurse - Remote
Nashville, TN · Remote
$60K - $107K/yr
Compact RN license * 2 years of acute inpatient case management experience/utilization review * 1 years of experience in Utilization Review, either within an Acute Inpatient Hospital setting or ...
Registered Nurses with less than six (6) months of RN experience at the time of application. To be ... Step 2: Your application will be reviewed and shared with department managers to determine the next ...
Registered Nurses with less than six (6) months of RN experience at the time of application. To be ... Step 2: Your application will be reviewed and shared with department managers to determine the next ...
HHH - Registered Nurse Hospice (H)
Franklin, TN · On-site
$73K - $92K/yr
Participates in quality improvement, utilization review, and infection control activities as ... Requirements: * An active RN License in the state of application * Valid CPR * Valid Drivers ...
HHH - Registered Nurse Hospice (H)
Franklin, TN · On-site
$73K - $92K/yr
Participates in quality improvement, utilization review, and infection control activities as ... Requirements: * An active RN License in the state of application * Valid CPR * Valid Drivers ...
Med Mgmt Nurse
Nashville, TN · On-site
... utilization review, or managed care experience; or any combination of education and experience, which would provide an equivalent background. * Current active, valid and unrestricted RN license and ...
Med Mgmt Nurse
Nashville, TN · On-site
... utilization review, or managed care experience; or any combination of education and experience, which would provide an equivalent background. * Current active, valid and unrestricted RN license and ...
Med Mgmt Nurse
Nashville, TN · On-site
... utilization review, or managed care experience; or any combination of education and experience, which would provide an equivalent background. * Current active, valid and unrestricted RN license and ...
Med Mgmt Nurse
Nashville, TN · On-site
... utilization review, or managed care experience; or any combination of education and experience, which would provide an equivalent background. * Current active, valid and unrestricted RN license and ...
Registered Nurses with less than six (6) months of RN experience at the time of application. * To be eligible, applicants must: * Graduate from an accredited nursing program (ACEN, CCNE, or CNEA)
Registered Nurses with less than six (6) months of RN experience at the time of application. * To be eligible, applicants must: * Graduate from an accredited nursing program (ACEN, CCNE, or CNEA)
Pharmacy RN
Nashville, TN · On-site
$17.25 - $19.25/hr
... Pharmacy RN As a nurse at Sedgwick, you can build a meaningful and rewarding career while ... Performs drug utilization reviews through the pharmacy benefit manager or vendor. * Communicates ...
Pharmacy RN
Nashville, TN · On-site
$17.25 - $19.25/hr
... Pharmacy RN As a nurse at Sedgwick, you can build a meaningful and rewarding career while ... Performs drug utilization reviews through the pharmacy benefit manager or vendor. * Communicates ...
Registered Nurse
Nashville, TN · On-site
$34 - $47.08/hr
Demonstrate knowledge and utilization of universal precautions in providing direct patient care ... Must possess a current Registered Nurse (RN) license as required by the state of employment or be ...
Registered Nurse
Nashville, TN · On-site
$34 - $47.08/hr
Demonstrate knowledge and utilization of universal precautions in providing direct patient care ... Must possess a current Registered Nurse (RN) license as required by the state of employment or be ...
Utilization Review Rn information
See Columbia, TN salary details
$19.45 - $23.38
2% of jobs
$23.38 - $27.32
9% of jobs
$30.01 is the 25th percentile. Wages below this are outliers.
$27.32 - $31.25
21% of jobs
The median wage is $34.43 / hr.
$31.25 - $35.18
23% of jobs
$35.18 - $39.12
13% of jobs
$42.17 is the 75th percentile. Wages above this are outliers.
$39.12 - $43.05
10% of jobs
$43.05 - $46.98
8% of jobs
$46.98 - $50.92
5% of jobs
$50.92 - $54.85
5% of jobs
$54.85 - $58.78
2% of jobs
$58.78 - $62.72
2% of jobs
$19
$38
$62
How much do utilization review rn jobs pay per hour?
What is a utilization review RN?
How does a utilization review RN collaborate with physicians and other healthcare professionals during the patient care review process?
What are the key skills and qualifications needed to thrive as a utilization review RN, and why are they important?
What is the difference between Utilization Review Rn vs Case Manager?
| Aspect | Utilization Review Rn | Case Manager |
|---|---|---|
| Credentials | RN license, certifications in utilization review | RN license, certifications in case management |
| Work Environment | Hospitals, insurance companies, healthcare facilities | Hospitals, community agencies, insurance companies |
| Primary Focus | Reviewing medical necessity and appropriateness of care | Coordinating 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?
What are the most commonly searched types of Utilization Review Rn jobs in Columbia, TN?
The most popular types of Utilization Review Rn jobs in Columbia, TN are:
What are popular job titles related to Utilization Review Rn jobs in Columbia, TN?
For Utilization Review Rn jobs in Columbia, TN, the most frequently searched job titles are:
What job categories do people searching Utilization Review Rn jobs in Columbia, TN look for?
The top searched job categories for Utilization Review Rn jobs in Columbia, TN are:
What cities near Columbia, TN are hiring for Utilization Review Rn jobs?
Cities near Columbia, TN with the most Utilization Review Rn job openings:

Universal Health Services rating
6.9
Based on 254 frontline employees who took The Breakroom Quiz
456th of 889 rated healthcare providers
Job description
At Rolling Hills, our mission is to offer compassionate, safe, effective behavioral healthcare treatment. We use solution-focused strategies and diligently strive for a safe and positive environment for patients, families, and employees. We never forget that we provide care and comfort to people in need.
The Utilization Management Coordinator monitor appropriate utilization of services throughout the course of treatment for patients admitted to the inpatient and outpatient programs and coordinates authorizations with third-party payers. The UM Coordinator reviews cases for appropriateness of admission, continued stay, and discharge planning while assisting in the promotion and maintenance of high quality patient care.
Qualifications
Education/Training: Must possess a current RN license or Master's Degree in Behavioral Health field (e.g. Counseling, Social Work, Psychology)
Licensure/Certification:
Current TN Driver License
Current CPR (training provided)
Current Handle With Care (training provided)
Experience: Experience in a psychiatric setting as a counselor or nurse preferred; reading, writing, and mathematical skills at the masters' degree level; skills in application of DSM methodology; excellent telephone etiquette and tact; audible speech, with good enunciation; ability to interact effectively with persons of widely diverse roles, backgrounds, cultures, and socio-economic classes; effective oral and written communication skills; skills in analyzing and evaluating information; ability to concentrate on tasks and meet deadlines; basic data entry skills preferred; organizational, time management, problem solving, meet deadlines; basic data entry skills preferred; crisis management skills necessary; flexibility, creativity, and the ability to manage stress are necessary.
EEO Statement
All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers such as, openly support and fully commit to recruitment, selections, placement, promotion and compensation of individuals withouth regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.
We believe that diversity and inclusion amoung our teammates is critical to our success.
Notice
At UHS and all our subsidiares, our Human Resources deparments and recruiters are here to help prospective cadidates by matching skillset and expereince with the best possiblke career path at UHS and our subsidiares. We take pride in creating a highly efficient and best-in-class candidate experience. During the recrtuitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you are suspicious of a job posting or job-related email mentioning UHS or its subsidiaries, let us know by contacting us at https://uhs.alertline.com or 1-800-852-3449.
UHS is a registered trademark of UHS of Delaware, Inc., the management company for Universal Health Services, Inc. and a wholly-owened subsidiary of Universal Health Services, Inc. Universal Health Services, Inc. is a holding company and operates through its subsidiaries including its managment company, UHS of Delaware, Inc. All healthcare and management operations are conducted by subsidiares of Universal Health Services, Inc. To the extent any reference to UHS or UHS facilities on this webiste including any statements, articles or other publications contained herein relates to our healthcare or management operations it is referring to Universal Health Services' subsidiaries including UHS of Delaware. Further, the terms "we", "us", "our" or "the company" in such context similarly refer to the operations of Universal Health Services' subsididares including UHS of Delware. Any employment referenced in this website is not with Universal Health Servicesk, Inc. but solely with one of its subsidiares including but not limited to UHS of Delware, Inc. UHS is not accepting unsolicted assistance from search firms for this employment opportunity. Please, no phone calls or emails. All resumes submitted by search firms to any employee at UHS via email, the Internet or in any form and/or method without a valid written search agreement in place for this posiiton will be deemed the sole property of UHS. No fee will be paid in the event the candidate is hired by UHS as a result of the referral or through other means.
Qualifications:Education/Training: Must possess a current RN license or Master's Degree in Behavioral Health field (e.g. Counseling, Social Work, Psychology)
Licensure/Certification:
Current TN Driver License
Current CPR (training provided)
Current Handle With Care (training provided)
Experience: Experience in a psychiatric setting as a counselor or nurse preferred; reading, writing, and mathematical skills at the masters' degree level; skills in application of DSM methodology; excellent telephone etiquette and tact; audible speech, with good enunciation; ability to interact effectively with persons of widely diverse roles, backgrounds, cultures, and socio-economic classes; effective oral and written communication skills; skills in analyzing and evaluating information; ability to concentrate on tasks and meet deadlines; basic data entry skills preferred; organizational, time management, problem solving, meet deadlines; basic data entry skills preferred; crisis management skills necessary; flexibility, creativity, and the ability to manage stress are necessary.
EEO Statement
All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers such as, openly support and fully commit to recruitment, selections, placement, promotion and compensation of individuals withouth regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.
We believe that diversity and inclusion amoung our teammates is critical to our success.
Notice
At UHS and all our subsidiares, our Human Resources deparments and recruiters are here to help prospective cadidates by matching skillset and expereince with the best possiblke career path at UHS and our subsidiares. We take pride in creating a highly efficient and best-in-class candidate experience. During the recrtuitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you are suspicious of a job posting or job-related email mentioning UHS or its subsidiaries, let us know by contacting us at https://uhs.alertline.com or 1-800-852-3449.
UHS is a registered trademark of UHS of Delaware, Inc., the management company for Universal Health Services, Inc. and a wholly-owened subsidiary of Universal Health Services, Inc. Universal Health Services, Inc. is a holding company and operates through its subsidiaries including its managment company, UHS of Delaware, Inc. All healthcare and management operations are conducted by subsidiares of Universal Health Services, Inc. To the extent any reference to UHS or UHS facilities on this webiste including any statements, articles or other publications contained herein relates to our healthcare or management operations it is referring to Universal Health Services' subsidiaries including UHS of Delaware. Further, the terms "we", "us", "our" or "the company" in such context similarly refer to the operations of Universal Health Services' subsididares including UHS of Delware. Any employment referenced in this website is not with Universal Health Servicesk, Inc. but solely with one of its subsidiares including but not limited to UHS of Delware, Inc. UHS is not accepting unsolicted assistance from search firms for this employment opportunity. Please, no phone calls or emails. All resumes submitted by search firms to any employee at UHS via email, the Internet or in any form and/or method without a valid written search agreement in place for this posiiton will be deemed the sole property of UHS. No fee will be paid in the event the candidate is hired by UHS as a result of the referral or through other means.
Education:UNAVAILABLEEmployment Type: UNAVAILABLEWhat Universal Health Services employees say
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About Universal Health Services
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Universal Health Services (UHS) is a major player in the healthcare industry, based in King of Prussia, Pennsylvania, U.S. Founded in 1978, UHS offers hospital and healthcare services. Their diverse services range from acute care hospitals, behavioral health facilities and ambulatory centers nationwide. The company's mission of enhancing the health and well-being of their patients is reflected in their commitment to 'Helping Individuals Live Longer, Healthier and Happier Lives'. Universal Health Services' consistent growth and success in their industry have been recognized on numerous occasions, including being ranked amongst the Fortune 500 list of largest companies.
Industry
Health care and social assistance
Company size
10,000+ Employees
Headquarters location
King of Prussia, PA, US