The Utilization Management Coordinator monitor appropriate utilization of services throughout the ... The UM Coordinator reviews cases for appropriateness of admission, continued stay, and discharge ...
The Utilization Management Coordinator monitor appropriate utilization of services throughout the ... The UM Coordinator reviews cases for appropriateness of admission, continued stay, and discharge ...
The Utilization Management Coordinator monitor appropriate utilization of services throughout the ... The UM Coordinator reviews cases for appropriateness of admission, continued stay, and discharge ...
The Utilization Management Coordinator monitor appropriate utilization of services throughout the ... The UM Coordinator reviews cases for appropriateness of admission, continued stay, and discharge ...
The Utilization Management Coordinator monitor appropriate utilization of services throughout the ... The UM Coordinator reviews cases for appropriateness of admission, continued stay, and discharge ...
The Utilization Management Coordinator monitor appropriate utilization of services throughout the ... The UM Coordinator reviews cases for appropriateness of admission, continued stay, and discharge ...
The Utilization Management Coordinator monitor appropriate utilization of services throughout the ... The UM Coordinator reviews cases for appropriateness of admission, continued stay, and discharge ...
The Utilization Management Coordinator monitor appropriate utilization of services throughout the ... The UM Coordinator reviews cases for appropriateness of admission, continued stay, and discharge ...
Supervisory Acquisition & Utilization Specialist (Contract Liaison)
Johnson City, TN · On-site
$89K/yr
The Supervisory Acquisition Utilization Specialist-Contract Liaison serves as a liaison and advisor on contract related services focusing on critical clinical and healthcare services, facility and ...
Supervisory Acquisition & Utilization Specialist (Contract Liaison)
Johnson City, TN · On-site
$89K/yr
The Supervisory Acquisition Utilization Specialist-Contract Liaison serves as a liaison and advisor on contract related services focusing on critical clinical and healthcare services, facility and ...
Conducts prospective, concurrent, and retrospective utilization reviews for medical necessity to ensure treatment and services are appropriate and necessary by reviewing medical records and treatment ...
Conducts prospective, concurrent, and retrospective utilization reviews for medical necessity to ensure treatment and services are appropriate and necessary by reviewing medical records and treatment ...
Conducts prospective, concurrent, and retrospective utilization reviews for medical necessity to ensure treatment and services are appropriate and necessary by reviewing medical records and treatment ...
Conducts prospective, concurrent, and retrospective utilization reviews for medical necessity to ensure treatment and services are appropriate and necessary by reviewing medical records and treatment ...
Conducts prospective, concurrent, and retrospective utilization reviews for medical necessity to ensure treatment and services are appropriate and necessary by reviewing medical records and treatment ...
Conducts prospective, concurrent, and retrospective utilization reviews for medical necessity to ensure treatment and services are appropriate and necessary by reviewing medical records and treatment ...
Utilization Review * Discipline: RN * Start Date: 08/24/2026 * Duration: 13 weeks * 36 hours per week * Shift: 12 hours * Employment Type: Travel & Requirements RN Case Manager StartDate: 8/24/2026 ...
Utilization Review * Discipline: RN * Start Date: 08/24/2026 * Duration: 13 weeks * 36 hours per week * Shift: 12 hours * Employment Type: Travel & Requirements RN Case Manager StartDate: 8/24/2026 ...
Utilization Review * Discipline: RN * Start Date: 08/24/2026 * Duration: 13 weeks * 36 hours per week * Shift: 12 hours * Employment Type: Travel & Requirements RN Case Manager StartDate: 8/24/2026 ...
Utilization Review * Discipline: RN * Start Date: 08/24/2026 * Duration: 13 weeks * 36 hours per week * Shift: 12 hours * Employment Type: Travel & Requirements RN Case Manager StartDate: 8/24/2026 ...
Oversees utilization review activities with other departments to ensure reimbursement for services provided by the hospital. The UM Coordinator facilitates physician weekly staffing meetings and ...
Oversees utilization review activities with other departments to ensure reimbursement for services provided by the hospital. The UM Coordinator facilitates physician weekly staffing meetings and ...
Responsible for the performance of Utilization Review services, including pre-admission certification, second surgical opinion, concurrent utilization review, DRG validation, as well as assessment ...
Responsible for the performance of Utilization Review services, including pre-admission certification, second surgical opinion, concurrent utilization review, DRG validation, as well as assessment ...
Responsible for the performance of Utilization Review services, including pre-admission certification, second surgical opinion, concurrent utilization review, DRG validation, as well as assessment ...
Responsible for the performance of Utilization Review services, including pre-admission certification, second surgical opinion, concurrent utilization review, DRG validation, as well as assessment ...
Responsible for the performance of Utilization Review services, including pre-admission certification, second surgical opinion, concurrent utilization review, DRG validation, as well as assessment ...
Responsible for the performance of Utilization Review services, including pre-admission certification, second surgical opinion, concurrent utilization review, DRG validation, as well as assessment ...
Step 2: Your application will be reviewed and shared with department managers to determine the next steps. Learn more about nursing at Vanderbilt: VUMC Nursing Careers
Step 2: Your application will be reviewed and shared with department managers to determine the next steps. Learn more about nursing at Vanderbilt: VUMC Nursing Careers
LPN Case Manager ER - Full-Time | Days | Nights
Manchester, TN · On-site
$22.25 - $29.50/hr
Schedule: Full-Time | Days | Nights What You'll Do Responsibilities Assess patient needs and develop individualized care plans Conduct utilization reviews to ensure medical necessity and appropriate ...
LPN Case Manager ER - Full-Time | Days | Nights
Manchester, TN · On-site
$22.25 - $29.50/hr
Schedule: Full-Time | Days | Nights What You'll Do Responsibilities Assess patient needs and develop individualized care plans Conduct utilization reviews to ensure medical necessity and appropriate ...
Care Management Case Managers
Martin, TN · On-site
Maintains a working knowledge of care management, care coordination changes, utilization review changes, authorization changes, contract changes, regulatory requirements, etc.; serves as an ...
Care Management Case Managers
Martin, TN · On-site
Maintains a working knowledge of care management, care coordination changes, utilization review changes, authorization changes, contract changes, regulatory requirements, etc.; serves as an ...
Care Management Case Managers
Martin, TN · On-site
Maintains a working knowledge of care management, care coordination changes, utilization review changes, authorization changes, contract changes, regulatory requirements, etc.; serves as an ...
Care Management Case Managers
Martin, TN · On-site
Maintains a working knowledge of care management, care coordination changes, utilization review changes, authorization changes, contract changes, regulatory requirements, etc.; serves as an ...
Care Management Case Manager
Jackson, TN · On-site
Maintains a working knowledge of care management, care coordination changes, utilization review changes, authorization changes, contract changes, regulatory requirements, etc.; serves as an ...
Care Management Case Manager
Jackson, TN · On-site
Maintains a working knowledge of care management, care coordination changes, utilization review changes, authorization changes, contract changes, regulatory requirements, etc.; serves as an ...
Vanderbilt University Medical Center Nurse Residency Program Discover Vanderbilt University Medical Center: Located in Nashville, Tennessee, and operating at a global crossroads of teaching ...
Vanderbilt University Medical Center Nurse Residency Program Discover Vanderbilt University Medical Center: Located in Nashville, Tennessee, and operating at a global crossroads of teaching ...
Utilization Review information
See Tennessee salary details
$19.42 - $23.35
2% of jobs
$23.35 - $27.27
9% of jobs
$29.96 is the 25th percentile. Wages below this are outliers.
$27.27 - $31.20
21% of jobs
The median wage is $34.38 / hr.
$31.20 - $35.13
23% of jobs
$35.13 - $39.05
13% of jobs
$42.11 is the 75th percentile. Wages above this are outliers.
$39.05 - $42.98
10% of jobs
$42.98 - $46.91
8% of jobs
$46.91 - $50.84
5% of jobs
$50.84 - $54.76
5% of jobs
$54.76 - $58.69
2% of jobs
$58.69 - $62.62
2% of jobs
$19
$38
$62
How much do utilization review jobs pay per hour?
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?
Is utilization review a stressful job?
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:
- No Experience Utilization Review Nurse
- Per Diem Utilization Review Nurse
- Utilization Review Physician
- Per Diem Remote Chart Review Nurse
- Remote Utilization Management Nurse
- Flex Schedule Remote Utilization Review Nurse
- Evening Optum Health Utilization Review
- Evening Utilization Review Nurse
- Remote Utilization Review Rn
- Part Time Utilization Review Nurse
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:
- Remote Weekend Utilization Review
- Volunteer Aetna Utilization Review Nurse
- Cigna Utilization Review Nurse
- Utilization Review Case Manager
- Remote Optum Utilization Review
- Director Of Utilization Review
- Internship Rn Utilization Review Nurse
- Anthem Utilization Review Nurse
- Therapy Utilization Review
- Authorization Utilization Review Bcba
What cities in Tennessee are hiring for Utilization Review jobs?
Cities in Tennessee with the most Utilization Review 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
Pay
Benefits
Hours and flexibility
Workplace
Get the full story on Breakroom
About Universal Health Services
Sourced by ZipRecruiter
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