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Part Time Remote Utilization Review Nurse information

What are the key skills and qualifications needed to thrive as a Part Time Remote Utilization Review Nurse, and why are they important?

To thrive as a Part Time Remote Utilization Review Nurse, you need an active RN license, strong clinical judgment, and experience in case management or utilization review. Familiarity with medical coding systems (like ICD-10 and CPT), healthcare management software, and payer guidelines is often required. Excellent written communication, attention to detail, and the ability to work independently are essential soft skills for remote success. These competencies ensure accurate review of medical records, compliance with regulations, and effective coordination with healthcare teams while working remotely.

How do part-time remote Utilization Review Nurses typically collaborate with physicians and other healthcare professionals?

Part-time remote Utilization Review Nurses often communicate with physicians, case managers, and insurance representatives through secure digital platforms, emails, and scheduled virtual meetings. They review patient records and coordinate care authorizations, frequently clarifying clinical information or policy requirements with providers. Balancing asynchronous communication and timely responses is essential, as collaboration impacts both patient outcomes and reimbursement processes. Building strong professional relationships and maintaining clear documentation are key to effective teamwork in this remote setting.

What does a Part Time Remote Utilization Review Nurse do?

A Part Time Remote Utilization Review Nurse evaluates medical records and treatment plans to ensure that healthcare services are medically necessary and comply with insurance guidelines. Working remotely, they review patient cases, communicate with healthcare providers, and make recommendations on the appropriateness of care. Their role helps manage healthcare costs and ensures patients receive appropriate care while adhering to regulatory and insurance standards.

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

AspectPart Time Remote Utilization Review NursePart Time Remote Case Manager
CredentialsRN license, certifications in utilization review (e.g., CUC, URAC)RN or social work license, case management certification (e.g., CCM)
Work EnvironmentRemote, reviewing medical records and authorizationsRemote, coordinating care and discharge planning
Employer & IndustryInsurance companies, healthcare providers, third-party administratorsInsurance companies, healthcare organizations, managed care firms

The Part Time Remote Utilization Review Nurse primarily evaluates medical necessity for insurance approvals, focusing on documentation review. In contrast, the Part Time Remote Case Manager manages patient care plans, coordinating services and discharge planning. Both roles are remote, require healthcare credentials, and are common in the insurance and healthcare industries, but they differ in daily responsibilities and focus areas.

What are popular job titles related to Part Time Remote Utilization Review Nurse jobs in Delaware? For Part Time Remote Utilization Review Nurse jobs in Delaware, the most frequently searched job titles are:
What job categories do people searching Part Time Remote Utilization Review Nurse jobs in Delaware look for? The top searched job categories for Part Time Remote Utilization Review Nurse jobs in Delaware are:
What cities in Delaware are hiring for Part Time Remote Utilization Review Nurse jobs? Cities in Delaware with the most Part Time Remote Utilization Review Nurse job openings:
Part Time Remote Utilization Review Nurse jobs near you
Infographic showing various Part Time Remote Utilization Review Nurse job openings in Delaware as of May 2026, with employment types broken down into 2% As Needed, 81% Full Time, 12% Part Time, and 5% Contract. Highlights an 90% Physical, 2% Hybrid, and 8% Remote job distribution.
Psychiatric Nurse Practitioner (PMHNP) - Remote

Psychiatric Nurse Practitioner (PMHNP) - Remote

BetterHelp

Dover, DE • Remote

$100 - $140/hr

Full-time, Part-time, Contractor

Posted 2 days ago

BetterHelp rating

6.5

Company rating: 6.5 out of 10

Based on 6 frontline employees who took The Breakroom Quiz

Job description

UpLift – Redefining Access to Mental Healthcare

At UpLift, we believe mental health is just as important as physical health — and we're rethinking the mental healthcare model. UpLift is a multi-sided marketplace, applying technology to empower patients to find Therapists and Psychiatric providers covered by their insurance plan.

While 1 in 5 Americans struggle with mental health issues, only 40% of this group received care in the last year. At the same time, only 30% of therapists accept insurance. UpLift acts as the bridge between patient, provider, and insurer — empowering patients to find the best care for their needs at a price they can afford.

Why Join UpLift

  • Estimated Effective Hourly Earnings*: Earnings between $100 to $140 per hour is based on a 60-minute session assumption that includes a combination of patient visits and hourly equivalent CPT codes.
  • Expand access to care: Provide psychiatric services to individuals who otherwise may not have access to mental healthcare.
  • Collaborative model: Work hand-in-hand with UpLift's network of licensed therapists to deliver world-class, evidence-based care.
  • All-in-one virtual platform: Focus on your patients — UpLift handles credentialing, enrollment, and platform operations.
  • Work from anywhere: This role is 100% remote, with care delivered via UpLift's purpose-built telemedicine platform.
  • Flexible commitment: Part-time, 1099 contract position

What You'll Do

  • Conduct video consultations and message with patients via telemedicine.
  • Assess, screen, diagnose, and prescribe medication as clinically appropriate.
  • Coordinate treatment planning and care delivery with UpLift's network of therapists.
  • Provide empathetic, high-quality care and uphold UpLift's clinical and service standards.
  • Share product and workflow feedback with UpLift's engineering and operations teams to help improve care delivery.

Who We're Looking For

  • At least one year of experience as a certified Psychiatric Mental Health Nurse Practitioner (PMHNP) or licensed Psychiatrist.
  • Active medical license in Delaware, in good standing.
  • Comfortable prescribing medication when clinically appropriate and permitted by state law.
  • Skilled at using online tools and technology to deliver virtual care.
  • Previous telemedicine experience is a plus.
  • Multiple state licenses and fluency in additional languages are strong advantages.

Important to Know

  • This is a part-time, contract (1099) position — not a salaried employee role.
  • UpLift will credential and enroll you with multiple health plans to expand access to insured patients.
  • All care is delivered remotely through UpLift's telehealth platform.
  • All clinical decisions are made independently by licensed providers in accordance with state telehealth laws and professional standards.

License/Certification:

  • Medical License (Preferred)
  • PMHNP

Location:

  • Delaware (Required)
  • Work Location: Remote

*Estimated effective hourly earnings are for licensed Psychiatric Mental Health Nurse Practitioners in Delaware and are illustrative estimates derived from modeled assumptions, not a guaranteed hourly rate, wage, or salary. These estimates are calculated using assumptions regarding number of completed visits per hour, CPT code mix, and utilization of add-on codes (such as 90833) when clinically appropriate and properly documented. Actual earnings vary and are dependent on individual clinical decisions, case mix, scheduling availability, payer reimbursement, licensure, and geographic market factors.

BetterHelp logo

About BetterHelp

Sourced by ZipRecruiter

* We help people change their lives. BetterHelp is the world's largest therapy service. We set out on a mission to provide everyone with easy, affordable, and private access to professional counseling: anytime, anywhere. To date, our network of over 20,000 licensed, accredited, and board-certified therapists have assisted more than 1,000,000 people. Every month, our secure website and mobile app facilitate over 5,000,000 messages, chats, voice calls, and video sessions that help people face life's challenges. * We're taking mental healthcare to the next level. We combine clinical care, cutting-edge technology and data-driven product development to constantly learn, iterate, and improve. We are relentless in our pursuit of better, always questioning the status quo and discovering new ways to get things done and serve our members. * We are a community that grows together - both professionally and personally. Even with our exponential growth, our team is kept agile and nimble, allowing you to have a huge impact and carve your own path from day one. We invest in our team's well-being and professional development because we know that business and individual growth go hand-in-hand. You will move fast, remain flexible, and be challenged every day. Join us!

Industry

Health care and social assistance

Company size

1,001 - 5,000 Employees

Headquarters location

San Francisco, CA, US

Year founded

2013

Social media

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