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

NHC

Registered Nurse RN

Pulaski, TN · On-site

Registered Nurse (RN) - NHC Pulaski Full-Time Positions Available $10,000 Sign-On Bonus for ... For further information, please review the Know Your Rights notice from the Department of Labor.

Galen College of Nursing

Registered Nurse

Nashville, TN · On-site

Registered Nurse Opportunity Do you have the career opportunities as a Registered Nurse you want ... Maintain and review patients' records including posting tests and examination results * Administer ...

New

NHC

Registered Nurse RN

Columbia, TN · On-site

Unencumbered current Registered Nurse license in the state where the HomeCare agency is located or ... For further information, please review the Know Your Rights notice from the Department of Labor.

NHC

Registered Nurse RN

Columbia, TN · On-site

Unencumbered current Registered Nurse license in the state where the HomeCare agency is located or ... For further information, please review the Know Your Rights notice from the Department of Labor.

Brookside Rehab and Nursing

Registered Nurse

Franklin, TN · On-site

$38.25 - $42.58/hr

Registered Nurses (RNs) - Be the Heart of Skilled Care! [Mulberry Health and Rehabilitation ... pay reviews • Support for personal well-being (EAP programs, mental health resources) • ...

Brookside Rehab and Nursing

Registered Nurse

Franklin, TN · On-site

$38.25 - $42.58/hr

) Registered Nurses (RNs) - Be the Heart of Skilled Care! [Mulberry Health and Rehabilitation ... pay reviews • Support for personal well-being (EAP programs, mental health resources) • ...

Integrated Resources

HEDIS RN / LPN

Nashville, TN · On-site

$29.25 - $38.75/hr

HEDIS RN / LPN Integrated Resources, Inc is a premier staffing firm recognized as one of the tri ... The contract nurse is responsible for retrieval, review, and abstraction of medical record data ...

Careers Integrated Resources Inc

HEDIS RN / LPN

Nashville, TN · On-site

$29.25 - $38.75/hr

HEDIS RN / LPN Integrated Resources, Inc is a premier staffing firm recognized as one of the tri ... record review preferred • Some travel involved • Must be able to work independently and have ...

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All JobsUtilization Review Rn JobsUtilization Review Rn Jobs in Columbia, TN

Utilization Review Rn information

See Columbia, TN salary details

$19

$38

$62

How much do utilization review rn jobs pay per hour?

As of Aug 20, 2026, the average hourly pay for utilization review rn in Columbia, TN is $38.44, according to ZipRecruiter salary data. Most workers in this role earn between $30.38 and $44.13 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 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:

Utilization Review Rn jobs near you
Infographic showing various Utilization Review Rn job openings in Columbia, 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 $79,947 per year, or $38.4 per hour.

Advanced Practice Registered Nurse (APRN)

Select Specialty Hospital

Nashville, TN • On-site

$65/hr

Other

Re-posted 22 days ago

Select Specialty Hospital rating

7.6

Company rating: 7.6 out of 10

Based on 92 frontline employees who took The Breakroom Quiz

261st of 1,060 rated hospitals

Job description

Overview

Position: Advanced Practice Registered Nurse (APRN)

Location: Nashville, TN

Schedule: PRN - Hours will be available on weekdays, 7am-7pmCompensation: $65/hour

Select Specialty Hospital - Nashville is a critical illness recovery hospital committed to providing world-class inpatient post-ICU services to chronic, critically ill patients who require extended healing and recovery. We help patients during some of the most vulnerable, painful moments of their lives – and Advanced Practice Registered Nurses (APRNs) play a central role in providing compassionate, excellent treatment every step of the way.

At our company, we support your career growth and personal well-being.

  • Start Strong: Extensive and thorough orientation program to ensure a smooth transition into our setting.
  • Opportunity for Advancement: Demonstrate your skills and dedication which could lead to potential full-time opportunities.
  • Your Impact Matters: Join a team of over 44,000 nationwide committed to providing exceptional care.
Responsibilities
  • Constantly performs clinical obligations. Performs daily clinical rounds on patients and leads multidisciplinary rounds with the pharmacist and other direct caregivers for designated patients. Assesses patients, orders and reviews diagnostic testing information, formulates and alters clinical plans of care as needed including prescribing appropriate treatments and medications within scope of practice.
  • Readily recognizes decompensation/changes in condition, and stabilizes patient and/or seeks appropriate consultation.
  • Follows evidence-based practice guidelines and prevents complications associated with patient’s psychological and physiological well-being to the extent that is possible.
  • Obtains and organizes data to assist attending and consulting physicians with admissions, consultations, progress notes, and discharges as needed, but responsibility for completion of documentation including assessment and plan rests with the physician.
  • Demonstrates measurable impact in assisting the multidisciplinary team to provide safe and superior quality care by: increasing patient satisfaction, decreasing return to acute care events, preventing adverse events such as medication errors, falls, and hospital-acquired pressure ulcers. Champions nurse-driven protocols to decrease urinary catheter utilization rates and MDRO infection rates. Drives mechanical ventilation liberation rates.
Qualifications

Minimum requirements:

  • Permanent State Registered Nurse License and Certificate of Authority.
  • Master’s Degree or Doctorate in Nursing Practice.
  • National Nurse Practitioner Certification (Adult, Acute Care or Family) through AANP or ANCC.
  • BLS and ACLS certifications.
  • Previous experience working in a hospital setting.
  • Knowledge and skills related to the care of adolescent patients through patients in an advanced age.
  • Ability to manage multiple priorities simultaneously.

What Select Specialty Hospital employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Select Specialty Hospital logo

About Select Specialty Hospital

Sourced by ZipRecruiter

Select Specialty Hospital is a top-tier healthcare services provider situated in Mechanicsburg, PA, US. Operating under the wider umbrella of the healthcare industry, Select Specialty Hospital is a part of a network of specialized acute care hospitals energized to provide superior, patient-centered treatment. Since its establishment, it has been a pioneer in providing long-term acute care (LTAC) services to patients transitioning from intensive care or requiring concentrated care for ongoing recovery.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Mechanicsburg, PA, US

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