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Vanderbilt Health workplace

Utilization Management Specialist, Vanderbilt Clarksville Hospital (RN Required) - REMOTE

Vanderbilt Health

Nashville, Tennessee

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RNUtilization ManagementUtilization Review

Posted Aug 9, 2026 · Last seen active Aug 9, 2026

What the posting states

Patient load & staffing
Nurse-to-patient ratio: 1:5–1:6

About this role

Show full description
Facilitates optimal reimbursement through accurate certification and complete chart documentation ensuring that the appropriate admission status is ordered. Conducts initial admission based on utilization review medical necessity criteria. Refers cases for secondary review when appropriate. Refers and consult with the multidisciplinary team to promote appropriate communication in the absence of definitive documentation and/or review criteria to support hospital stay.

Requirements

  • RN License
  • Bachelor's degree
  • 1 year relevant work experience
  • InterQual Level of Care Criteria
  • Milliman Care Guidelines (MCG Health)
  • Medical Terminology & Documentation
  • Clinical Applications Systems
  • Utilization Review

Benefits

  • Health Plan Options
  • Dental and/or vision plan
  • 403(b) retirement plan
  • Paid Time off (flex PTO)
  • Tuition Reimbursement
  • Adoption assistance
  • Short-Long term disability
  • Subsidized backup childcare

About the employer

Vanderbilt Health logo
Vanderbilt Health
Academic Medical Center

If you are a new graduate, the clearest door in is the VUMC Nurse Residency Program (ANCC Practice Transition Accreditation Program, accredited with distinction). Day-to-day texture depends on unit. Adult Med-Surg on VUH’s 6 Round Wing lists a 1:5–6 ratio…

1700 beds
Magnet® recognized
1:5–1:6 nurse-to-patient

What reviewers appreciate

  • ANCC-accredited-with-distinction Nurse Residency with multiple adult specialty tracks
  • Benefits and 403b matching start day one for nurse residents
  • Relocation assistance and Move to Nashville residency incentive for those who qualify

What reviewers flag

  • 2025 announcement of up to 650 layoffs and a $300M-plus budget cut (mainly research, admin, support)
  • Student loan repayment amount is not fully stated
  • Shelbyville often means commuting toward Murfreesboro or Nashville for broader options
shared governancecollaborativeresidency-structuredMagnetpreceptor-ledresearch-supportive

Living in Nashville, TN

Nashville blends Southern charm with a booming healthcare industry, making it a magnet for traveling nurses. Live music spills from honky-tonks on Broadway, while Cumberland River greenways offer outdoor escapes. Beyond bachelorette-party stereotypes, neighborhoods like East Nashville serve up eclectic dining and community grit. It's a city where career growth and culture genuinely intersect.

Metro price level · Nashville area
4% below the national average
BEA index 96.3 (100 = national)

U.S. Bureau of Economic Analysis · 2024 metro Regional Price Parities

Browse open roles in Nashville

On your path

Telehealth / Virtual Care is a first-year unit lane. Acute-care experience and a compact license widen the map.

Worth asking

The posting doesn’t answer these. Good ones to ask a recruiter or in the interview.

  • Can you walk me through the base pay range and differentials?
  • What should I expect for shifts, weekly hours, weekend, holiday, call, and rotation?
  • What orientation, preceptor time, and ongoing unit support are included?
  • How are floating and staffing support handled day to day?
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