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Part Time Remote Utilization Management Nurse Jobs in Ohio

ProMedica

Virtual Nursing Weekly Hours: 24 Status: Part time Shift: Days (United States of America) Job Summary: The Virtual Registered Nurse (ViRN) provides remote and bedside patient management in the ...

SalvoHealth

Medical Assistant, Remote

Cleveland, OH · Remote

$18 - $22/hr

Manage patient tasks to ensure timely documentation and communication for all patients ... nurses, psychologists, and therapists who have developed our evidence-based protocols, for a ...

Adacel Systems, Inc.

Remote Pilot Operator

Columbus, OH · On-site +1

John Glenn International Airport (CMH), Columbus, Ohio, USA Job Status: Part-Time Position Summary ... This reflects management's assignment of essential duties and responsibilities. It does not ...

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All JobsUtilization Management Nurse JobsPart Time Remote Utilization Management Nurse JobsPart Time Remote Utilization Management Nurse Jobs in Ohio

Part Time Remote Utilization Management Nurse information

What is the difference between Part Time Remote Utilization Management Nurse vs Part Time Remote Case Manager?

AspectPart Time Remote Utilization Management NursePart Time Remote Case Manager
CredentialsRN license, certifications like CCM or ANCCRN or social work license, certifications like CCM
Work EnvironmentRemote, healthcare insurance companies, managed care organizationsRemote, healthcare insurance companies, social service agencies
Job FocusReview medical necessity, approve or deny services, ensure appropriate careCoordinate services, assess client needs, develop care plans
Common UsageUsed in utilization review, insurance, managed careUsed in patient advocacy, social services, healthcare coordination

While both roles are remote healthcare positions requiring clinical or social work credentials, the Utilization Management Nurse primarily reviews medical necessity and approves services, whereas the Case Manager focuses on coordinating care and supporting patient needs. Both roles are essential in healthcare management but differ in their core responsibilities and focus areas.

What are the most commonly searched types of Remote Utilization Management Nurse jobs in Ohio? The most popular types of Remote Utilization Management Nurse jobs in Ohio are:
What cities in Ohio are hiring for Part Time Remote Utilization Management Nurse jobs? Cities in Ohio with the most Part Time Remote Utilization Management Nurse job openings:
Part Time Remote Utilization Management Nurse jobs near you
Infographic showing various Part Time Remote Utilization Management Nurse job openings in Ohio as of August 2026, with employment types broken down into 100% Part Time. Highlights an 100% Remote job distribution.

RN Telehealth Administrator on Call, Remote, PRN

Communicarehealth

Blue Ash, OH • Remote

Part-time

Re-posted 24 days ago

Job description

Job Address:

10123 Alliance Road, Suite 320 Blue Ash, OH 45242


Telehealth Administrator on Call (Registered Nurse), Remote Position

The PHP Telehealth Administrator on Callhas a passion for providing remote administrative, clinical triage, and care coordination support for the PHP Telehealth provider team, as well as seniors and other residents in a variety of healthcare settings that can include, but are not limited to, skilled nursing facilities, assisted living, and independent living communities, etc. They deliver support in a high touch, person-centered care model and collaborate with the interdisciplinary team to ensure that all residents receive the right care at the right time.

PRN Position

Option for 8 hour shift

Option to choose 1 shift for month and stay on shedule

Personalized Health Partners (PHP) is the medical practice arm for the CommuniCare Family of Companies. The Administrator on Call would directly support both the PHP Telehealth provider group as well answering calls for triage from our other telehealth use cases outside of the Skilled Nursing and Assisted living environments. The goal of the Administrator on Call is to support the Telehealth provider team as well as our patients to increase wellness, prevent illness, improve clinical outcomes and focus on customer experience and satisfaction.

PRIMARY RESPONSIBILITIES AND ESSENTIAL FUNCTIONS

Duties of all PHP Telehealth Administrators on Call

  • Coordinate with telehealth providers to ensure appropriate patients receive telemedicine services.
  • Communicate with onsite nursing teams to ensure all clinical needs are coordinated
  • Oversee provider queue in Never Alone
  • Support technical issues that arise for telehealth provider team
  • Monitor EMR to triage routine clinical lab requests, routine imaging results, notifications, etc. that result after hours.
  • Maintain timely documentation of encounters with facility nurses in the EMR
  • Record information directly into CRM system
  • Connect patients that need to be seen acutely by an in-house provider the next day with Central Scheduling
  • Answer and triage calls from Never Alone use cases outside of the SNF use case
  • Provide health education
  • Provide an excellent customer experience to foster high customer satisfaction/retention
  • Practice ethically and in accordance with the Scope and Standards of Practice of their profession and Board Certification.
  • Follow all state and federal regulations, guidelines, and laws

Additional duties of PHP Telehealth Administrator on Call

  • Collaborate with telehealth provider group
  • Participation in monthly staff meetings
  • During downtime there may be some additional project related work related to the development of protocols, initial quality review of previous encounters, or projects to be defined as the role evolves.

EDUCATION and QUALIFICATION:

Required:

  • Must have valid RN or LPN license
  • Must be willing to be licensed in the 7 states served (Indiana, Ohio, Maryland, Virginia, West Virginia and Kentucky)
  • Excellent communication and critical thinking skills
  • Good technology aptitude

Preferred Qualifications:

  • Training or clinical experience in geriatrics, primary care/internal medicine and/or ED or urgent care
  • 3+ years clinical experience
  • Be open to professional development through training, obtaining certifications if necessary, and attending team meetings
  • Experience working in a collaborative healthcare setting to drive positive outcomes and achieve goals
  • Training or experience in outpatient primary care setting

Apply