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

Colorwave Inc

Nurse Case Manager (RN)

Memphis, TN · On-site

$48K - $94K/yr

Nurse Case Manager (RN) Hospitals on Incredible Health are actively hiring and accepting ... Clinical pathway, Navigator, or Utilization Review. Shift(s) available: day shift Job types ...

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

Utilization Review Rn information

See Memphis, TN salary details

$20

$41

$67

How much do utilization review rn jobs pay per hour?

As of Aug 6, 2026, the average hourly pay for utilization review rn in Memphis, TN is $41.08, according to ZipRecruiter salary data. Most workers in this role earn between $32.45 and $47.16 per hour, depending on experience, location, and employer.

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.

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 knowledge of medical coding and insurance processes can enhance your qualifications. Gaining experience in case management or health insurance companies can also improve your chances of entering the field.

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.

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.
What are popular job titles related to Utilization Review Rn jobs in Memphis, TN? For Utilization Review Rn jobs in Memphis, TN, the most frequently searched job titles are:
What job categories do people searching Utilization Review Rn jobs in Memphis, TN look for? The top searched job categories for Utilization Review Rn jobs in Memphis, TN are:
What cities near Memphis, TN are hiring for Utilization Review Rn jobs? Cities near Memphis, TN with the most Utilization Review Rn job openings:
Utilization Review Rn jobs near you
Infographic showing various Utilization Review Rn job openings in Memphis, TN as of July 2026, with employment types broken down into 1% As Needed, 80% Full Time, 15% Part Time, 1% Temporary, and 3% Contract. Highlights an 90% Physical, 3% Hybrid, and 7% Remote job distribution, with an average salary of $85,437 per year, or $41.1 per hour.

Registered Nurse - Case Management Director

Incredible Health

Tipton, TN • On-site

$48K - $94K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 6 hours ago

Job description

Hospitals on Incredible Health are actively hiring and accepting applications in the Memphis, TN area for the following position: Registered Nurse - Case Management Director. Nurses with experience in any of the following areas are strongly encouraged to apply: Assistant Nurse Manager, CNO, Charge, Clinical Nurse Coordinator, Clinical pathway, Director, Manager, Navigator, Supervisor, Utilization Review, or VP.
  • Shift(s) available: day shift
  • Job types available: full time, part time, and per diem
  • Employer features: 401(K), Academic medical center, Community hospital, Cross training, Cross training, Health Insurance, Life Insurance, Life Insurance, Medical, Offers sign on bonus, Offers sign on bonus, PTO, Retirement Plan, Teaching Hospital, U.S. News best hospital
Qualifications:
  • RN Diploma degree or higher from an accredited school of nursing
  • Active and unencumbered Registered Nurse license in the state of Tennessee
Benefits:
  • Healthcare coverage: Medical, Dental, Vision
  • 401K
  • Paid Time Off
  • Tuition Assistance
Salary: $48,920 to $94,690 /year

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