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Utilization Review Jobs in Tennessee (NOW HIRING)

Covenant Health

RN UTILIZATION MGMT I

Knoxville, TN · On-site

Prepares and reviews necessary documentation for insurance utilization management processes and coordinates communication between members of the UM team to ensure timely follow through for status ...

Covenant Health

RN UTILIZATION MGMT I

Knoxville, TN · On-site

Prepares and reviews necessary documentation for insurance utilization management processes and coordinates communication between members of the UM team to ensure timely follow through for status ...

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All JobsUtilization Review JobsUtilization Review Jobs in Tennessee

Utilization Review information

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$19

$38

$62

How much do utilization review jobs pay per hour?

As of Aug 20, 2026, the average hourly pay for utilization review in Tennessee is $38.38, according to ZipRecruiter salary data. Most workers in this role earn between $30.34 and $44.09 per hour, depending on experience, location, and employer.

What is a utilization review?

A Utilization Review (UR) job involves assessing the medical necessity, efficiency, and appropriateness of healthcare services. UR professionals, often nurses or healthcare specialists, review patient records, insurance claims, and treatment plans to ensure they meet industry standards and payer requirements. They work with healthcare providers, insurance companies, and regulatory agencies to optimize care while controlling costs. Their goal is to balance quality patient care with cost-effective resource utilization.

What does a utilization review do?

A typical day in Utilization Review involves reviewing patient medical records, evaluating the necessity and appropriateness of proposed treatments or services, and documenting recommendations based on clinical criteria and insurance policies. Utilization Review specialists often collaborate closely with physicians, nurses, and insurance representatives to gather additional information and clarify cases. While much of the role is desk-based and may include remote work options, it requires regular communication with both clinical and administrative teams. This position offers variety and challenge, as no two cases are exactly alike, and there are often opportunities to advance into supervisory or quality improvement roles within the department.

What are the key skills and qualifications needed to thrive in utilization review?

To thrive in Utilization Review, professionals typically need a background in nursing or healthcare, strong clinical assessment capabilities, and a thorough understanding of medical guidelines and insurance regulations. Familiarity with electronic medical records (EMR) systems and utilization management software, and often certification such as Certified Utilization Review Specialist (CURN), are important. Excellent critical thinking, attention to detail, and strong communication skills enable effective case evaluation and collaboration with healthcare teams. These skills and qualifications ensure objective, accurate decisions that support cost-effective, quality patient care within compliance standards.

How do I get into a utilization review?

To become a utilization review specialist, typically a healthcare or related degree such as nursing, health administration, or social work is required. Certification in case management or utilization review, like the Certified Professional in Healthcare Quality (CPHQ), can enhance job prospects, and strong analytical and communication skills are essential for success in the role.

Is utilization review a stressful job?

Utilization review is a healthcare role that involves evaluating medical necessity and appropriateness of services, often under strict deadlines and documentation requirements. The job can be stressful due to high workload, the need for accuracy, and managing complex cases, but stress levels vary based on work environment and individual coping skills.

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

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

What are popular job titles related to Utilization Review jobs in Tennessee?

For Utilization Review jobs in Tennessee, the most frequently searched job titles are:

What job categories do people searching Utilization Review jobs in Tennessee look for?

The top searched job categories for Utilization Review jobs in Tennessee are:

What cities in Tennessee are hiring for Utilization Review jobs?

Cities in Tennessee with the most Utilization Review job openings:

Utilization Review jobs near you
Infographic showing various Utilization Review job openings in Tennessee as of August 2026, with employment types broken down into 100% Full Time. Highlights an 90% In-person, and 10% Remote job distribution, with an average salary of $79,822 per year, or $38.4 per hour.

Part-Time Utilization & Reimbursement Specialist

Acadia Healthcare

Germantown, TN • On-site

Part-time

This job post has expired today. Applications are no longer accepted.

Acadia Healthcare rating

6.2

Company rating: 6.2 out of 10

Based on 190 frontline employees who took The Breakroom Quiz

698th of 889 rated healthcare providers

Job description

Acadia Healthcare in Germantown, TN, is seeking a Utilization Review professional to monitor hospital service utilization and assist with reimbursement optimization for the facility. You will liaise between managed care organizations and clinical staff, conduct plan reviews, monitor length of stay, and help with pre-certifications and documentation updates. Strong clinical background and utilization management familiarity are preferred. #J-18808-Ljbffr

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About Acadia Healthcare

Sourced by ZipRecruiter

Acadia Healthcare is a leading provider in the healthcare and hospital industry, based in Franklin, Tennessee, United States. The company is recognised for its commitment to creating a behavioural health network that provides accessible, high-quality treatment options for individuals suffering from mental health issues, addiction, eating disorders, and PTSD. Acadia Healthcare was founded in 2005, with the mission to create a world-class organization that sets the standard of excellence in the treatment of specialty behavioural health and addiction disorders.

Industry

Hospitals

Company size

10,000+ Employees

Headquarters location

Franklin, TN, US

Year founded

2005

Social media

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