Utilization Review RN
Chattanooga, TNJob$30.76–45.76/hrSeen 3 days agoSeen in employer's feed 3 days ago
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At a glance
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Requirements
Credentials this posting asks for.
Job overview
The Utilization Review RN reviews medical records, authorizes services, and prepares cases for physician review in partnership with utilization management teams. The role monitors patient care for appropriateness, quality, and cost-effectiveness, applying established criteria. Candidates need clinical experience, utilization management and regulatory knowledge, analytical and organizational skills, and effective communication. A master's degree in Case Management or Nursing may substitute for one year of experience.
Skills & qualifications
Skills
Qualifications
Full job description
Job Summary and Responsibilities
As our Utilization Management Professional, you will be a critical guardian of healthcare efficiency and quality, ensuring integrity in clinical decision-making, regulatory compliance, and responsible resource utilization.
Every day, you will meticulously review medical records, authorize services, and prepare cases for physician review in partnership with UM teams. You'll monitor patient care for appropriateness, quality, and cost-effectiveness, aligning decisions with established criteria.
To be successful in this role, you will possess a strong clinical background, deep UM/regulatory knowledge, and exceptional analytical/organizational skills. Your ability to manage charts, apply criteria precisely, and communicate effectively with enthusiasm, efficiency, and empathy is paramount for optimal patient care and operational flow.
Job Requirements
Required
- Minimum two (2) years of acute hospital clinical experience or a
Masters degree in Case Management or Nursing field in lieu of 1
year experience.
Preferred
- Graduate of an accredited school of nursing (Bachelor Degree
in Nursing (BSN)) or related healthcare field.
- At least five (5) years of nursing experience.
Required
-
RN license in the state(s) covered is required.
-
BLS required within 3 months of hiring
Preferred
- Certified Case Manager (CCM), Accredited Case Manager (ACM-
RN), or UM Certification preferred
Where You'll Work
CommonSpirit Memorial is an award-winning, not-for-profit, faith-based health care organization dedicated to the healing ministry of Jesus Christ. Founded by the Sisters of Charity of Nazareth, we offer a comprehensive continuum of care, from preventative and primary care to acute hospital services specializing in cancer, cardiac, neuroscience, stroke, and orthopedic services. Our commitment to excellence has earned us top prestigious recognition repeatedly from U.S. News and World Report, PINC AI™, CMS, Healthgrades®, Leapfrog, and most recently as one of the Best Places to Work in Tennessee. We are proud to serve Southeast Tennessee and Northwest Georgia with the expertise of 4,700 employees and nearly 500 affiliated physicians.
Pay Range
$30.76 - $45.76 /hour
We are an equal opportunity employer.
How this job compares
Set against the 28,933 open Nurse jobs on Olive Jobs, counted November 10, 2026.
- Pay
- This posting$30.76–45.76/hr
- Tennessee median$29–36/hr153 hourly ranges
- US median$34–45/hr12,875 hourly ranges
This range's midpoint, $38.26/hr, is 18% above the Tennessee median midpoint ($33/hr) — in the middle half of Nurse hourly ranges in Tennessee.
- Openings
- Olive Jobs lists 787 open Nurse jobs in Tennessee and 28,933 across the US. Under 1% of them nationwide are listed as remote or flexible.
- Hiring the most in Tennessee
- HCA Healthcare257 open
- Covenant Health108 open
- Signature Healthcare65 open
- Experience
- This posting asks for at least 2 years of experience; Nurse postings that state a minimum ask for 1 year at the median (12,054 postings).
- Education
- 3,109 of the 28,933 open Nurse jobs (11%) ask for a bachelor's degree or higher.
Pay, requirements and demand for Nurse jobs
Counted across the open, public US postings on Olive Jobs on November 10, 2026. Pay medians are the middle values of the low ends and of the high ends of postings that list both ends of a range in the same cadence (a yearly salary or an hourly rate); a range's midpoint is halfway between its ends. Pay and experience figures resting on fewer than 20 postings are left out.
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